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Fecal impaction: a systematic review of its medical complications
BACKGROUND: Fecal impaction (FI) is a common problem in the elderly and other at-risk groups, such as patients with a neuro-psychiatric disease. It has been associated with medical problems and high morbi-mortality. A systematic review of this topic might be useful to improve the knowledge in this a...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2016
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4709889/ https://www.ncbi.nlm.nih.gov/pubmed/26754969 http://dx.doi.org/10.1186/s12877-015-0162-5 |
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author | Serrano Falcón, Blanca Barceló López, Marta Mateos Muñoz, Beatriz Álvarez Sánchez, Angel Rey, Enrique |
author_facet | Serrano Falcón, Blanca Barceló López, Marta Mateos Muñoz, Beatriz Álvarez Sánchez, Angel Rey, Enrique |
author_sort | Serrano Falcón, Blanca |
collection | PubMed |
description | BACKGROUND: Fecal impaction (FI) is a common problem in the elderly and other at-risk groups, such as patients with a neuro-psychiatric disease. It has been associated with medical problems and high morbi-mortality. A systematic review of this topic might be useful to improve the knowledge in this area and helpful to make an appropriate and early diagnosis. METHODS: A PubMed systematic search was performed using relevant keywords. Case reports published in English, Spanish or French till June 2014 were included if they had a diagnosis of FI and a medical complication secondary to it. Each case was classified based on its principal complication. The main objective is to create a classification of FI complications based on published clinical cases. RESULTS: 188 articles met inclusion criteria, comprising 280 clinical cases. Out of the total, 43,5 % were over 65 years old, 49 % suffered from chronic constipation, 29 % had an underlying neuropsychiatric disease and 15 % were hospitalised or institutionalised. A total of 346 medical complications secondary to FI were collected. They were divided according to gastrointestinal tract involvement and then classified based on their anatomical and pathophysiological mechanism into three groups: Complications secondary to fecaloma effect on the intestinal wall (73.4 %), on the intestinal lumen (14 %) and on adjacent structures (12.6 %). CONCLUSIONS: FI causes complications that might be fatal. The elderly, underlying neuropsychiatric disease and hospitalised or institutionalised patients integrate the high-risk group in which FI must be suspected. The first FI complications classification is presented to improve the knowledge about this entity. |
format | Online Article Text |
id | pubmed-4709889 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-47098892016-01-13 Fecal impaction: a systematic review of its medical complications Serrano Falcón, Blanca Barceló López, Marta Mateos Muñoz, Beatriz Álvarez Sánchez, Angel Rey, Enrique BMC Geriatr Research Article BACKGROUND: Fecal impaction (FI) is a common problem in the elderly and other at-risk groups, such as patients with a neuro-psychiatric disease. It has been associated with medical problems and high morbi-mortality. A systematic review of this topic might be useful to improve the knowledge in this area and helpful to make an appropriate and early diagnosis. METHODS: A PubMed systematic search was performed using relevant keywords. Case reports published in English, Spanish or French till June 2014 were included if they had a diagnosis of FI and a medical complication secondary to it. Each case was classified based on its principal complication. The main objective is to create a classification of FI complications based on published clinical cases. RESULTS: 188 articles met inclusion criteria, comprising 280 clinical cases. Out of the total, 43,5 % were over 65 years old, 49 % suffered from chronic constipation, 29 % had an underlying neuropsychiatric disease and 15 % were hospitalised or institutionalised. A total of 346 medical complications secondary to FI were collected. They were divided according to gastrointestinal tract involvement and then classified based on their anatomical and pathophysiological mechanism into three groups: Complications secondary to fecaloma effect on the intestinal wall (73.4 %), on the intestinal lumen (14 %) and on adjacent structures (12.6 %). CONCLUSIONS: FI causes complications that might be fatal. The elderly, underlying neuropsychiatric disease and hospitalised or institutionalised patients integrate the high-risk group in which FI must be suspected. The first FI complications classification is presented to improve the knowledge about this entity. BioMed Central 2016-01-11 /pmc/articles/PMC4709889/ /pubmed/26754969 http://dx.doi.org/10.1186/s12877-015-0162-5 Text en © Serrano Falcón et al. 2016 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Research Article Serrano Falcón, Blanca Barceló López, Marta Mateos Muñoz, Beatriz Álvarez Sánchez, Angel Rey, Enrique Fecal impaction: a systematic review of its medical complications |
title | Fecal impaction: a systematic review of its medical complications |
title_full | Fecal impaction: a systematic review of its medical complications |
title_fullStr | Fecal impaction: a systematic review of its medical complications |
title_full_unstemmed | Fecal impaction: a systematic review of its medical complications |
title_short | Fecal impaction: a systematic review of its medical complications |
title_sort | fecal impaction: a systematic review of its medical complications |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4709889/ https://www.ncbi.nlm.nih.gov/pubmed/26754969 http://dx.doi.org/10.1186/s12877-015-0162-5 |
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