Evidence map›Paper›PMID 26268955›Full record

ReviewJournal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract2015

Fecal Incontinence: Etiology, Diagnosis, and Management.

Karim Alavi, Sook Chan, Paul Wise, Andreas M Kaiser, Ranjan Sudan, Liliana Bordeianou

Abstract readReview
PubMed Publisher
In one paragraph

Review in Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
2.7field-weighted citation impact, top 11% 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

21 citing papers in PubMed, 1 synthesis or guideline pooled it, 61 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Progress on cell therapy for skeletal muscle disorders.Advanced drug delivery reviews · 2026
    Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. [Anal incontinence].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2022
    Article
  10. Review
  11. Review
  12. What Is Fecal Incontinence That Urologists Need to Know?International neurourology journal · 2021
    Article
  13. Article
  14. Article
  15. The Water-Holding Procedure for Ensuring Postoperative Continence Prior Restoring Intestinal Continuity.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2020
    Article
  16. Review
  17. Article
  18. Article
  19. Article
  20. Fecal incontinence - Challenges and solutions.World journal of gastroenterology · 2017
    Review
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

6 authors at 5 institutions in 1 country.

Karim AlaviDivision of Colon and Rectal Surgery, University of Massachusetts Memorial Medical Center, 67 Belmont Street, Worcester, MA, 01605, USA. karim.alavi@umassmemorial.org.
Sook ChanDivision of Colon and Rectal Surgery, University of Massachusetts Memorial Medical Center, 67 Belmont Street, Worcester, MA, 01605, USA.
Paul WiseDivision of Colon and Rectal Surgery, Washington University School of Medicine, St Louis, MO, USA.
Andreas M KaiserDivision of Colon and Rectal Surgery, University of Southern California Keck School of Medicine, Los Angeles, CA, USA.
Ranjan SudanDepartment of Surgery, Duke University School of Medicine, Durham, NC, USA.
Liliana BordeianouDivision of Colon and Rectal Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.
UMass Memorial Medical Center · USDuke University · USMassachusetts General Hospital · USUniversity of Southern California · USWashington University in St. Louis · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionFecal incontinence is a debilitating condition affecting primarily the elderly. Many patients suffer in silence resulting in both underdiagnosis and undertreatment often culminating in an overall poor quality of life.

methodsWe sought to review the etiology, diagnosis, and treatment of fecal incontinence based on current literature. Additionally, newer treatment methods such as Solesta will be evaluated.

resultsThere are many diagnostic modalities available to assess the degree and severity of the patient's incontinence; however, a thorough history and physical exam is critical. Initial attempts at treatment focus on medical management primarily through stool texture modification with the aid of bulking agents. Failure of medical therapy is often followed by a graded increase in the complexity and invasiveness of the available treatment options. The selection of the most appropriate surgical option, such as overlapping sphincteroplasty and neuromodulation, is multifactorial involving both surgeon and patient-related factors. Neuromodulation has received increased attention in the last decade due to its documented therapeutic success, and newer office-based procedures, such as the Solesta injection, are showing promising results in properly selected patients. Finally, diversion remains an option for select patients who have failed all other therapies.

conclusionThe etiology of fecal incontinence is multifactorial, involving a complex interplay between stool consistency and anatomic integrity. The diagnosis and treatment of fecal incontinence continue to evolve and are showing promising results.

Indexed as

DextransDietDigestive System Surgical ProceduresElectric Stimulation TherapyFecal IncontinenceHumansHyaluronic AcidPhysical ExaminationProstheses and ImplantsQuality of LifeSeverity of Illness Indexdextranomer-hyaluronic acid copolymerDextransHyaluronic AcidArtificial sphincterFecal incontinenceGraciloplastySacral nerve stimulationSphincteroplasty

Identifiers

PMID26268955
OpenAlexW1133835465

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.