The artificial bowel sphincter for faecal incontinence: a single centre study

Background and aims Faecal incontinence (FI) is a socially devastating problem. The treatment algorithm depends on the aetiology of the problem. Large anal sphincter defects can be treated by sphincter replacement procedures: the dynamic graciloplasty and the artificial bowel sphincter (ABS). Materi...

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Bibliographic Details
Published in:International journal of colorectal disease 2008-01, Vol.23 (1), p.107-111
Main Authors: Melenhorst, Jarno, Koch, Sacha M., van Gemert, Wim G., Baeten, Cor G.
Format: Article
Language:English
Subjects:
Adult
Aged
Anal Canal - physiopathology
Anal Canal - surgery
Artificial Organs - adverse effects
Biological and medical sciences
Device Removal
Fecal Incontinence - physiopathology
Fecal Incontinence - surgery
Female
Gastroenterology
Gastroenterology. Liver. Pancreas. Abdomen
Hepatology
Humans
Internal Medicine
Male
Manometry
Medical sciences
Medicine
Medicine & Public Health
Middle Aged
Original
Original Article
Other diseases. Semiology
Pressure
Proctology
Prospective Studies
Prosthesis Implantation - instrumentation
Prosthesis-Related Infections - etiology
Prosthesis-Related Infections - surgery
Reoperation
Severity of Illness Index
Stomach, duodenum, intestine, rectum, anus
Stomach. Duodenum. Small intestine. Colon. Rectum. Anus
Surgery
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of the digestive system
Time Factors
Treatment Outcome
Young Adult
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Summary:Background and aims Faecal incontinence (FI) is a socially devastating problem. The treatment algorithm depends on the aetiology of the problem. Large anal sphincter defects can be treated by sphincter replacement procedures: the dynamic graciloplasty and the artificial bowel sphincter (ABS). Materials and methods Patients were included between 1997 and 2006. A full preoperative workup was mandatory for all patients. During the follow-up, the Williams incontinence score was used to classify the symptoms, and anal manometry was performed. Results Thirty-four patients (25 women) were included, of which, 33 patients received an ABS. The mean follow-up was 17.4 (0.8–106.3) months. The Williams score improved significantly after placement of the ABS ( p  
ISSN:0179-1958
1432-1262
DOI:10.1007/s00384-007-0357-0