Diagnostic tools for fecal incontinence: Scoring systems are the crucial first step  

作　　者：Peter Liptak Martin Duricek Peter Banovcin 

机构地区：[1]Clinic of Internal Medicine-Gastroenterology,University Hospital in Martin,Jessenius Faculty of Medicine in Martin,Comenius University,Martin 03601,Slovakia

出　　处：《World Journal of Gastroenterology》2024年第6期516-522,共7页世界胃肠病学杂志（英文版）

摘　　要：The main aim of this editorial is to comment on the recent article published by Garg et al in the World Journal of Gastroenterology 2023;29:4593-4603.This original research presents a new scoring system for fecal incontinence.Fecal incontinence is a chronic disease with a severe impact on the quality of life of the patients.Substantial social stigmatization often leads to significant underreporting of the condition even during visits to a specialist and could lead to further misman-agement or non-existent management of the disease.An important fact is that patients are often unable to describe their condition when not asked precisely defined questions.This problem is partially resolved by scoring questionnaires.Several scoring systems are commonly used;however,each of them has their shortcomings.For example,the absence of different kinds of leakage besides flatus and stool could further lead to underscoring the incontinence severity.Therefore,there has long been a call for a more precise scoring system.The correct identification of the presence and severity of fecal incontinence is paramount for further diagnostic approach and for choosing the appropriate therapy option.This editorial describes fecal incontinence,its effect on quality of life in general and further evaluates the diagnostic approach with a particular focus on symptom scoring systems and their implications for clinical practice.

关 键 词：INCONTINENCE FECAL Scoring system Questionary Quality of life 

分 类 号：R694.54[医药卫生—泌尿科学]