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Revista de la Asociación Médica del Centro Médico ABC

2012, Número 4

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An Med Asoc Med Hosp ABC 2012; 57 (4)


Diagnóstico y manejo actual de la incontinencia anal. Revisión de la literatura

Súcar-Romero S, Santín-Rivero J, Hagerman-Ruiz GGF

Idioma: Español
Referencias bibliográficas: 98
Paginas: 314-324
Archivo PDF: 68.73 Kb.


RESUMEN

Realizamos una extensa revisión de la literatura sobre los métodos más actuales del diagnóstico y el tratamiento para la incontinencia anal. Ésta es un cuadro debilitante con importantes implicaciones médicas, sociales y económicas. Las opciones de tratamiento incluyen intervenciones no quirúrgicas y procedimientos quirúrgicos. La etiología de la incontinencia anal es multifactorial y la decisión sobre uno u otro tratamiento dependerá de la causa o causas subyacentes y de la severidad de los síntomas e impacto en la calidad de vida del paciente. El propósito de este análisis es presentar los métodos diagnósticos y las diferentes alternativas de tratamiento de acuerdo con su nivel de evidencia y el grado de recomendación sugeridos en diferentes consensos internacionales para ofrecer al paciente un adecuado manejo basado en la evidencia científica.


REFERENCIAS (EN ESTE ARTÍCULO)

  1. Haylen BT, de Ridder D, Freeman RM, Swift SE, Berghmans B, Lee J et al. An International Urogynecological Association (IUGA)/International Continence Society (ICS) joint report on the terminology for female pelvic floor dysfunction. Neurourol Urodyn 2010; 29(1): 4-20.

  2. Walker GJ, Gunasekera P. Pelvic organ prolapse and incontinence in developing countries: review of prevalence and risk factors. Int Urogyneol J 2011; 22(2): 127-135.

  3. Nelson R, Norton N, Cautley E, Furner S. Community based prevalence of anal incontinence. JAMA 1995; 274(7): 559-561.

  4. Roberts RO, Jacobsen SJ, Reilly WT. Prevalence of combined fecal and urinary incontinence: a community-based study. J Am Geriatr Soc 1999; 47(7): 837-841.

  5. Rao SS. Pathophysiology of adult fecal incontinence. Gastroenterology 2004; 126 (Suppl. 1): 14-22.

  6. Sultan AH, Kamm MA, Hudson CN, Thomas JM, Bartram CI. Anal-sphincter disruption during vaginal delivery. N Engl J Med 1993; 329: 1905-1911.

  7. Sultan AH, Kamm MA, Hudson CN, Bartram CI. Third degree obstetric anal sphincter tears: risk factors and outcome of primary repair. BMJ 1994; 308: 887-891.

  8. Snooks SS, Swash M, Henry MM, Setchell M. Injury to innervations of pelvic floor musculature in childbirth. Lancet 1984; 2: 546-550.

  9. Bannister JJ, Gibbons C, Read NW. Preservation of faecal continence during rises in intra-abdominal pressure: is there a role for the flap valve? Gut 1987; 28: 1242-1245.

  10. Barnes PR, Hawley PR, Preston DM, Lennard-Jones JE. Experience of posterior division of the puborectalis muscle in the management of chronic constipation. Br J Surg 1985; 72: 475-477.

  11. Snooks SJ, Swash M, Henry MM. Abnormalities in peripheral and central nerve conduction in anorectal incontinence. J R Soc Med 1985; 78: 294-300.

  12. Lubowski DZ, Jones PN, Swash M, Henry MM. Asymmetrical pudendal nerve damage in pelvic floor disorders. Int J Colorectal Dis 1988; 3: 158-160.

  13. Green JR, Soohoo SL. Factors associated with rectal injury in spontaneous deliveries. Obstet Gynecol 1989; 73 (5 Pt 1): 732-738.

  14. Nygaard IE, Rao SS, Dawson JD. Anal incontinence after anal sphincter disruption: a 30-year retrospective cohort study. Obstet Gynecol 1997; 89: 896-901.

