Venturero Moris, Yehuda-Margalit Reuma, Maradey-Romero Carla, Corcos Yael, Carter Dan, Beer-Gabel Marc
Department of Surgery, Laniado Hospital, Sanz Medical Center, Netanya, Israel.
Gastroenterology Institute, Sheba Medical Center, Ramat Gan, Israel.
Ann Coloproctol. 2023 Feb;39(1):89-93. doi: 10.3393/ac.2022.00563.0080. Epub 2022 Dec 6.
Fecal incontinence (FI) has a significant long-term impact on patient quality of life for which there is a range of medical and surgical management alternatives. We report the preliminary outcome using the ForConti Contix Faecal Incontinence Management System (FIMS) in FI patients who had failed conservative therapy and who were recruited at 2 tertiary institutions between September 2018 and September 2020. Comparative assessments were made before and after 2 week periods of treatment using bowel diaries and subjective Wexner and Faecal Incontinence Quality of Life scores. Of 17 patients enrolled, 11 completed an 8-week assessment with a significant fall in the average percentage of FI days reported from 84% before treatment to 16.8% at the first posttreatment assessment and down to 13.2% by the second assessment period. This finding correlated with a similar reduction in the total weekly number of episodes of frank FI, minor soiling, and fecal urgency reported by patients along with concomitant improvements in the Wexner scores. For those using the device, there was less concern about accidental bowel leakage, high rates of satisfaction, and minimal problems with the device. Initial results are encouraging warranting further study.
大便失禁(FI)对患者的生活质量有重大的长期影响,对此有一系列医学和手术治疗方案可供选择。我们报告了在2018年9月至2020年9月期间于两家三级医疗机构招募的、保守治疗失败的FI患者中使用ForConti Contix大便失禁管理系统(FIMS)的初步结果。使用排便日记以及主观的韦克斯纳评分和大便失禁生活质量评分,在治疗2周前后进行了对比评估。在纳入的17名患者中,11名完成了为期8周的评估,报告的FI天数平均百分比从治疗前的84%大幅下降至首次治疗后评估时的16.8%,到第二个评估期降至13.2%。这一发现与患者报告的每周显性FI、轻度弄脏和便急发作总数的类似减少相关,同时韦克斯纳评分也有改善。对于使用该装置的患者,对意外肠漏的担忧减少,满意度高,且该装置的问题极少。初步结果令人鼓舞,值得进一步研究。