Anorectal function evaluation and predictive factors for faecal incontinence in 600 patients

Aim  Anorectal function was assessed in patients with and without faecal incontinence (FI) . Risk factors predictive for FI were determined. Method  Between 2003 and 2009, all consecutive patients referred were assessed by questionnaire, anorectal manometry and anal endosonography. Predictive factor...

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Bibliographic Details
Published in:Colorectal disease 2012-02, Vol.14 (2), p.214-223
Main Authors: Lam, T. J., Kuik, D. J., Felt-Bersma, R. J. F.
Format: Article
Language:English
Subjects:
Adolescent
Adult
Age Factors
Aged
Aged, 80 and over
Anal Canal - diagnostic imaging
Anal Canal - pathology
Anal Canal - physiopathology
anal endosonography
anal sphincter function
anorectal manometry
anorectal physiology
Area Under Curve
Defecation - physiology
defunctioning stoma
Endosonography
external anal sphincter
Faecal incontinence
Fecal Incontinence - complications
Fecal Incontinence - physiopathology
Female
Humans
internal anal sphincter
Male
Manometry
Middle Aged
Organ Size
Parity
Predictive Value of Tests
Pressure
Rectum - anatomy & histology
Rectum - physiopathology
ROC Curve
Severity of Illness Index
Surveys and Questionnaires
temporary stoma
Urinary Incontinence - complications
Young Adult
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Summary:Aim  Anorectal function was assessed in patients with and without faecal incontinence (FI) . Risk factors predictive for FI were determined. Method  Between 2003 and 2009, all consecutive patients referred were assessed by questionnaire, anorectal manometry and anal endosonography. Predictive factors were identified and used to develop a statistical model to predict FI. Results  Of 600 patients (519 women), 285 (48%) were faecally incontinent. In comparison with continent women, incontinent women (mean Vaizey score 15.4), were older, had more liquid stools, more deliveries, more urinary incontinence, lower anal pressures, shorter sphincter length, smaller rectal capacity and more sphincter defects. Incontinent men (mean Vaizey score 15.3) were older and had lower anal pressures. Incontinent and continent patients showed an overlap in test results. Predictors in women were age, stool consistency, anal pressures, rectal capacity, and internal and external sphincter defects. The area under the ROC‐curve was 0.84 (P 
ISSN:1462-8910
1463-1318
DOI:10.1111/j.1463-1318.2011.02548.x