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Mistakes in faecal incontinence management and how to avoid them

Kestutis Adamonis, Sadé L Assmann, Stéphanie O Breukink

Summary

AI Generated

An article reviews common mistakes in treating faecal incontinence and strategies to avoid them, drawing on evidence and clinical experience.

  • Faecal incontinence is chronic involuntary loss of bowel content that causes embarrassment, shame, low self-esteem, and depression, significantly affecting quality of life.
  • Treatment approaches vary and less invasive options should be tried before considering more invasive treatments.
  • Treatment decisions should account for contributing factors, physician and patient preferences, and available procedures.
  • The material is intended for clinicians managing faecal incontinence who want to improve treatment outcomes by avoiding common errors.
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Thanks for your feedback.

This summary was generated by an AI large language model based on the content transcript. It is for informational purposes only and should not be considered a substitute for clinical judgment. Always rely on your professional expertise and the full clinical context when making clinical decisions.

References

Mistakes
References
Mistake 1 Mistake 2 Mistake 3 Mistake 4 Mistake 5 Mistake 6 Mistake 7 Mistake 8 Mistake 9
1.
Rao SS, Bharucha AE, Chiarioni G, Felt-Bersma R, Knowles C, Malcolm A, et al. Anorectal disorders. Gastroenterology. 2016;150(6):1430-42. e4. [Link]
2.
Olsson F, Berterö C. Living with faecal incontinence: trying to control the daily life that is out of control. Journal of Clinical Nursing. 2015;24(1-2):141-50. [Link]
3.
Bartlett L, Nowak M, Ho Y-H. Impact of fecal incontinence on quality of life. World journal of gastroenterology: WJG. 2009;15(26):3276. [Link]
4.
Deutekom M, Terra M, Dobben A, Dijkgraaf M, Baeten C, Stoker J, et al. Impact of faecal incontinence severity on health domains. Colorectal Disease. 2005;7(3):263-9. [Link]
5.
Wilson M. The impact of faecal incontinence on the quality of life. British Journal of Nursing. 2007;16(4):204-7. [Link]
6.
Assmann SL, Keszthelyi D, Kleijnen J, Anastasiou F, Bradshaw E, Brannigan AE, et al. Guideline for the diagnosis and treatment of Faecal Incontinence—A UEG/ESCP/ESNM/ESPCG collaboration. United European gastroenterology journal. 2022;10(3):251-86. [Link]
7.
Bharucha AE, Zinsmeister AR, Locke GR, Seide BM, McKeon K, Schleck CD, et al. Prevalence and burden of fecal incontinence: a population-based study in women. Gastroenterology. 2005;129(1):42-9. [Link]
8.
Madoff RD, Parker SC, Varma MG, Lowry AC. Faecal incontinence in adults. The Lancet. 2004;364(9434):621-32 [Link]
9.
Mowatt G, Glazener CM, Jarrett M. Sacral nerve stimulation for faecal incontinence and constipation in adults. Cochrane Database of Systematic Reviews. 2007(3). [Link]
10.
Brochard C, Chambaz M, Ropert A, l’Héritier AM, Wallenhorst T, Bouguen G, et al. Quality of life in 1870 patients with constipation and/or fecal incontinence: constipation should not be underestimated. Clinics and Research in Hepatology and Gastroenterology. 2019;43(6):682-7 [Link]
11.
Ng KS, Nassar N, Hamd K, Nagarajah A, Gladman M. Prevalence of functional bowel disorders and faecal incontinence: an Australian primary care survey. Colorectal Disease. 2015;17(2):150-9. [Link]
12.
Cotterill N, Norton C, Avery KN, Abrams P, Donovan JL. A patient-centered approach to developing a comprehensive symptom and quality of life assessment of anal incontinence. Diseases of the colon & rectum. 2008;51(1):82-7. [Link]
13.
Maeda Y, Vaizey C, Hollington P, Stern J, Kamm M. Physiological, psychological and behavioural characteristics of men and women with faecal incontinence. Colorectal Disease. 2009;11(9):927-32. [Link]
14.
Riemsma R, Hagen S, Kirschner-Hermanns R, Norton C, Wijk H, Andersson K-E, et al. Can incontinence be cured? A systematic review of cure rates. BMC medicine. 2017;15(1):1-11. [Link]
15.
Bharucha AE, Zinsmeister AR, Locke GR, Seide BM, McKeon K, Schleck CD, et al. Risk factors for fecal incontinence: a population-based study in women. LWW; 2006. p. 1305-12. [Link]
16.
Whitehead WE, Borrud L, Goode PS, Meikle S, Mueller ER, Tuteja A, et al. Fecal incontinence in US adults: epidemiology and risk factors. Gastroenterology. 2009;137(2):512-7. e2. [Link]
17.
Rey E, Schleck CD, Zinsmeister AR, Locke III GR, Talley NJ. Onset and risk factors for fecal incontinence in a US community. The American journal of gastroenterology. 2010;105(2):412. [Link]
18.
Matzel K, Stadelmaie U, Gall F, Hohenfellner M. Electrical stimulation of sacral spinal nerves for treatment of faecal incontinence. The Lancet. 1995;346(8983):1124-7. [Link]
19.
Brochard C, Mege D, Bridoux V, Meurette G, Damon H, Lambrescak E, et al. Is Sacral nerve modulation a good option for fecal incontinence in men? Neuromodulation: Technology at the Neural Interface. 2019;22(6):745-50. [Link]
20.
Mellgren A, Wexner SD, Coller JA, Devroede G, Lerew DR, Madoff RD, et al. Long-term efficacy and safety of sacral nerve stimulation for fecal incontinence. Diseases of the colon & rectum. 2011;54(9):1065-75. [Link]
21.
Janssen PT, Kuiper SZ, Stassen LP, Bouvy ND, Breukink SO, Melenhorst J. Fecal incontinence treated by sacral neuromodulation: long-term follow-up of 325 patients. Surgery. 2017;161(4):1040-8. [Link]

