Diagnostic approach to faecal incontinence:What test and when to perform?  

作　　者：Wisam Sbeit Tawfik Khoury Amir Mari 

机构地区：[1]Department of Gastroenterology,Galilee Medical Center,Naharia 2210001,Faculty of Medicine in the Galilee,Bar-Ilan University,Safed,Israel [2]Gastroenterology and Endoscopy Unit,The Nazareth Hospital,EMMS,Nazareth 464000,Faculty of Medicine in the Galilee,Bar-Ilan University,Safed,Israel

出　　处：《World Journal of Gastroenterology》2021年第15期1553-1562,共10页世界胃肠病学杂志（英文版）

摘　　要：Faecal incontinence(FI)is a debilitating common end result of several diseases affecting the quality of life and leading to patient disability,morbidity,and increased societal burden.Given the various causes of FI,it is important to assess and identify the underlying pathomechanisms.Several investigatory tools are available including high-resolution anorectal manometry,transrectal ultrasound,magnetic resonance imaging,and electromyography.This review article provides an overview on the causes and pathophysiology of FI and the author’s perspective of the stepwise investigation of patients with FI based on the available literature.Overall,high-resolution anorectal manometry should be the first investigatory tool for FI,followed by either transrectal ultrasound or magnetic resonance imaging for anal internal sphincter and external anal sphincter injury,respectively.

关 键 词：INCONTINENCE MANOMETRY Ultrasound RECTAL Magnetic resonance imaging FAECAL 

分 类 号：R694.54[医药卫生—泌尿科学]