Title |
A systematic review of sacral nerve stimulation for faecal incontinence following ileal pouch anal anastomosis
|
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Published in |
Updates in Surgery, October 2017
|
DOI | 10.1007/s13304-017-0496-y |
Pubmed ID | |
Authors |
E. Kong, S. Nikolaou, S. Qiu, G. Pellino, P. Tekkis, C. Kontovounisios |
Abstract |
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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Geographical breakdown
Country | Count | As % |
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United Kingdom | 2 | 33% |
Turkey | 1 | 17% |
Spain | 1 | 17% |
United States | 1 | 17% |
Unknown | 1 | 17% |
Demographic breakdown
Type | Count | As % |
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Scientists | 2 | 33% |
Members of the public | 2 | 33% |
Science communicators (journalists, bloggers, editors) | 1 | 17% |
Practitioners (doctors, other healthcare professionals) | 1 | 17% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
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Unknown | 44 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
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Unspecified | 6 | 14% |
Student > Ph. D. Student | 5 | 11% |
Researcher | 5 | 11% |
Student > Bachelor | 4 | 9% |
Other | 4 | 9% |
Other | 10 | 23% |
Unknown | 10 | 23% |
Readers by discipline | Count | As % |
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Medicine and Dentistry | 12 | 27% |
Unspecified | 6 | 14% |
Nursing and Health Professions | 5 | 11% |
Engineering | 3 | 7% |
Psychology | 2 | 5% |
Other | 4 | 9% |
Unknown | 12 | 27% |