Abstract

People with faecal incontinence (FI) suffer from chronic involuntary loss of bowel content. Patients often experience embarrassment, shame, low self-esteem, and depression, affecting their quality of life. Treatment approaches vary, and less invasive options should be tried before considering more invasive treatments. It's important to consider contributing factors, physician and patient preferences, and available procedures. This article discusses common mistakes in treating faecal incontinence and how to avoid them, based on evidence and clinical experience.

Topics

Neurogastroenterology & Motility

Citation

Assmann S L, Breukink S O and Keszthelyi D. Mistakes in faecal incontinence management and how to avoid them. UEG Education 2023; 23: 1-3.

Published

2023

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UEG Mistakes In Articles
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Mistakes in Familial Mediterranean Fever and how to avoid them

Manik Gemilyan, Gagik Hakobyan

Summary

AI Generated

Summary is not available for this content yet.

Download PDF

Was this helpful?

Thanks for your feedback.

This summary was generated by an AI large language model based on the content transcript. It is for informational purposes only and should not be considered a substitute for clinical judgment. Always rely on your professional expertise and the full clinical context when making clinical decisions.

References

Mistakes
References
Mistake 1 Mistake 2 Mistake 3 Mistake 4 Mistake 5 Mistake 6 Mistake 7 Mistake 8 Mistake 9
1.
Rao SS, Bharucha AE, Chiarioni G, Felt-Bersma R, Knowles C, Malcolm A, et al. Anorectal disorders. Gastroenterology. 2016;150(6):1430-42. e4. [Link]
2.
Olsson F, Berterö C. Living with faecal incontinence: trying to control the daily life that is out of control. Journal of Clinical Nursing. 2015;24(1-2):141-50. [Link]
3.
Bartlett L, Nowak M, Ho Y-H. Impact of fecal incontinence on quality of life. World journal of gastroenterology: WJG. 2009;15(26):3276. [Link]
4.
Deutekom M, Terra M, Dobben A, Dijkgraaf M, Baeten C, Stoker J, et al. Impact of faecal incontinence severity on health domains. Colorectal Disease. 2005;7(3):263-9. [Link]
5.
Wilson M. The impact of faecal incontinence on the quality of life. British Journal of Nursing. 2007;16(4):204-7. [Link]
6.
Assmann SL, Keszthelyi D, Kleijnen J, Anastasiou F, Bradshaw E, Brannigan AE, et al. Guideline for the diagnosis and treatment of Faecal Incontinence—A UEG/ESCP/ESNM/ESPCG collaboration. United European gastroenterology journal. 2022;10(3):251-86. [Link]
7.
Bharucha AE, Zinsmeister AR, Locke GR, Seide BM, McKeon K, Schleck CD, et al. Prevalence and burden of fecal incontinence: a population-based study in women. Gastroenterology. 2005;129(1):42-9. [Link]
