Coexistence of constipation and incontinence in children and adults
Coexistence of constipation and incontinence in children and adults
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DOI：
10.1016/j.bpg.2010.12.002
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发表时间：
2011-02-01
影响因子：
3.2
通讯作者：
Scott, S. M.
中科院分区：
文献类型：
--
作者：
Nurko, S.;Scott, S. M.
便秘和大便失禁的共存在儿科和老年人群中早已被认识到，但在其他成年人群中却被严重低估。在儿童中，功能性大便失禁通常与便秘有关。大便潴留和不完全排空，并经常伴有尿失禁。尿失禁的病理生理学尚不完全清楚，尽管在儿童和成人中，它被认为是继发于溢流，而在成人中，它也可能与盆底功能障碍和去神经支配有关。尿失禁对生活质量和日常功能有重要影响，在儿童中可能与行为问题有关。对潜在便秘的治疗通常会导致尿失禁的改善。本文综述了儿童和成人并发便秘和尿失禁的流行病学和病理生理学，并综述了儿科的临床表现和治疗反应。(C) 2010 Elsevier Ltd.版权所有。
The coexistence of constipation and fecal incontinence has long been recognised in paediatric and geriatric populations, but is grossly underappreciated in the rest of the adult population. In children, functional fecal incontinence is usually associated with constipation. stool retention and incomplete evacuation, and is frequently allied to urinary incontinence. Pathophysiology of the incontinence is incompletely understood, although both in children and adults, it is thought to be secondary to overflow, while in adults it may also be related to pelvic floor dysfunction and denervation. Incontinence has an important impact on quality of life and daily functioning, and in children may be associated with behaviour problems. The treatment of underlying constipation usually results in improvement in incontinence. This review broadly addresses the epidemiology and pathophysiology of coexistent constipation and incontinence in both children and adults, and also reviews clinical presentation and treatment response in pediatrics. (C) 2010 Elsevier Ltd. All rights reserved.