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A systematic review of sacral nerve stimulation for faecal incontinence following ileal pouch anal anastomosis

Faecal incontinence is a common complication of ileal pouch anal anastomosis (IPAA) and seems to worsen with time. The aim of this paper is to review the evidence of the use of sacral nerve stimulation (SNS) for patients with faecal incontinence after IPAA. A literature search was performed on PubMe...

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Autores principales: Kong, E., Nikolaou, S., Qiu, S., Pellino, G., Tekkis, P., Kontovounisios, C.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Milan 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5866279/
https://www.ncbi.nlm.nih.gov/pubmed/29086238
http://dx.doi.org/10.1007/s13304-017-0496-y
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author Kong, E.
Nikolaou, S.
Qiu, S.
Pellino, G.
Tekkis, P.
Kontovounisios, C.
author_facet Kong, E.
Nikolaou, S.
Qiu, S.
Pellino, G.
Tekkis, P.
Kontovounisios, C.
author_sort Kong, E.
collection PubMed
description Faecal incontinence is a common complication of ileal pouch anal anastomosis (IPAA) and seems to worsen with time. The aim of this paper is to review the evidence of the use of sacral nerve stimulation (SNS) for patients with faecal incontinence after IPAA. A literature search was performed on PubMed and Cochrane databases for all relevant articles. All studies, which reported the outcome of SNS in patients with faecal incontinence after IPAA, were reviewed. Three papers were identified, including a case report, cohort study and retrospective study. The total number of patients was 12. The follow-up duration included 3 months, 6 months and 24 months. After peripheral nerve evaluation, definitive implantation was performed in 10 (83.3%) patients. All three studies reported positive outcomes, with CCF scores and incontinence episodes improving significantly. Preliminary results suggest good outcome after permanent SNS implant. Studies with larger sample sizes, well-defined patient characteristics and standardized outcome measures are required to fully investigate the effect of SNS in IPAA patients.
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spelling pubmed-58662792018-03-27 A systematic review of sacral nerve stimulation for faecal incontinence following ileal pouch anal anastomosis Kong, E. Nikolaou, S. Qiu, S. Pellino, G. Tekkis, P. Kontovounisios, C. Updates Surg Review Article Faecal incontinence is a common complication of ileal pouch anal anastomosis (IPAA) and seems to worsen with time. The aim of this paper is to review the evidence of the use of sacral nerve stimulation (SNS) for patients with faecal incontinence after IPAA. A literature search was performed on PubMed and Cochrane databases for all relevant articles. All studies, which reported the outcome of SNS in patients with faecal incontinence after IPAA, were reviewed. Three papers were identified, including a case report, cohort study and retrospective study. The total number of patients was 12. The follow-up duration included 3 months, 6 months and 24 months. After peripheral nerve evaluation, definitive implantation was performed in 10 (83.3%) patients. All three studies reported positive outcomes, with CCF scores and incontinence episodes improving significantly. Preliminary results suggest good outcome after permanent SNS implant. Studies with larger sample sizes, well-defined patient characteristics and standardized outcome measures are required to fully investigate the effect of SNS in IPAA patients. Springer Milan 2017-10-30 2018 /pmc/articles/PMC5866279/ /pubmed/29086238 http://dx.doi.org/10.1007/s13304-017-0496-y Text en © The Author(s) 2017 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.
spellingShingle Review Article
Kong, E.
Nikolaou, S.
Qiu, S.
Pellino, G.
Tekkis, P.
Kontovounisios, C.
A systematic review of sacral nerve stimulation for faecal incontinence following ileal pouch anal anastomosis
title A systematic review of sacral nerve stimulation for faecal incontinence following ileal pouch anal anastomosis
title_full A systematic review of sacral nerve stimulation for faecal incontinence following ileal pouch anal anastomosis
title_fullStr A systematic review of sacral nerve stimulation for faecal incontinence following ileal pouch anal anastomosis
title_full_unstemmed A systematic review of sacral nerve stimulation for faecal incontinence following ileal pouch anal anastomosis
title_short A systematic review of sacral nerve stimulation for faecal incontinence following ileal pouch anal anastomosis
title_sort systematic review of sacral nerve stimulation for faecal incontinence following ileal pouch anal anastomosis
topic Review Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5866279/
https://www.ncbi.nlm.nih.gov/pubmed/29086238
http://dx.doi.org/10.1007/s13304-017-0496-y
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