8.
Madoff RD, Parker SC, Varma MG, Lowry AC. Faecal incontinence in adults. The Lancet. 2004;364(9434):621-32 [Link]
9.
Mowatt G, Glazener CM, Jarrett M. Sacral nerve stimulation for faecal incontinence and constipation in adults. Cochrane Database of Systematic Reviews. 2007(3). [Link]
10.
Brochard C, Chambaz M, Ropert A, l’Héritier AM, Wallenhorst T, Bouguen G, et al. Quality of life in 1870 patients with constipation and/or fecal incontinence: constipation should not be underestimated. Clinics and Research in Hepatology and Gastroenterology. 2019;43(6):682-7 [Link]
11.
Ng KS, Nassar N, Hamd K, Nagarajah A, Gladman M. Prevalence of functional bowel disorders and faecal incontinence: an Australian primary care survey. Colorectal Disease. 2015;17(2):150-9. [Link]
12.
Cotterill N, Norton C, Avery KN, Abrams P, Donovan JL. A patient-centered approach to developing a comprehensive symptom and quality of life assessment of anal incontinence. Diseases of the colon & rectum. 2008;51(1):82-7. [Link]
13.
Maeda Y, Vaizey C, Hollington P, Stern J, Kamm M. Physiological, psychological and behavioural characteristics of men and women with faecal incontinence. Colorectal Disease. 2009;11(9):927-32. [Link]
14.
Riemsma R, Hagen S, Kirschner-Hermanns R, Norton C, Wijk H, Andersson K-E, et al. Can incontinence be cured? A systematic review of cure rates. BMC medicine. 2017;15(1):1-11. [Link]
15.
Bharucha AE, Zinsmeister AR, Locke GR, Seide BM, McKeon K, Schleck CD, et al. Risk factors for fecal incontinence: a population-based study in women. LWW; 2006. p. 1305-12. [Link]
16.
Whitehead WE, Borrud L, Goode PS, Meikle S, Mueller ER, Tuteja A, et al. Fecal incontinence in US adults: epidemiology and risk factors. Gastroenterology. 2009;137(2):512-7. e2. [Link]
17.
Rey E, Schleck CD, Zinsmeister AR, Locke III GR, Talley NJ. Onset and risk factors for fecal incontinence in a US community. The American journal of gastroenterology. 2010;105(2):412. [Link]
18.
Matzel K, Stadelmaie U, Gall F, Hohenfellner M. Electrical stimulation of sacral spinal nerves for treatment of faecal incontinence. The Lancet. 1995;346(8983):1124-7. [Link]
19.
Brochard C, Mege D, Bridoux V, Meurette G, Damon H, Lambrescak E, et al. Is Sacral nerve modulation a good option for fecal incontinence in men? Neuromodulation: Technology at the Neural Interface. 2019;22(6):745-50. [Link]
20.
Mellgren A, Wexner SD, Coller JA, Devroede G, Lerew DR, Madoff RD, et al. Long-term efficacy and safety of sacral nerve stimulation for fecal incontinence. Diseases of the colon & rectum. 2011;54(9):1065-75. [Link]
21.
Janssen PT, Kuiper SZ, Stassen LP, Bouvy ND, Breukink SO, Melenhorst J. Fecal incontinence treated by sacral neuromodulation: long-term follow-up of 325 patients. Surgery. 2017;161(4):1040-8. [Link]

