Japanese Practice Guidelines for Fecal Incontinence Part 3 -Surgical Treatment for Fecal Incontinence, Fecal Incontinence in a Special Conditions- English Version
In Japan, the surgical treatment for fecal incontinence (FI) can be performed using minimally invasive surgery, such as anal sphincteroplasty and sacral neuromodulation (SNM), as well as antegrade continence enema (ACE), graciloplasty, and stoma construction. In addition, currently, several other pr...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
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The Japan Society of Coloproctology
2021-01-01
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| Series: | Journal of the Anus, Rectum and Colon |
| Subjects: | |
| Online Access: | https://www.jstage.jst.go.jp/article/jarc/5/1/5_2020-075/_pdf/-char/en |
| _version_ | 1818911400901214208 |
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| author | Kotaro Maeda Hidetoshi Katsuno Akira Tsunoda Mihoko Seki Yoshihiko Takao Toshiki Mimura Tetsuo Yamana Kazuhiko Yoshioka Fecal Incontinence Guideline Preparation Committee |
| author_facet | Kotaro Maeda Hidetoshi Katsuno Akira Tsunoda Mihoko Seki Yoshihiko Takao Toshiki Mimura Tetsuo Yamana Kazuhiko Yoshioka Fecal Incontinence Guideline Preparation Committee |
| author_sort | Kotaro Maeda |
| collection | DOAJ |
| description | In Japan, the surgical treatment for fecal incontinence (FI) can be performed using minimally invasive surgery, such as anal sphincteroplasty and sacral neuromodulation (SNM), as well as antegrade continence enema (ACE), graciloplasty, and stoma construction. In addition, currently, several other procedures, including biomaterial injection therapy, artificial bowel sphincter (ABS), and magnetic anal sphincter (MAS), are unavailable in Japan but are performed in Western countries. The evidence level of surgical treatment for FI is generally low, except for novel procedures, such as SNM, which was covered by health insurance in Japan since 2014. Although the surgical treatment algorithm for FI has been chronologically modified, it should be sequentially selected, starting from the most minimally invasive procedure, as FI is a benign condition.
Injuries to the neural system or spinal cord often cause disorders of the sensory and motor nerves that innervate the anus, rectum, and pelvic floor, leading to the difficulty in controlling bowel movement or FI and/or constipation. FI and constipation are closely associated; when one improves, the other tends to deteriorate.
Patients with severe cognitive impairment may present with active soiling, referred to as “incontinence” episodes that occur as a consequence of abnormal behavior, and may also experience passive soiling. |
| first_indexed | 2024-12-19T22:58:06Z |
| format | Article |
| id | doaj.art-9463bba9bfab46449f2691de9a831ba7 |
| institution | Directory Open Access Journal |
| issn | 2432-3853 |
| language | English |
| last_indexed | 2024-12-19T22:58:06Z |
| publishDate | 2021-01-01 |
| publisher | The Japan Society of Coloproctology |
| record_format | Article |
| series | Journal of the Anus, Rectum and Colon |
| spelling | doaj.art-9463bba9bfab46449f2691de9a831ba72022-12-21T20:02:35ZengThe Japan Society of ColoproctologyJournal of the Anus, Rectum and Colon2432-38532021-01-0151849910.23922/jarc.2020-0752020-075Japanese Practice Guidelines for Fecal Incontinence Part 3 -Surgical Treatment for Fecal Incontinence, Fecal Incontinence in a Special Conditions- English VersionKotaro Maeda0Hidetoshi Katsuno1Akira Tsunoda2Mihoko Seki3Yoshihiko Takao4Toshiki Mimura5Tetsuo Yamana6Kazuhiko Yoshioka7Fecal Incontinence Guideline Preparation CommitteeInternational Medical Center Fujita Health University HospitalDepartment of Surgery, Fujita Health University Okazaki Medical CenterDepartment of Gastroenterological Surgery, Kameda Medical CenterNursing Division, Tokyo Yamate Medical CenterDivision of Colorectal Surgery, Department of Surgery, Sanno HospitalDepartment of Surgery, Jichi Medical UniversityDepartment of Coloproctology, Tokyo Yamate Medical CenterDepartment of Surgery, Kansai Medical University Medical CenterIn Japan, the surgical treatment for fecal incontinence (FI) can be performed using minimally invasive surgery, such as anal sphincteroplasty and sacral neuromodulation (SNM), as well as antegrade continence enema (ACE), graciloplasty, and stoma construction. In addition, currently, several other procedures, including biomaterial injection therapy, artificial bowel sphincter (ABS), and magnetic anal sphincter (MAS), are unavailable in Japan but are performed in Western countries. The evidence level of surgical treatment for FI is generally low, except for novel procedures, such as SNM, which was covered by health insurance in Japan since 2014. Although the surgical treatment algorithm for FI has been chronologically modified, it should be sequentially selected, starting from the most minimally invasive procedure, as FI is a benign condition. Injuries to the neural system or spinal cord often cause disorders of the sensory and motor nerves that innervate the anus, rectum, and pelvic floor, leading to the difficulty in controlling bowel movement or FI and/or constipation. FI and constipation are closely associated; when one improves, the other tends to deteriorate. Patients with severe cognitive impairment may present with active soiling, referred to as “incontinence” episodes that occur as a consequence of abnormal behavior, and may also experience passive soiling.https://www.jstage.jst.go.jp/article/jarc/5/1/5_2020-075/_pdf/-char/enfecal incontinencepractice guidelinedefecation disorderssurgical treatmentsfecal incontinence in a special conditionjapanese guidelines |
| spellingShingle | Kotaro Maeda Hidetoshi Katsuno Akira Tsunoda Mihoko Seki Yoshihiko Takao Toshiki Mimura Tetsuo Yamana Kazuhiko Yoshioka Fecal Incontinence Guideline Preparation Committee Japanese Practice Guidelines for Fecal Incontinence Part 3 -Surgical Treatment for Fecal Incontinence, Fecal Incontinence in a Special Conditions- English Version Journal of the Anus, Rectum and Colon fecal incontinence practice guideline defecation disorders surgical treatments fecal incontinence in a special condition japanese guidelines |
| title | Japanese Practice Guidelines for Fecal Incontinence Part 3 -Surgical Treatment for Fecal Incontinence, Fecal Incontinence in a Special Conditions- English Version |
| title_full | Japanese Practice Guidelines for Fecal Incontinence Part 3 -Surgical Treatment for Fecal Incontinence, Fecal Incontinence in a Special Conditions- English Version |
| title_fullStr | Japanese Practice Guidelines for Fecal Incontinence Part 3 -Surgical Treatment for Fecal Incontinence, Fecal Incontinence in a Special Conditions- English Version |
| title_full_unstemmed | Japanese Practice Guidelines for Fecal Incontinence Part 3 -Surgical Treatment for Fecal Incontinence, Fecal Incontinence in a Special Conditions- English Version |
| title_short | Japanese Practice Guidelines for Fecal Incontinence Part 3 -Surgical Treatment for Fecal Incontinence, Fecal Incontinence in a Special Conditions- English Version |
| title_sort | japanese practice guidelines for fecal incontinence part 3 surgical treatment for fecal incontinence fecal incontinence in a special conditions english version |
| topic | fecal incontinence practice guideline defecation disorders surgical treatments fecal incontinence in a special condition japanese guidelines |
| url | https://www.jstage.jst.go.jp/article/jarc/5/1/5_2020-075/_pdf/-char/en |
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