[Causes, mechanisms and therapy of functional fecal incontinence in children].
1. In case of encopresis in childhood about 50% are caused by disorders of perceiving the need to relieve the bowels and bowel movement, about 30% are caused by disorders of controlling the adaptation mechanism of the rectum or the defecation reflex and about 15% are caused by disorders of the sphincter apparatus. 2. A nonsurgical therapy must be a complex one. Its effect has to aim at concerning the psychoneurologic state, conalizing the reflexes, bettering the conductivity of the nerves as well as enhancing the sphincter-tonus. In addition to psychotherapy, gymnastics and sphincter-training the transrectal and intrarectal electrostimulation is of great importance. 3. To form an estimate of the mechanism of encopresis-pathogenesis many different methods are necessary and possible; these are the precondition for an effective differentiated therapy.
Lönuschkin
A I
AI
Abteilung Kinderchirurgie des wissenschaftlichen Forschungsinstituts, Akademie der Medizinischen Wissenschaft, Tbilissi.
Gascheschiladse
T W
TW
Dawitaja
G S
GS
D000293:Adolescent; D000328:Adult; D001003:Anal Canal / Q000503:physiopathology; D002648:Child; D002675:Child, Preschool; D003672:Defecation / Q000502:physiology*; D004688:Encopresis / Q000209:etiology* / Q000503:physiopathology / Q000628:therapy; D006801:Humans; D011602:Psychophysiologic Disorders / Q000150:complications; D012018:Reflex / Q000502:physiology; D013315:Stress, Psychological / Q000150:complications
Ursachen, Mechanismen und Therapie der funktionellen Stuhlinkontinenz bei Kindern.