Abstract

Familial Mediterranean fever (FMF), also called periodic disease, Armenian disease, etc., is a prototypical autoinflammatory disorder where the underlying mechanism is the dysfunction of innate immunity, resulting in unprovoked episodes of inflammation.1 Although considered rare worldwide, it is prevalent in people of Mediterranean origin; however, one can expect to encounter patients in all parts of the modern world. FMF is a monogenic disease with autosomal recessive inheritance.2 Unlike other monogenic disorders, the diagnosis remains largely clinical, and it is important to understand the limitations of genetic testing. Another distinguishing feature is the well-established effectiveness of lifelong monotherapy with colchicine in preventing attacks and complications.3

Topics

Primary Care

Published

2025

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MASLD with Sven Francque - Part 2

Sven Francque, Pradeep Mundre

Summary

AI Generated

Summary is not available for this content yet.

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Thanks for your feedback.

This summary was generated by an AI large language model based on the content transcript. It is for informational purposes only and should not be considered a substitute for clinical judgment. Always rely on your professional expertise and the full clinical context when making clinical decisions.

Abstract

Topics

Hepatobiliary

Published

2026

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Management of gastric preneoplastic lesions (MAPS 3) - what’s new? With Mario Dinis-Ribeiro (Part 2)

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Summary

AI Generated

Summary is not available for this content yet.

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Thanks for your feedback.

This summary was generated by an AI large language model based on the content transcript. It is for informational purposes only and should not be considered a substitute for clinical judgment. Always rely on your professional expertise and the full clinical context when making clinical decisions.

Abstract

Topics

Stomach & H. Pylori

Published

2025

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Share via Email Share on Facebook Share on X Share on LinkedIn Share on Bluesky

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Mistakes in the management of carbohydrate intolerance and how to avoid them

Johann Hammer, Heinz Florian Hammer, Mark Fox

Summary

AI Generated

Summary is not available for this content yet.

Download PDF

Was this helpful?

Thanks for your feedback.

This summary was generated by an AI large language model based on the content transcript. It is for informational purposes only and should not be considered a substitute for clinical judgment. Always rely on your professional expertise and the full clinical context when making clinical decisions.

