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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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| Published in: | International journal of colorectal disease 2008-01, Vol.23 (1), p.107-111 |
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| container_title | International journal of colorectal disease |
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| creator | Melenhorst, Jarno Koch, Sacha M. van Gemert, Wim G. Baeten, Cor G. |
| description | 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
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| doi_str_mv | 10.1007/s00384-007-0357-0 |
| format | article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_2077921</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1384086611</sourcerecordid><originalsourceid>FETCH-LOGICAL-c497t-50eec32d387302e78a58b56f1541ee454685ff5b0e8c0bf3819afa43d5c740e23</originalsourceid><addsrcrecordid>eNp1UU1vEzEQtRAVDYEfwAWtkMptiz_XXg6VUMWXVMSlnC2vM05cbexg74L67zshEQEkDrbHM2-e5_kR8oLRS0apflMpFUa2GLZUKNwekQWTgreMd_wxWVCm-5b1ypyTp7XeUbx3Wj4h55jnPfYuyJfbDTSuTDFEH93YDPknjE3dbWLyE5QmZFwOPJYwk9MUEyQPbxvX1JjWIzQe0lSgqdO8un9GzoIbKzw_nkvy7cP72-tP7c3Xj5-v3920XvZ6ahUF8IKvhNGCctDGKTOoLjAlGYBUsjMqBDVQMJ4OQRjWu-CkWCmvJQUuluTqwLubhy2sfo3gRrsrcevKvc0u2r8rKW7sOv-wnGqUzpDg9ZGg5O8z1MluY_Uwji5BnqvVlPZM4Bctyat_gHd5LgnFWc46JaSREkHsAPIl11og_J6EUbt3yh6csvtw75TdE7_8U8Kp42gNAi6OAFfx-0Nxycd6wvW9kqgGcfyAq1hKayinCf__-gOEVKus</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>216534844</pqid></control><display><type>article</type><title>The artificial bowel sphincter for faecal incontinence: a single centre study</title><source>Springer Link</source><creator>Melenhorst, Jarno ; Koch, Sacha M. ; van Gemert, Wim G. ; Baeten, Cor G.</creator><creatorcontrib>Melenhorst, Jarno ; Koch, Sacha M. ; van Gemert, Wim G. ; Baeten, Cor G.</creatorcontrib><description>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
< 0.0001). The postoperative anal resting pressure with an empty cuff was not altered (
p
= 0.89). The postoperative ABS pressure was significantly higher then the baseline squeeze pressure (
p
= 0.003). Seven patients had an infection necessitating explantation. One patient was successfully reimplanted.
Conclusion
The artificial bowel sphincter is an effective treatment for FI in patients with a large anal sphincter defect. Infectious complications are the largest threat necessitating explantation of the device.</description><identifier>ISSN: 0179-1958</identifier><identifier>EISSN: 1432-1262</identifier><identifier>DOI: 10.1007/s00384-007-0357-0</identifier><identifier>PMID: 17929038</identifier><identifier>CODEN: IJCDE6</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer-Verlag</publisher><subject>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</subject><ispartof>International journal of colorectal disease, 2008-01, Vol.23 (1), p.107-111</ispartof><rights>Springer-Verlag 2007</rights><rights>2008 INIST-CNRS</rights><rights>Springer-Verlag 2008</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c497t-50eec32d387302e78a58b56f1541ee454685ff5b0e8c0bf3819afa43d5c740e23</citedby><cites>FETCH-LOGICAL-c497t-50eec32d387302e78a58b56f1541ee454685ff5b0e8c0bf3819afa43d5c740e23</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,776,780,881,27903,27904</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=19954077$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/17929038$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Melenhorst, Jarno</creatorcontrib><creatorcontrib>Koch, Sacha M.</creatorcontrib><creatorcontrib>van Gemert, Wim G.</creatorcontrib><creatorcontrib>Baeten, Cor G.</creatorcontrib><title>The artificial bowel sphincter for faecal incontinence: a single centre study</title><title>International journal of colorectal disease</title><addtitle>Int J Colorectal Dis</addtitle><addtitle>Int J Colorectal Dis</addtitle><description>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
< 0.0001). The postoperative anal resting pressure with an empty cuff was not altered (
p
= 0.89). The postoperative ABS pressure was significantly higher then the baseline squeeze pressure (
p
= 0.003). Seven patients had an infection necessitating explantation. One patient was successfully reimplanted.