  15. Loening-Baucke V, Anuras S. Effects of age and sex on anorectal manometry. Am J Gastroenterol 1985; 80: 50-53.

  16. Loening-Baucke V, Anuras S. Anorectal manometry in healthy elderly subjects. J Am Geriatr Soc 1984; 32: 636-639.

  17. Laurberg S, Swash M. Effects of aging on the anorectal sphincters and their innervation. Dis Colon Rectum 1989; 32: 737-742.

  18. Bannister JJ, Abouzekry L, Read NW. Effect of aging on anorectal function. Gut 1987; 28: 353-357.

  19. Rao SSC, Hatfield R, Leistikow J, Soffer E, Conklin J. Manometric tests of anorectal function in healthy humans. Am J Gastroenterol 1999; 94: 773-783.

  20. McHugh SM, Diamant NE. Effect of age, gender, and parity on anal canal pressure. Dig Dis Sci 1987; 32: 726-736.

  21. Haadem K, Dahlstrom JA, Ling L. Anal sphincter competence in healthy women: clinical implications of age and other factors. Obstet Gynecol 1991; 78 (5 Pt 1): 823-827.

  22. Haadem K, Ling L, Ferno M, Graffner H. Estrogen receptors in the external sphincter muscle. Am J Obstet Gynecol 1991; 164: 609-610.

  23. Knudsen UB, Laurberg S, Danielsen CC. Age-related changes in the striated anal sphincter in female rats. A quantitative morphometric study. Scand J Gastroenterol 1991; 26: 347-352.

  24. Knudsen UB, Laurberg S, Danielsen CC. Influence of bilateral oophorectomy and estrogen substitution on the striated anal sphincter in adult female rats. Scand J Gastroenterol 1991; 26: 731-736.

  25. Lestar B, Penninckx F, Rigauts H, Kerremans R. The internal anal sphincter cannot close the anal canal completely. Int J Colorectal Dis 1992; 7: 159-161.

  26. Lestar B, Penninckx F, Kerremans R. The composition of anal basal pressure. An in vivo and in vitro study in man. Int J Colorectal Dis 1989; 4: 118-122.

  27. Wald A. Colonic and anorectal motility testing in clinical practice. Am J Gastroenterol 1994; 789: 2109-2115.

  28. Rao SSC, Read NW, Davison PA, Bannister JJ, Holdsworth CD. Anorectal sensitivity and responses to rectal distention in patients with ulcerative colitis. Gastroenterology 1987; 93: 1020-1026.

  29. Farthing MJ, Lennard-Jones JE. Sensibility of the rectum to distention and the anorectal distention reflex in ulcerative colitis. Gut 1978; 19: 64-69.

  30. Berger A, Tiret E, Parc R, Frileux P, Hannoun L, Nordlinger B, Ratelle R, Simon R. Excision of the rectum with colonic J pouchanal anastomosis for adenocarcinoma of the low and mid rectum. World J Surg 1992; 16: 470-477.

  31. Glickman S, Kamm MA. Bowel dysfunction in spinal-cord-injury patients. Lancet 1996; 347: 1651-1653.

  32. Read NW, Abouzekry L, Read MG, Howell P, Ottewell D, Donnelly TC. Anorectal function in elderly patients with fecal impaction. Gastroenterology 1985; 89: 959-966.

  33. Loening-Baucke VA, Cruikshank BM. Abnormal defecation dynamics in chronically constipated children with encopresis. J Pediatr 1986; 108: 526-562.

  34. Rao SSC, Kempf J, Stessman M. Anal seepage: sphincter dysfunction or incomplete evacuation. Gastroenterology 1998; 114: A824.

  35. Leung F, Rao SSC. Treatment of fecal incontinence in the elderly. In: Mezey MD, ed. The encyclopedia of elder care: the comprehensive resource on geriatric and social care. New York: Springer; 2001: 261-264.

  36. Walker GJ, Gunasekera P. Pelvic organ prolapse and incontinence in developing countries: review of prevalence and risk factors. Int Urogenycol J 2010; 21(12): 1455-1462.