References

Mistakes
References
Mistake 1 Mistake 2 Mistake 3 Mistake 4 Mistake 5 Mistake 6 Mistake 7 Mistake 8 Mistake 9
1.
Rao SS, Bharucha AE, Chiarioni G, Felt-Bersma R, Knowles C, Malcolm A, et al. Anorectal disorders. Gastroenterology. 2016;150(6):1430-42. e4. [Link]
2.
Olsson F, Berterö C. Living with faecal incontinence: trying to control the daily life that is out of control. Journal of Clinical Nursing. 2015;24(1-2):141-50. [Link]
3.
Bartlett L, Nowak M, Ho Y-H. Impact of fecal incontinence on quality of life. World journal of gastroenterology: WJG. 2009;15(26):3276. [Link]
4.
Deutekom M, Terra M, Dobben A, Dijkgraaf M, Baeten C, Stoker J, et al. Impact of faecal incontinence severity on health domains. Colorectal Disease. 2005;7(3):263-9. [Link]
5.
Wilson M. The impact of faecal incontinence on the quality of life. British Journal of Nursing. 2007;16(4):204-7. [Link]
6.
Assmann SL, Keszthelyi D, Kleijnen J, Anastasiou F, Bradshaw E, Brannigan AE, et al. Guideline for the diagnosis and treatment of Faecal Incontinence—A UEG/ESCP/ESNM/ESPCG collaboration. United European gastroenterology journal. 2022;10(3):251-86. [Link]
7.
Bharucha AE, Zinsmeister AR, Locke GR, Seide BM, McKeon K, Schleck CD, et al. Prevalence and burden of fecal incontinence: a population-based study in women. Gastroenterology. 2005;129(1):42-9. [Link]
8.
Madoff RD, Parker SC, Varma MG, Lowry AC. Faecal incontinence in adults. The Lancet. 2004;364(9434):621-32 [Link]
9.
Mowatt G, Glazener CM, Jarrett M. Sacral nerve stimulation for faecal incontinence and constipation in adults. Cochrane Database of Systematic Reviews. 2007(3). [Link]
10.
Brochard C, Chambaz M, Ropert A, l’Héritier AM, Wallenhorst T, Bouguen G, et al. Quality of life in 1870 patients with constipation and/or fecal incontinence: constipation should not be underestimated. Clinics and Research in Hepatology and Gastroenterology. 2019;43(6):682-7 [Link]
11.
Ng KS, Nassar N, Hamd K, Nagarajah A, Gladman M. Prevalence of functional bowel disorders and faecal incontinence: an Australian primary care survey. Colorectal Disease. 2015;17(2):150-9. [Link]
12.
Cotterill N, Norton C, Avery KN, Abrams P, Donovan JL. A patient-centered approach to developing a comprehensive symptom and quality of life assessment of anal incontinence. Diseases of the colon & rectum. 2008;51(1):82-7. [Link]
13.
Maeda Y, Vaizey C, Hollington P, Stern J, Kamm M. Physiological, psychological and behavioural characteristics of men and women with faecal incontinence. Colorectal Disease. 2009;11(9):927-32. [Link]
14.
Riemsma R, Hagen S, Kirschner-Hermanns R, Norton C, Wijk H, Andersson K-E, et al. Can incontinence be cured? A systematic review of cure rates. BMC medicine. 2017;15(1):1-11. [Link]
15.
Bharucha AE, Zinsmeister AR, Locke GR, Seide BM, McKeon K, Schleck CD, et al. Risk factors for fecal incontinence: a population-based study in women. LWW; 2006. p. 1305-12. [Link]
16.
Whitehead WE, Borrud L, Goode PS, Meikle S, Mueller ER, Tuteja A, et al. Fecal incontinence in US adults: epidemiology and risk factors. Gastroenterology. 2009;137(2):512-7. e2. [Link]
17.
Rey E, Schleck CD, Zinsmeister AR, Locke III GR, Talley NJ. Onset and risk factors for fecal incontinence in a US community. The American journal of gastroenterology. 2010;105(2):412. [Link]
18.
Matzel K, Stadelmaie U, Gall F, Hohenfellner M. Electrical stimulation of sacral spinal nerves for treatment of faecal incontinence. The Lancet. 1995;346(8983):1124-7. [Link]
19.
Brochard C, Mege D, Bridoux V, Meurette G, Damon H, Lambrescak E, et al. Is Sacral nerve modulation a good option for fecal incontinence in men? Neuromodulation: Technology at the Neural Interface. 2019;22(6):745-50. [Link]
20.
Mellgren A, Wexner SD, Coller JA, Devroede G, Lerew DR, Madoff RD, et al. Long-term efficacy and safety of sacral nerve stimulation for fecal incontinence. Diseases of the colon & rectum. 2011;54(9):1065-75. [Link]
21.
Janssen PT, Kuiper SZ, Stassen LP, Bouvy ND, Breukink SO, Melenhorst J. Fecal incontinence treated by sacral neuromodulation: long-term follow-up of 325 patients. Surgery. 2017;161(4):1040-8. [Link]

Abstract

Carbohydrates not absorbed in the small intestine are fermented by colonic bacteria to organic acids and gases(e.g. carbon dioxide, hydrogen and methane), part of which is absorbed in the colon, the other part remaining in the lumen. Large interindividual differences have been demonstrated for the production of such acids and gas. Carbohydrate malabsorption can be diagnosed by using the hydrogen breath test, because the gases produced after administration of a provocative dose of carbohydrate are unique products of bacterial carbohydrate fermentation.

