The appreciation of rectal distention in fecal incontinence

1989 ◽  
Vol 32 (11) ◽  
pp. 964-967 ◽  
Author(s):  
Graeme H. Ferguson ◽  
Judy Redford ◽  
James A. Barrett ◽  
Edward S. Kiff
Keyword(s):  
Fecal Incontinence ◽  
Rectal Distention

Rectal sensorimotor dysfunction in women with fecal incontinence

2007 ◽  
Vol 292 (1) ◽  
pp. G282-G289 ◽  
Author(s):  
Christopher Andrews ◽  
Adil E. Bharucha ◽  
Barb Seide ◽  
A. R. Zinsmeister
Keyword(s):  
Fecal Incontinence ◽  
Contractile Response ◽  
Sensory Thresholds ◽  
Rate Dependent ◽  
Prominent Symptom ◽  
Lower Volume ◽  
Rectal Capacity ◽  
Older Subjects ◽  
Asymptomatic Women ◽  
Rectal Distention

The rate and pattern of rectal distension affect rectal distensibility, perception, and anal relaxation in health. Because rectal urgency is a prominent symptom in fecal incontinence (FI), we assessed rectal distensibility, contractions, perception, and anal pressures during rectal distention in 21 healthy, asymptomatic women (age 61 ± 2 yr, mean ± SE) and 51 women with FI (60 ± 2 yr). Rectal staircases (0–32 mmHg, 4-mm steps) and ramp distensions [0–200 ml at 25, 50, and 100 ml/min with a phase of sustained distension (SD), lasting 1 min, between inflation and deflation]. The rectum was stiffer during rapid than slow ramp distention. This effect was more prominent at a lower volume (50 ml) and was also more pronounced in older subjects and in FI. A rectal contractile response was observed not only during inflation but also during SD and during deflation. During inflation, this contractile response was rate dependent in controls but not in FI. During staircase but not ramp distentions, the threshold for the desire to defecate was lower in FI. During ramp distentions, the duration of perception was significantly longer in FI. The rate of distention did not affect rectal perception (i.e., sensory thresholds or duration of perception) during ramp distentions. Baseline anal pressures and the magnitude of anal relaxation during rectal distention were also reduced in FI. In addition to reduced rectal capacity and compliance, women with FI had an exaggerated rate-dependent reduction in rectal distensibility, lower sensory thresholds, and more prolonged perception, indicative of rectoanal dysfunctions.

Central Nervous System Processing of Emotions in Children with Fecal Incontinence and Constipation

2019 ◽  
Vol 47 (1) ◽  
pp. 67-71
Author(s):  
Monika Equit ◽  
Justine Niemczyk ◽  
Anna Kluth ◽  
Carla Thomas ◽  
Mathias Rubly ◽  
...  
Keyword(s):  
Central Nervous System ◽  
Nervous System ◽  
Fecal Incontinence ◽  
Event Related Potentials ◽  
Anterior Cingulate ◽  
Afferent Pathways ◽  
Study Results ◽  
Related Potentials ◽  
The Central Nervous System ◽  
Cortical Regions

Abstract. Objective: Fecal incontinence and constipation are common disorders in childhood. The enteric nervous system and the central nervous system are highly interactive along the brain-gut axis. The interaction is mainly afferent. These afferent pathways include centers that are involved in the central nervous processing of emotions as the mid/posterior insula and the anterior cingulate cortex. A previous study revealed altered processing of emotions in children with fecal incontinence. The present study replicates these results. Methods: In order to analyze the processing of emotions, we compared the event-related potentials of 25 children with fecal incontinence and constipation to those of 15 control children during the presentation of positive, negative, and neutral pictures. Results: Children with fecal incontinence and constipation showed altered processing of emotions, especially in the parietal and central cortical regions. Conclusions: The main study results of the previous study were replicated, increasing the certainty and validity of the findings.

Urinary and Fecal Incontinence: A Training Program for Children and Adolescents

2014 ◽  
Author(s):  
Monika Equit ◽  
Heike Sambach ◽  
Justine Niemczyk ◽  
Alexander von Gontard
Keyword(s):  
Fecal Incontinence ◽  
Children And Adolescents ◽  
Training Program

Effect of biofeedback therapy on anorectal functions of patients with fecal incontinence

2006 ◽  
Vol 44 (05) ◽  
Author(s):  
A Illés ◽  
C Csizmadia ◽  
L Nagy ◽  
B Pordány ◽  
S Undi ◽  
...  
Keyword(s):  
Fecal Incontinence ◽  
Biofeedback Therapy

Constipation-associated fecal incontinence – how can we avoid it?

Pediatru ro ◽  
2020 ◽  
Vol 2 (58) ◽  
pp. 20
Author(s):  
Cristina Rebeca Fogaş ◽  
Otilia Fufezan ◽  
Elena Daniela Şerban
Keyword(s):  
Fecal Incontinence
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