干旱区生态环境知识资源中心(Arid): Irritable bowel syndrome worsens faecal incontinence after primary repair of major obstetric anal sphincter injuries

Arid

DOI	10.1111/codi.16862
	Irritable bowel syndrome worsens faecal incontinence after primary repair of major obstetric anal sphincter injuries
	Sarofim, Mina; Slaar, Annelie; Dermout, Sylvia; den Boer, Frank; Engel, Alexander
通讯作者	Sarofim, M
来源期刊	COLORECTAL DISEASE
ISSN	1462-8910
EISSN	1463-1318
出版年	2024
卷号	26 期号:3 页码:508-514
英文摘要	AimObstetric anal sphincter injuries (OASIS) occur in approximately 3%-6% of vaginal deliveries and are the leading risk factor for late-onset faecal incontinence, which is an underdiagnosed pathology. The aim of this work was to use a validated scoring system to quantify the effect of irritable bowel syndrome (IBS) on the severity of faecal incontinence symptoms after primary repair of major OASIS (Grade IIIb-IV).MethodA prospective cohort study was performed on all women who underwent primary repair of major OASIS over a 6-year period. They were assessed with ultrasonography within 12 weeks. Two control groups (who did not have OASIS) were women who underwent elective caesarean section and primigravid women. Questionnaires were sent at least 12 months after delivery, or at first consultation for primigravids, which generated the main outcome measures: Cleveland Clinic faecal incontinence severity scores and the presence of IBS based on Rome III criteria.ResultsThere was a total of 211 patients included in the three groups and the mean follow-up time was 26 months after sphincter repair. Ultrasonographic sphincter defects were detected in 37% but did not affect the faecal incontinence score (p = 0.47), except in patients with IBS. Within each group, patients with IBS had significantly worse faecal incontinence than those without. Women with both OASIS and IBS had the most severe faecal incontinence scores.ConclusionOASIS has a limited negative effect on faecal incontinence, independent of whether residual ultrasonographic sphincter defects are present. However, the presence of IBS has a significant compounding effect on faecal incontinence in OASIS patients. The effect of IBS on faecal incontinence is also notable in caesarean section patients and primigravids, suggesting that IBS is an independent risk-factor that should have its place in predelivery assessment and counselling.
英文关键词	incontinence irritable bowel syndrome obstetric anal sphincter injury
类型	Article
语种	英语
开放获取类型	hybrid
收录类别	SCI-E
WOS记录号	WOS:001143077600001
WOS关键词	RISK-FACTORS ; OASIS ; SYMPTOMS ; DIARRHEA ; DEFECTS ; TEARS ; WOMEN
WOS类目	Gastroenterology & Hepatology ; Surgery
WOS研究方向	Gastroenterology & Hepatology ; Surgery
资源类型	期刊论文
条目标识符	http://119.78.100.177/qdio/handle/2XILL650/403225
推荐引用方式 GB/T 7714	Sarofim, Mina,Slaar, Annelie,Dermout, Sylvia,et al. Irritable bowel syndrome worsens faecal incontinence after primary repair of major obstetric anal sphincter injuries[J],2024,26(3):508-514.
APA	Sarofim, Mina,Slaar, Annelie,Dermout, Sylvia,den Boer, Frank,&Engel, Alexander.(2024).Irritable bowel syndrome worsens faecal incontinence after primary repair of major obstetric anal sphincter injuries.COLORECTAL DISEASE,26(3),508-514.
MLA	Sarofim, Mina,et al."Irritable bowel syndrome worsens faecal incontinence after primary repair of major obstetric anal sphincter injuries".COLORECTAL DISEASE 26.3(2024):508-514.