Topics

Small Intestine & Nutrition

Citation

Hammer HF, Hammer J and Fox M. Mistakes in the management of carbohydrate intolerance and how to avoid them. UEG Education 2019; 19: 9–14

Published

2019

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Mistakes in short bowel and how to avoid them

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UEG Standards and Guidelines
Clinical Practice Guideline
Share via Email Share on Facebook Share on X Share on LinkedIn Share on Bluesky

Log in to continue.

This content is part of Gutflix. Log in with your myUEG account, or create one free, to watch it.

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Endoscopy in patients on antiplatelet or anticoagulant therapy: British Society of Gastroenterology (BSG) and European Society of Gastrointestinal Endoscopy (ESGE) guideline update

Andrew Veitch

Summary

AI Generated

Summary is not available for this content yet.

Download PDF

Was this helpful?

Thanks for your feedback.

This summary was generated by an AI large language model based on the content transcript. It is for informational purposes only and should not be considered a substitute for clinical judgment. Always rely on your professional expertise and the full clinical context when making clinical decisions.

Guideline

Abstract

This is a collaboration between the British Society of Gastroenterology (BSG) and the European Society of Gastrointestinal Endoscopy (ESGE), and is a scheduled update of their 2016 guideline on endoscopy in patients on antiplatelet or anticoagulant therapy. The guideline development committee included representatives from the British Society of Haematology, the British Cardiovascular Intervention Society, and two patient representatives from the charities Anticoagulation UK and Thrombosis UK, as well as gastroenterologists. The process conformed to AGREE II principles, and the quality of evidence and strength of recommendations were derived using GRADE methodology. Prior to submission for publication, consultation was made with all member societies of ESGE, including BSG. Evidence-based revisions have been made to the risk categories for endoscopic procedures, and to the categories for risks of thrombosis. In particular a more detailed risk analysis for atrial fibrillation has been employed, and the recommendations for direct oral anticoagulants have been strengthened in light of trial data published since the previous version. A section has been added on the management of patients presenting with acute GI haemorrhage. Important patient considerations are highlighted. Recommendations are based on the risk balance between thrombosis and haemorrhage in given situations.

Publisher

European Society of Gastrointestinal Endoscopy logo
European Society of Gastrointestinal Endoscopy

Guideline

Clinical Practice Guideline

Topics

Endoscopy

Citation

Endoscopy 2021; 53(09): 947-969

Published

2021

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Mistakes in short bowel and how to avoid them

Mistakes in short bowel and how to avoid them

Simon Gabe Simon Gabe, Jeremy Nightingale, Siddhartha Oke

UEG Mistakes In Articles
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Mistakes in short bowel and how to avoid them

Simon Gabe, Jeremy Nightingale, Siddhartha Oke

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References

Mistakes
References
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Abstract

Short bowel is a condition that occurs after single or multiple intestinal resections. The incidence of short bowel in Europe is 2 per million of the population and it carries with it lifelong morbidity and mortality. The initial recognition and management of short bowel in the adult population tends to occur in the postoperative period and in the secondary care setting, where specialist input from clinicians experienced in short bowel is often lacking.

Topics

Small Intestine & Nutrition

Citation

Oke SM, Nightingale JM and Gabe SM Mistakes in short bowel and how to avoid them. UEG Education 2018; 18: 7–11.

Published

2018

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