Henry D. Janowitz Division of Gastroenterology, Mount Sinai School of Medicine, New York, New York 10029, USA.
Am J Gastroenterol. 2012 Nov;107(11):1635-46. doi: 10.1038/ajg.2012.284. Epub 2012 Sep 11.
Fecal incontinence (FI) is a common gastrointestinal (GI) complaint in patients aged 65 years and older. This evidence-based review article discusses the epidemiology, pathophysiology, evaluation, and management of FI in the geriatric population. We emphasize aging-related changes leading to and impacting evaluation and treatment of this symptom while incorporating the core geriatric principles of functional status and management aligned with patient preference and goals of care.
粪便失禁(FI)是 65 岁及以上患者常见的胃肠道(GI)疾病。本文基于循证医学对老年人 FI 的流行病学、病理生理学、评估和治疗进行了综述。我们强调了与年龄相关的变化,这些变化会影响 FI 的评估和治疗,并将其与核心老年医学原则相结合,即根据患者的功能状态和治疗偏好及目标进行管理。