Conservative treatment of patients with faecal soiling

S.J. van der Hagen, P.B. Soeters, C.G.M.I. Baeten, W.G. van Gemert

Research output: Contribution to journalArticleAcademicpeer-review

5 Citations (Scopus)

Abstract

PURPOSE: A prospective evaluation of fifty patients with faecal soiling but normal sphincter function treated by a conservative treatment algorithm. PATIENTS AND METHODS: Between January 2010 and January 2011, 50 consecutive patients of two different clinical centres, with faecal soiling and normal anorectal function as assessed by endoanal ultrasound, MRI and anal manometry, were eligible for the purpose of this study. All patients started the therapy by psyllium (PS) and a fibre-rich diet daily after 2 months followed by rectal irrigation (RI) in case of incomplete response and after 4 months by 4 g colestyramine (CO), respectively. The patients completed the Vaizey incontinence score and a 2-week diary card. All tests were performed repeated after 2, 4 and 8 months, respectively. RESULTS: The study group consisted of 41 men and 9 women and a mean age of 38 years (21-70). The soiling complaints resolved completely in 37 (79%) patients. After treatment with PS, RI and CO, 12 (24%) patients, 24 (73%) patients and 1 (79%) patient, respectively, resolved completely of faecal soiling. Average weekly soiling frequency, the amount of patients wearing pads daily and the Vaizey incontinence score diminished significantly after treatment with psyllium and after treatment with rectal irrigation (P < 0.001). CONCLUSION: Conservative treatment focussed on complete evacuation or clearing the anorectal canal is effective in the treatment of patients with faecal soiling.
Original languageEnglish
Pages (from-to)291-295
Number of pages5
JournalTechniques in coloproctology
Volume15
Issue number3
DOIs
Publication statusPublished - Sep 2011

Keywords

  • Faecal Incontinence
  • Soiling
  • Rectal irrigation
  • Psyllium
  • Diet
  • ADVANCEMENT FLAP REPAIR
  • ANAL FISTULA
  • INCONTINENCE
  • PREVALENCE
  • HEMORRHOIDS
  • MANAGEMENT
  • COMMUNITY
  • ADULTS

Cite this

van der Hagen, S.J. ; Soeters, P.B. ; Baeten, C.G.M.I. ; van Gemert, W.G. / Conservative treatment of patients with faecal soiling. In: Techniques in coloproctology. 2011 ; Vol. 15, No. 3. pp. 291-295.
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abstract = "PURPOSE: A prospective evaluation of fifty patients with faecal soiling but normal sphincter function treated by a conservative treatment algorithm. PATIENTS AND METHODS: Between January 2010 and January 2011, 50 consecutive patients of two different clinical centres, with faecal soiling and normal anorectal function as assessed by endoanal ultrasound, MRI and anal manometry, were eligible for the purpose of this study. All patients started the therapy by psyllium (PS) and a fibre-rich diet daily after 2 months followed by rectal irrigation (RI) in case of incomplete response and after 4 months by 4 g colestyramine (CO), respectively. The patients completed the Vaizey incontinence score and a 2-week diary card. All tests were performed repeated after 2, 4 and 8 months, respectively. RESULTS: The study group consisted of 41 men and 9 women and a mean age of 38 years (21-70). The soiling complaints resolved completely in 37 (79{\%}) patients. After treatment with PS, RI and CO, 12 (24{\%}) patients, 24 (73{\%}) patients and 1 (79{\%}) patient, respectively, resolved completely of faecal soiling. Average weekly soiling frequency, the amount of patients wearing pads daily and the Vaizey incontinence score diminished significantly after treatment with psyllium and after treatment with rectal irrigation (P < 0.001). CONCLUSION: Conservative treatment focussed on complete evacuation or clearing the anorectal canal is effective in the treatment of patients with faecal soiling.",
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Conservative treatment of patients with faecal soiling. / van der Hagen, S.J.; Soeters, P.B.; Baeten, C.G.M.I.; van Gemert, W.G.

In: Techniques in coloproctology, Vol. 15, No. 3, 09.2011, p. 291-295.

Research output: Contribution to journalArticleAcademicpeer-review

TY - JOUR

T1 - Conservative treatment of patients with faecal soiling

AU - van der Hagen, S.J.

AU - Soeters, P.B.

AU - Baeten, C.G.M.I.

AU - van Gemert, W.G.

PY - 2011/9

Y1 - 2011/9

N2 - PURPOSE: A prospective evaluation of fifty patients with faecal soiling but normal sphincter function treated by a conservative treatment algorithm. PATIENTS AND METHODS: Between January 2010 and January 2011, 50 consecutive patients of two different clinical centres, with faecal soiling and normal anorectal function as assessed by endoanal ultrasound, MRI and anal manometry, were eligible for the purpose of this study. All patients started the therapy by psyllium (PS) and a fibre-rich diet daily after 2 months followed by rectal irrigation (RI) in case of incomplete response and after 4 months by 4 g colestyramine (CO), respectively. The patients completed the Vaizey incontinence score and a 2-week diary card. All tests were performed repeated after 2, 4 and 8 months, respectively. RESULTS: The study group consisted of 41 men and 9 women and a mean age of 38 years (21-70). The soiling complaints resolved completely in 37 (79%) patients. After treatment with PS, RI and CO, 12 (24%) patients, 24 (73%) patients and 1 (79%) patient, respectively, resolved completely of faecal soiling. Average weekly soiling frequency, the amount of patients wearing pads daily and the Vaizey incontinence score diminished significantly after treatment with psyllium and after treatment with rectal irrigation (P < 0.001). CONCLUSION: Conservative treatment focussed on complete evacuation or clearing the anorectal canal is effective in the treatment of patients with faecal soiling.

AB - PURPOSE: A prospective evaluation of fifty patients with faecal soiling but normal sphincter function treated by a conservative treatment algorithm. PATIENTS AND METHODS: Between January 2010 and January 2011, 50 consecutive patients of two different clinical centres, with faecal soiling and normal anorectal function as assessed by endoanal ultrasound, MRI and anal manometry, were eligible for the purpose of this study. All patients started the therapy by psyllium (PS) and a fibre-rich diet daily after 2 months followed by rectal irrigation (RI) in case of incomplete response and after 4 months by 4 g colestyramine (CO), respectively. The patients completed the Vaizey incontinence score and a 2-week diary card. All tests were performed repeated after 2, 4 and 8 months, respectively. RESULTS: The study group consisted of 41 men and 9 women and a mean age of 38 years (21-70). The soiling complaints resolved completely in 37 (79%) patients. After treatment with PS, RI and CO, 12 (24%) patients, 24 (73%) patients and 1 (79%) patient, respectively, resolved completely of faecal soiling. Average weekly soiling frequency, the amount of patients wearing pads daily and the Vaizey incontinence score diminished significantly after treatment with psyllium and after treatment with rectal irrigation (P < 0.001). CONCLUSION: Conservative treatment focussed on complete evacuation or clearing the anorectal canal is effective in the treatment of patients with faecal soiling.

KW - Faecal Incontinence

KW - Soiling

KW - Rectal irrigation

KW - Psyllium

KW - Diet

KW - ADVANCEMENT FLAP REPAIR

KW - ANAL FISTULA

KW - INCONTINENCE

KW - PREVALENCE

KW - HEMORRHOIDS

KW - MANAGEMENT

KW - COMMUNITY

KW - ADULTS

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DO - 10.1007/s10151-011-0709-1

M3 - Article

VL - 15

SP - 291

EP - 295

JO - Techniques in coloproctology

JF - Techniques in coloproctology

SN - 1123-6337

IS - 3

ER -