Conclusion
The artificial bowel sphincter is an effective treatment for FI in patients with a large anal sphincter defect. Infectious complications are the largest threat necessitating explantation of the device.</description><subject>Adult</subject><subject>Aged</subject><subject>Anal Canal - physiopathology</subject><subject>Anal Canal - surgery</subject><subject>Artificial Organs - adverse effects</subject><subject>Biological and medical sciences</subject><subject>Device Removal</subject><subject>Fecal Incontinence - physiopathology</subject><subject>Fecal Incontinence - surgery</subject><subject>Female</subject><subject>Gastroenterology</subject><subject>Gastroenterology. Liver. Pancreas. Abdomen</subject><subject>Hepatology</subject><subject>Humans</subject><subject>Internal Medicine</subject><subject>Male</subject><subject>Manometry</subject><subject>Medical sciences</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Original</subject><subject>Original Article</subject><subject>Other diseases. Semiology</subject><subject>Pressure</subject><subject>Proctology</subject><subject>Prospective Studies</subject><subject>Prosthesis Implantation - instrumentation</subject><subject>Prosthesis-Related Infections - etiology</subject><subject>Prosthesis-Related Infections - surgery</subject><subject>Reoperation</subject><subject>Severity of Illness Index</subject><subject>Stomach, duodenum, intestine, rectum, anus</subject><subject>Stomach. Duodenum. Small intestine. Colon. Rectum. Anus</subject><subject>Surgery</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Surgery of the digestive system</subject><subject>Time Factors</subject><subject>Treatment Outcome</subject><subject>Young Adult</subject><issn>0179-1958</issn><issn>1432-1262</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><recordid>eNp1UU1vEzEQtRAVDYEfwAWtkMptiz_XXg6VUMWXVMSlnC2vM05cbexg74L67zshEQEkDrbHM2-e5_kR8oLRS0apflMpFUa2GLZUKNwekQWTgreMd_wxWVCm-5b1ypyTp7XeUbx3Wj4h55jnPfYuyJfbDTSuTDFEH93YDPknjE3dbWLyE5QmZFwOPJYwk9MUEyQPbxvX1JjWIzQe0lSgqdO8un9GzoIbKzw_nkvy7cP72-tP7c3Xj5-v3920XvZ6ahUF8IKvhNGCctDGKTOoLjAlGYBUsjMqBDVQMJ4OQRjWu-CkWCmvJQUuluTqwLubhy2sfo3gRrsrcevKvc0u2r8rKW7sOv-wnGqUzpDg9ZGg5O8z1MluY_Uwji5BnqvVlPZM4Bctyat_gHd5LgnFWc46JaSREkHsAPIl11og_J6EUbt3yh6csvtw75TdE7_8U8Kp42gNAi6OAFfx-0Nxycd6wvW9kqgGcfyAq1hKayinCf__-gOEVKus</recordid><startdate>20080101</startdate><enddate>20080101</enddate><creator>Melenhorst, Jarno</creator><creator>Koch, Sacha M.</creator><creator>van Gemert, Wim G.</creator><creator>Baeten, Cor G.</creator><general>Springer-Verlag</general><general>Springer</general><general>Springer Nature B.V</general><scope>C6C</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7T5</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>H94</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20080101</creationdate><title>The artificial bowel sphincter for faecal incontinence: a single centre study</title><author>Melenhorst, Jarno ; Koch, Sacha M. ; van Gemert, Wim G. ; Baeten, Cor G.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c497t-50eec32d387302e78a58b56f1541ee454685ff5b0e8c0bf3819afa43d5c740e23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2008</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Anal Canal - physiopathology</topic><topic>Anal Canal - surgery</topic><topic>Artificial Organs - adverse effects</topic><topic>Biological and medical sciences</topic><topic>Device Removal</topic><topic>Fecal Incontinence - physiopathology</topic><topic>Fecal Incontinence - surgery</topic><topic>Female</topic><topic>Gastroenterology</topic><topic>Gastroenterology. Liver. Pancreas. Abdomen</topic><topic>Hepatology</topic><topic>Humans</topic><topic>Internal Medicine</topic><topic>Male</topic><topic>Manometry</topic><topic>Medical sciences</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Original</topic><topic>Original Article</topic><topic>Other diseases. Semiology</topic><topic>Pressure</topic><topic>Proctology</topic><topic>Prospective Studies</topic><topic>Prosthesis Implantation - instrumentation</topic><topic>Prosthesis-Related Infections - etiology</topic><topic>Prosthesis-Related Infections - surgery</topic><topic>Reoperation</topic><topic>Severity of Illness Index</topic><topic>Stomach, duodenum, intestine, rectum, anus</topic><topic>Stomach. Duodenum. Small intestine. Colon. Rectum. Anus</topic><topic>Surgery</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Surgery of the digestive system</topic><topic>Time Factors</topic><topic>Treatment Outcome</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Melenhorst, Jarno</creatorcontrib><creatorcontrib>Koch, Sacha M.</creatorcontrib><creatorcontrib>van Gemert, Wim G.</creatorcontrib><creatorcontrib>Baeten, Cor G.</creatorcontrib><collection>Springer Open Access</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Immunology Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>International journal of colorectal disease</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Melenhorst, Jarno</au><au>Koch, Sacha M.</au><au>van Gemert, Wim G.</au><au>Baeten, Cor G.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The artificial bowel sphincter for faecal incontinence: a single centre study</atitle><jtitle>International journal of colorectal disease</jtitle><stitle>Int J Colorectal Dis</stitle><addtitle>Int J Colorectal Dis</addtitle><date>2008-01-01</date><risdate>2008</risdate><volume>23</volume><issue>1</issue><spage>107</spage><epage>111</epage><pages>107-111</pages><issn>0179-1958</issn><eissn>1432-1262</eissn><coden>IJCDE6</coden><abstract>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
< 0.0001). The postoperative anal resting pressure with an empty cuff was not altered (
p
= 0.89). The postoperative ABS pressure was significantly higher then the baseline squeeze pressure (
p
= 0.003). Seven patients had an infection necessitating explantation. One patient was successfully reimplanted.
Conclusion
The artificial bowel sphincter is an effective treatment for FI in patients with a large anal sphincter defect. Infectious complications are the largest threat necessitating explantation of the device.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer-Verlag</pub><pmid>17929038</pmid><doi>10.1007/s00384-007-0357-0</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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| language | eng |
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| source | Springer Link |
| 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 |
| title | The artificial bowel sphincter for faecal incontinence: a single centre study |
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