Department of Gastroenterology, Chaim Sheba Medical Center, Israel.
Gastroenterol Rep (Oxf). 2014 May;2(2):85-91. doi: 10.1093/gastro/gou013. Epub 2014 Mar 18.
Anal incontinence (AI) in adults is a troublesome condition that negatively impacts upon quality of life and results in significant embarrassment and social isolation. The conservative management of AI is the first step and targets symptomatic relief. The reported significant improvement with conservative treatments for AI is close to 25% and involves prescribed changes in lifestyle habits, a reduced intake of foods that may cause or aggravate diarrhea or rectal urgency, and the use of specific anti-diarrheal agents. The use of a mechanical barrier in the form of an anal plug and the outcomes and principles of pelvic kinesitherapies and biofeedback options are outlined. This review discusses a gastroenterologist's approach towards conservative therapy in patients referred with anal incontinence.
成人肛门失禁（AI）是一种令人困扰的疾病，会对生活质量产生负面影响，并导致严重的尴尬和社交孤立。AI 的保守治疗是第一步，旨在缓解症状。据报道，AI 的保守治疗有近 25%的显著改善，包括改变生活习惯、减少可能导致或加重腹泻或直肠急迫感的食物摄入，以及使用特定的止泻药物。本文还概述了肛门塞等机械屏障的使用、盆底运动疗法的结果和原则以及生物反馈治疗选择。本文讨论了胃肠病学家对因肛门失禁就诊患者的保守治疗方法。
