Evidence map›Paper›PMID 17589927›Full record

ArticleWorld journal of gastroenterology2007

Anal plugs and retrograde colonic irrigation are helpful in fecal incontinence or constipation.

Marcel Cazemier, Richelle-Jf Felt-Bersma, Chris-Jj Mulder

Open access · hybridAbstract readEvaluation Study
In one paragraph

Article in World journal of gastroenterology, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 3 pooled it
2.0field-weighted citation impact, top 15% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 3 syntheses or guidelines pooled it, 53 citations in OpenAlex.

  1. Transanal irrigation: Bridging the gap in treatment for chronic constipation and/or faecal incontinence-A systematic review and management guidance.Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland · 2025
    Pooled it
  2. Insert devices for faecal incontinence.Techniques in coloproctology · 2021
    Pooled it
  3. Pooled it
  4. Transanal irrigation in clinical practice: a scoping review.International journal of colorectal disease · 2026
    Article
  5. Article
  6. Faecal incontinence in adults.Nature reviews. Disease primers · 2022
    Review
  7. Review
  8. Review
  9. Management of functional constipation in children and adults.Nature reviews. Gastroenterology & hepatology · 2020
    Review
  10. Review
  11. Review
  12. Article
  13. Article
  14. Article
  15. Functional Anorectal Disorders.Gastroenterology · 2016
    Article
  16. Article
  17. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 1 institution in 1 country.

Marcel CazemierDepartment of Gastro-enterology and Hepatology, VU University Medical Center, Postbus 7057, 1007 MB Amsterdam, The Netherlands. m.cazemier@vumc.nl
Richelle-Jf Felt-Bersma
Chris-Jj Mulder
Amsterdam UMC Location VUmc · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo evaluate the feasibility, clinical effect and predicting factors for favorable outcome of treatment with anal plugs in fecal incontinence and retrograde colonic irrigation (RCI) in patients with fecal incontinence or constipation.

methodsPatients who received treatment with an anal plug or RCI between 1980 and 2005 were investigated with a questionnaire.

resultsOf the 201 patients (93 adults, 108 children), 101 (50%) responded. Adults: anal plugs (8), five stopped immediately, one stopped after 20 mo and two used it for 12-15 mo. RCI (40, 28 fecal incontinence, 12 constipation), 63% are still using it (mean 8.5 years), 88% was satisfied. Younger adults (< 40 years) were more satisfied with RCI (94% vs 65%, P = 0.05). Children: anal plugs (7), 5 used it on demand for an average of 2.5 years with satisfactory results, one stopped immediately and one after 5 years. RCI (26 fecal incontinence, 22 constipation), 90% are still using it (mean time 6.8 years) and felt satisfied. Children tend to be more satisfied (P = 0.001). Besides age, no predictive factors for success were found. There was no difference in the outcome between patients with fecal incontinence or constipation.

conclusionRCI is more often applied than anal plugs and is helpful in patients with fecal incontinence or constipation, especially for younger patients. Anal plugs can be used incidentally for fecal incontinence, especially in children.

Indexed as

Tampons, SurgicalAdolescentAdultAgedAged, 80 and overAnal CanalChildChild, PreschoolConstipationFeasibility StudiesFecal IncontinenceFemaleFollow-Up StudiesHealth SurveysHumansMale

Identifiers

PMID17589927
PMCPMC4172618
OpenAlexW1606117830

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.