Borda Luis, Kcam Eduardo, Alvarado-Ortiz Blanco Eduardo
Facultad de Medicina, Universidad Nacional Mayor de San Marcos. Lima, PerÚ; Hospital Nacional Guillermo Almenara-EsSalud. Lima, PerÚ.
Hospital Regional de Tumbes. Tumbes, PerÚ.
Rev Gastroenterol Peru. 2015 Jul-Sep;35(3):258-61.
To present two cases of severe fecal incontinence handled in EsSalud Almenara Hospital in Lima, Peru, with successful results using new technologies, in this case Artificial Anal sphincter. Observational study of first two cases of patients, who were selected randomly throughout 2006, and had a diagnosis of severe fecal incontinence. In these patients were placed on Artificial Anal Sphincter Neosphincter. The first patient with fecal incontinence neurological etiology after 2 months of implant the device was activated, with satisfactory results. In the second case, the etiologic factor was the severe injury to the anal sphincter, he had colostomy which, after implanted the device was closed, there were some difficulties in activating the second device that were resolved with a review, then activated with satisfactory results alternative for definitive treatment of severe fecal incontinence.
介绍秘鲁利马埃斯萨卢德阿尔梅纳拉医院处理的两例严重大便失禁病例，使用新技术（在本例中为人工肛门括约肌）取得了成功结果。对2006年随机挑选的首例两例诊断为严重大便失禁的患者进行观察性研究。在这些患者身上植入了人工肛门括约肌Neosphincter。第一例大便失禁病因是神经源性的患者，在植入该装置2个月后激活，效果令人满意。第二例患者病因是肛门括约肌严重损伤，此前做了结肠造口术，植入该装置后结肠造口关闭，激活第二个装置时遇到一些困难，经复查得以解决，随后激活，效果令人满意，是严重大便失禁确定性治疗的一种替代方法。
