Western Reserve Care System/Northeast Ohio Universities College of Medicine, Youngstown, Ohio 44501, USA.
Dis Colon Rectum. 2010 Mar;53(3):346-9. doi: 10.1007/DCR.0b013e3181c38351.
The management of fecal incontinence is a struggle to maintain patient hygiene and limit the transmission of nosocomial infections. Intrarectal devices that cause diversion and collection of the fecal stream have been used with increasing frequency. This method can effectively control patient waste if used in an appropriate setting. We examine a series of 3 patients in whom rectal trauma resulting in life-threatening hemorrhage was associated with use of the ConvaTec Flexi-Seal fecal management system. In 2 patients there was a history of traumatic removal, and the third developed a rectal pressure ulcer associated with use of this device. All 3 patients required surgical or endoscopic intervention to achieve hemostasis. Although effective, the Flexi-Seal fecal management system should be used with caution to avoid rectal trauma. Injury is most likely to occur because of traumatic removal or rectal ulceration secondary to pressure necrosis.
粪便失禁的管理是一项旨在保持患者卫生并限制医院感染传播的艰巨任务。为了实现这一目标，人们越来越频繁地使用直肠内设备来转移和收集粪便。如果在适当的环境下使用，这种方法可以有效地控制患者的废物。我们研究了 3 例患者，他们因使用康维可 Flexi-Seal 粪便管理系统而导致直肠创伤并危及生命的出血。其中 2 例有创伤性移除的病史，第 3 例因使用该设备而出现直肠压力性溃疡。所有 3 例患者均需要手术或内镜干预以实现止血。虽然有效，但在使用 Flexi-Seal 粪便管理系统时应谨慎，以避免直肠创伤。创伤最有可能是由于创伤性移除或因压力性坏死导致的直肠溃疡引起的。
