Research Article
Functional Evaluation of Obese Patients with Symptoms of Fecal Incontinence Using Anorectal Electromanometry
Chiumento DA1*, Lima DMR2, Kurachi G3, Rotta LS1, Sagae UE3, Murad-Regadas SM41Assis Gurgacz School of Medicine, Cascavel, Parana, Brazil
2 Department of Surgery at School of Medicine of the Federal University of Ceara, Fortaleza, Ceara, Brazil
3University of Sao Paulo, Gastroclinica, Cascavel, Parana, Brazil
4Clinical Hospital, Federal University of Ceara, Department of Surgery at School of Medicine of the Federal University of Ceara, Fortaleza, Ceara, Brazil
- *Corresponding Author:
- Dayanne Alba Chiumento
Mato Grosso 1789, apt 104, Centro
Cascavel, Parana, CEP 85812-120, Brazil
Tel: +55 11 3091-3116
E-mail: day_chiumento@yahoo.com.br
Received date: June 27, 2017; Accepted date: August 7, 2017; Published date: August 22, 2017
Citation: Chiumento DA, Lima DMR, Kurachi G, Rotta LS, Sagae UE, et al. (2017) Functional Evaluation of Obese Patients with Symptoms of Fecal Incontinence Using Anorectal Electromanometry. J Obes Weight Loss Ther 7:349. doi: 10.4172/2165-7904.1000349
Copyright: © 2017 Chiumento DA, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Abstract
Obesity is a modifiable risk factor to fecal incontinence (FI) and weight loss result in improvement in the frequency and severity of FI.
Introduction: Fecal incontinence (FI) has a multifactorial etiology and is most common in women. The prevalence is variable, though generally underestimated due to embarrassment. Since the incidence of pelvic floor is higher among obese individuals, obesity may be considered a modifiable risk factor for FI. Weight loss seems to result in improvement in the frequency and severity of FI episodes. However, little has been published on FI in obese subjects and on its impact on quality of life in this patient population.
Objective: Perform functional evaluations of obese patients with FI using anorectal electromanometry and determine the incidence of anismus.
Materials and methods: Retrospective study including 58 obese subjects with FI aged 18-60 years. The patients were diagnosed clinically, and then submitted to physical examination followed by ARM.
Results: The sample included 58 obese patients with an average BMI of 35 kg/m² (range: 30-52). The female gender was predominant: n=44 (75.87%) vs. male n=14 (24.13%). The average age was 49 years (23-60), the average pressure at rest was 49 mmHg (8-94) and the average pressure during straining was 124 mmHg (34-263). Half the patients (50%) presented hypotonia at rest and/or during straining, and 45% had anismus.
Conclusion: Obesity is a modifiable risk factor for fecal incontinence, the etiology can be varied and needs to be established. In our results show that functional evaluation is necessary to determine the etiology of FI in obese patients and choose the best therapeutic approach in each case.
