ArticleInternational journal of colorectal disease2008
The artificial bowel sphincter for faecal incontinence: a single centre study.
Article in International journal of colorectal disease, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.
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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.
Who cites it
11 citing papers in PubMed, 1 synthesis or guideline pooled it.
- A systematic review of the clinical treatment of patients with fecal incontinence by artificial anal sphincter.Techniques in coloproctology · 2024Pooled it
- Long-term efficacy of NASHA Dx injection therapy for treatment of fecal incontinence.Neurogastroenterology and motility · 2014Trial
- Temperature-controlled radio frequency energy delivery (Secca procedure) for the treatment of fecal incontinence: results of a prospective study.International journal of colorectal disease · 2008Trial
- Surgical Treatment Alternatives to Sacral Neuromodulation for Fecal Incontinence: Injectables, Sphincter Repair, and Colostomy.Clinics in colon and rectal surgery · 2021Review
- Electrophysiological Basis of Fecal Incontinence and Its Implications for Treatment.Annals of coloproctology · 2017Review
- Current and emerging treatment options for fecal incontinence.Journal of clinical gastroenterology · 2014Review
- Current status: new technologies for the treatment of patients with fecal incontinence.Surgical endoscopy · 2014Review
- Current management of fecal incontinence: choosing amongst treatment options to optimize outcomes.World journal of gastroenterology · 2013Review
- Intra-abdominal dilation of artificial bowel sphincter pressure-regulating balloon: a case report.International journal of colorectal disease · 2012Article
- Sacral nerve stimulation induces changes in the pelvic floor and rectum that improve continence and quality of life.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2010Article
- An Open-Label, Noncomparative, Multicenter Study to Evaluate Efficacy and Safety of NASHA/Dx Gel as a Bulking Agent for the Treatment of Fecal Incontinence.Gastroenterology research and practice · 2010Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
BACKGROUND AND
aimsFaecal 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
methodsPatients 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.
resultsThirty-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.
conclusionThe 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.
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