Keynote Lecture: Fecal Incontinence

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Biofeedback: Protocols 1. Coordination training— contract muscle in response to rectal distension 2. Sensory training—recognize smaller volumes of rectal contents 3. Strength training—isolate and exercise anal muscle (without rectal distention)
Biofeedback: Outcomes • N=171 randomized four groups: I) teaching, advice and support (a), II) + addition of sphincter exercises (a+b), III) +addition of manometric feedback (a+b+c), IV) + addition of home training device (a+b+c+d) • Continence scores, disease-specific and generic QOL scores, resting, squeeze, and sustained squeeze pressures improved in all groups and improvement was maintained at one year • Presence and degree of sphincter defect did not correlate with outcome Norton Gastroenterology 2003
Page 1 and 2: Fecal Incontinence The Cleveland Cl
Page 3 and 4: • Nobody would listen to the ANAL
Page 5 and 6: • Life miserating • Evaluating
Page 7 and 8: • Obstetrical injury is the most
Page 9 and 10: Comprehensive History • Duration,
Page 11 and 12: Treatment of Fecal Incontinence •
Page 13 and 14: Fecal Incontinence: Medical Treatme
Page 15: Pelvic Floor Retraining: Biofeedbac
Page 19 and 20: Fecal Incontinence: Medical Treatme
Page 21 and 22: SECCA hand piece • Anoscopic barr
Page 23 and 24: SECCA: How Does it Work? • Mechan
Page 25 and 26: First author n F/U mos SECCA: Resul
Page 27 and 28: SECCA: Complications • Bleeding a
Page 29 and 30: Injectables: Types 11 injectable bu
Page 31 and 32: Injectables: Results NASH • N=34
Page 33 and 34: Injectables: Final Thoughts • We
Page 35 and 36: Overlapping Sphincter Repair • Mo
Page 37 and 38: Long Term Outcome Following Overlap
Page 39 and 40: Sacral Nerve Modulation • 1994 fi
Page 41 and 42: Sacral Nerve Stimulation • After
Page 43 and 44: Phase 1: Test Stimulation
Page 45 and 46: Sacral Nerve Stimulation Meta-analy
Page 47 and 48: Sacral Nerve Stimulation 14 studies
Page 49 and 50: Sacral Nerve Stimulation Results EA
Page 51 and 52: Sacral Nerve Modulation Advantages
Page 53 and 54: Consider for: Artificial Bowel Sphi
Page 55 and 56: Artificial Sphincter: Complications
Page 57 and 58: Antegrade Colonic Enema (ACE) • 1
Page 59 and 60: Fecal Incontinence: Stoma • For p
Page 61 and 62: Posterior Tibial Nerve Stimulation
Page 63 and 64: Posterior Tibial Nerve Stimulation
Page 65: Fecal Incontinence: Treatment • O

Keynote Lecture: Fecal Incontinence

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