  37. Hallan RI et al. Comparison of digital and manometric assessment of anal sphincter function. Br J Surg 1989; 76(9): 973-975.

  38. Pfeifer J, Oliveira L. Anorectal manometry and the rectoanal inhibitory reflex. In: Wexner SD, Duthie GS, eds. Constipation, etiology, evaluation and management. New York, NY: Theme Medical Publishers; 2006: 71-78.

  39. Jorge JM, Wexner SD. A practical guide to basic anorectal physiology investigation. Contemp Surg 1996; 43: 214-224.

  40. Shafik A et al. Flaturia: passage of flatus at coitus. Incidence and pathogenesis. Arch Gynecol Obstet 2007; 275(1): 33-37.

  41. Sunic-Omejc M et al. Efficiency of biofeedback therapy for chronic constipation in children. Coll Antropol 2002; 26 (Suppl): 93-101.

  42. Rasmussen OO. Anorectal function. Dis Colon Rectum 1994; 37: 386-403.

  43. Gurland B, Hull T. Transrectal ultrasound, manometry, and pudendal nerve terminal latency studies in the evaluation of sphincter injuries. Clin Colon Rectal Surg 2008; 21(3): 157-166.

  44. Law PJ, Bartram CI. Anal endosonography: technique and normal anatomy. Gastroint Radiol 1989; 14(1): 349-353.

  45. Sudol-Szopinska, Jakubowski W et al. Contrast-enhanced endosonography for the diagnosis of anal and anovaginal fistulas. J Clin Ultrasound 2002; 30(3): 145-150.

  46. Stocker J, Rociu E et al. Anovaginal and rectovaginal fistulas: endoluminal sonography versus endoluminal MR imaging. AJR AM J Roentgenol 2002; 178(3): 737-741.

  47. Sultan AH, Loder PB, Bartram CI, Kamm et al. Vaginal endosonography: new approach to image the undisturbed anal sphincter. Dis Colon Rectum 1994; 37(12): 1296-99.

  48. Lee JH, Pretorius DH, Weinstein M, Guaderrama NM, Nager CW, Mittal RK. Transperineal three-dimensional ultrasound in evaluating anal sphincter muscles. Ultrasound Obstet Gynecol 2007; 30(2): 201-209.

  49. Gold DM, Halligan S, Kmiot WA, Bartram CI. Intraobserver and interobserver agreement in anal endosonography. Br J Surg 1999; 86: 371-375.

  50. Mahie P, Pringot J, Bodart P, Defecography. I. Description of a new procedure and results in normal patients. Gastrointest Radiol 1984; 9(3): 247-251.

  51. Mahie P, Pringot J, Bodart P, Defecography: II. Contribution to the diagnosis of defecation disorders. Gastrointest Radiol 1984; 9 (3): 253-261.

  52. Stoker J, Rociu E, Zwarborn AW, Shouten WR, Lameris JS. Endoluminal MR imaging of the rectum and anus: Technique, Applications and Pitfalls. Radiographics 1999; 19: 383-398.

  53. Ferrante SL, Perry RE, Shreiman JS, ChengSC, Frick MP. The reproducibility of measuring the anorectal angle in defecography. Dis Colon Rectum 1991; 34: 51-55.

  54. Kumar S, Rao SS. Diagnostic test in fecal incontinence. Current Gastroenterol Rev 2003; 5: 406-413.

  55. Regadas SMM, Regadas FS. Disturbios funcionales del suelo pélvico. Atlas de Ultrasonografia anorrectal Bi y Tridimensional. Ultrasonografía anorrectal dinámica-nuevas técnicas. 1a edición. Rio de Janeiro, Brasil: Editorial Revinter Ltda; 2007: 79-94. ISBN 85-372-0063-8.

  56. Regadas FS, Murad-Regadas SM, Wexner SD, Rodrigues LV, Souza MH, Silva FR, et al. Anorectal three-dimensional endosonography and anal manometry in assessing anterior rectocele in women: a new pathogenesis concept and the basic surgical principle. Colorectal Dis 2007; 9: 80-85.

