Japanese Practice Guidelines for Fecal Incontinence Part 3 -Surgical Treatment for Fecal Incontinence, Fecal Incontinence in a Special Conditions- English Version
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- Maeda Kotaro
- International Medical Center Fujita Health University Hospital
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- Katsuno Hidetoshi
- Department of Surgery, Fujita Health University Okazaki Medical Center
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- Tsunoda Akira
- Department of Gastroenterological Surgery, Kameda Medical Center
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- Seki Mihoko
- Nursing Division, Tokyo Yamate Medical Center
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- Takao Yoshihiko
- Division of Colorectal Surgery, Department of Surgery, Sanno Hospital
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- Mimura Toshiki
- Department of Surgery, Jichi Medical University
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- Yamana Tetsuo
- Department of Coloproctology, Tokyo Yamate Medical Center
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- Yoshioka Kazuhiko
- Department of Surgery, Kansai Medical University Medical Center
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<p>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.</p><p>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.</p><p>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.</p>
収録刊行物
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- Journal of the Anus, Rectum and Colon
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Journal of the Anus, Rectum and Colon 5 (1), 84-99, 2021-01-28
一般社団法人日本大腸肛門病学会
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詳細情報
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- CRID
- 1390005506402384896
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- NII論文ID
- 130007976104
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- ISSN
- 24323853
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- 本文言語コード
- en
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- データソース種別
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- JaLC
- Crossref
- CiNii Articles
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