  57. Murad-Regadas SM, Regadas FS, Rodrigues LV, Silva FR, Soares FA, Escalante RD. A novel three-dimensional dynamic anorectal ultrasonography technique (echodefecography) to assess obstructed defecation, a comparison with defecography. Surg Endosc 2008; 22: 974-979.

  58. Liberman H, Faria J, Ternent CA, Blatchford GJ, Christensen MA, Thorson AG. A prospective evaluation of the value of anorectal physiology in the management of fecal incontinence. Dis Colon Rectum 2001; 44 (11): 1567-1574.

  59. Barnett JL, Hasler WL, Camilleri M. American Gastroenterological Association medical position statement on anorectal testing techniques. American Gastroenterological Association. Gastroenterology 1999; 116(3): 732-760.

  60. Denoya P, Sands D. Anorectal physiologic evaluation of constipation. Clin Colorectal Surg 2008; 21: 114-121.

  61. Vodusek D, Amarenco G. Clinical neurophysiological tests. ICS 2009; 523-40. Available in: www.icsoffice.org/publications/ici.4/files-book/comite-7a.pdf

  62. Tetzschner T et al. Reliability of pudendal nerve terminal motor latency. Int J Colorectal Dis 1997; 12 (5): 280-284.

  63. Norton C, Cody JD, Hosker G. Biofeedback and/or sphincter exercises for the treatment of faecal incontinence in adults. Review Cochrane Cochrane Database Syst Rev 2006.

  64. Rao SS, Go JT. Update on the management of constipation in the elderly: new treatment options. Clin Interv Aging 2010; 5: 163-171.

  65. Mellgren A. Fecal incontinence. Surg Clin North Am 2010; 90(1): 185-189.

  66. Shafik A. Polytetrafluoroethylene injection for the treatment of partial fecal incontinence. Int Surg 1993; 78 (2): 159-161.

  67. Vaizey CJ, Kamm MA. Injectable bulking agents for treating faecal incontinence. Br J Surg 2005; 92 (5): 521-527.

  68. Tjandra JJ, Lim JF, Hiscock R et al. Injectable silicone biomaterial for fecal incontinence caused by internal anal sphincter dysfunction is effective. Dis Colon Rectum 2004; 47: 2138-2146.

  69. Tjandra JJ, Chan MK, Yeh CH, Murray-Green C. Sacral nerve stimulation is more effective than optimal medical therapy for severe fecal incontinence: a randomized, controlled study. Dis Colon Rectum 2008; 51 (5): 494-502.

  70. Malouf AJ, Vaizey CJ et al. Internal anal sphincter augmentation for fecal incontinence using injectable silicone biomaterial. Dis Colon Rectum 2001; 44 (4): 595-600.

  71. Maeda Y, Laurberg S et al. Perianal injectable bulking agents as treatment for faecal incontinence in adults. Review Cochrane Database Syst Rev 2010.

  72. Oom DM, Gosselink MP, Schouten WR. Anterior sphincteroplasty for fecal incontinence a single center experience in the era of sacral neuromodulation. Dis Colon Rectum 2009; 1681-1687.

  73. Cook TA, Mortensen NJ. Is there a role for the colorectal team in the management of acute severe third-degree vaginal tears? Colorectal Dis 1999; 263-266.

  74. Soerensen MM, Bek KM, Buntzen S et al. Long-term outcome of delayed primary or early secondary reconstruction of the anal sphincter after obstetrical injury. Dis Colon Rectum 2008; 51(3): 312-317.

  75. Malouf AJ, Norton CS, Engel AF et al. Long-term results of overlapping anterior anal-sphincter repair for obstetric trauma. Lancet 2000; 355: 260-265.

  76. Madoff RD, Parker SC, Varma MG et al. Faecal incontinence in adults. Lancet 2004; 364: 621-632.

  77. Bravo GA, Madoff RD et al. Long-term results of anterior sphincteroplasty. Dis Colon Rectum 2004: 727-731; discussion 731-732.

  78. Abrams P, Cardozo L, Khoury S, Wein A. Incontinence. 4th. ed. Paris: Internacional Consultation on Incontinence; 2008.

  79. Ratto C, Doglietto GB. Fecal incontinence. Diagnosis and treatment. Italy: Springer-Verlag; 2007.

  80. Mellgren A. Fecal incontinence. Surg Clin North Am 2010; 90(1): 185-194.

  81. Halverson AL, Hull TL. Long-term outcome of overlapping anal sphincter repair. Dis Colon Rectum 2002; 45: 345-348.

  82. Scott FB, Bradley WE, Timm GW. Treatment of urinary incontinence by an implantable prosthetic urinary sphincter. J Urol 1974; 112(1): 75-80.

  83. Lehur PA, Glemain P, Bruley des Varannes S et al. Outcome of patients with an implanted artificial anal sphincter for severe faecal incontinence. A single institution report. Int J Colorectal Dis 1998; 13(2): 88-92.

  84. Parker SC, Spencer MP, Madoff RD et al. Artificial bowel sphincter: long-term experience at a single institution. Dis Colon Rectum 2003; 46(6): 722-729.

  85. Wong WD, Congliosi SM, Spencer MP et al. The safety and efficacy of the artificial bowel sphincter for fecal incontinence: results from a multicenter cohort study. Dis Colon Rectum 2002; 49: 1139-1153.

  86. Altomare DF, Binda GA, Dodi G et al. Disappointing long-term results of the artificial anal sphincter for faecal incontinence. Br J Surg 2004; 1352-3.

  87. Ganio E, Luc AR, Clerico G et al. Sacral nerve stimulation for treatment of fecal incontinence: a novel approach for intractable fecal incontinence. Dis Colon Rectum 2001; 44(5): 619-631.

  88. Leroi AM, Parc Y, Lehur PA et al. Efficacy of sacral nerve stimulation for fecal incontinence. Results of a multicenter double-blind crossover study. Ann Surg 2005; 242: 662-669.

  89. Faucheron JL, Bost R, Duffournet V et al. Sacral neuromodulation in the treatment of severe anal incontinence. Forty consecutive cases treated in one institution. Gastroenterol Clin Biol 2006; 30: 669-672.

  90. Santoro GA, Di Falco G (eds). Benign anorectal diseases. Diagnosis with endoanal and endorectal ultrasound and new treatment options. Italy: Springer-Verlag; 2006: 355-364.

  91. Hollingshead JR, Dudding TC, Vaizey CJ. Sacral nerve stimulation for faecal incontinence: results from a single centre over a 10 year period. Colorectal Dis [en prensa] 2010.

  92. Matzel KE, Lux P, Heuer S, Besendörfer M, Zhang W. Sacral nerve stimulation for faecal incontinence: long-term outcome. Colorectal Dis 2009; 11: 636-641.

  93. Datta NS, Chaliha Ch et al. Sacral neurostimulation for urinary retention. Ten year experience from one UK Centre BJU Int 2008; 101(2): 192-196.

  94. MacDiarmid SA, Martinson M. Comparative effectiveness: percutaneous tibial nerve stimulation (PTNS) and sacral nerve stimulation (SNS) for overactive bladder (OAB) treatment. 2010. Poster, Society for Urodynamics and Female Urology, St. Petersburg, FL.

  95. Vandoninck V, Van Balken BR et al. Posterior tibial nerve stimulation in the treatment of urge incontinence. Neurourol Urodyn 2003; 22(1): 17-23.

  96. Vandoninck V, Van Balken BR et al. Percutaneous tibial nerve stimulation in the treatment of overactive bladder: urodynamic data. Neurourol Urodyn 2003; 22: 227-232.

  97. Petta F, Finazzi AE et al. Percutaneous stimulation of the posterior tibial nerve for the treatment of detrusor hiperreflexia. Seoul. ICS, 2001.

  98. De la Portilla F, Rada R, Juan Vega et al. Evaluation of the Use of Posterior Tibial Nerve Stimulation for the Treatment of Fecal Incontinence: Preliminary Results of a Prospective Study. Dis Colon Rectum 2009; 1427-1433.




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