Management and prevention of fecal impaction.
Fecal impactions occur in both sexes at any age but are particularly concentrated in children, in the institutionalized or impaired elderly, and in patients with certain psychiatric disorders or medical conditions that predispose to obstipation. The clinical consequences may be disabling and occasionally life threatening. Clinical manifestations include fecal incontinence, abdominal distention and pain, anorexia, weight loss, intestinal obstruction, and stercoral ulceration with bleeding or colonic perforation. Diagnosis begins with recognition of possible fecal impaction and confirmation by digital examination or abdominal radiography. Management consists of disimpaction, colon evacuation, and a maintenance bowel program to prevent recurrent impactions.
Wald
Arnold
A
Section of Gastroenterology and Hepatology, University of Wisconsin School of Medicine and Public Health, H6/516, Madison, WI 53792, USA. axw@medicine.wisc.edu
D005244:Fecal Impaction / Q000517:prevention & control / Q000628:therapy*; D006801:Humans
Age Ageing. 2000 Mar;29(2):159-64
10791451
Age Ageing. 1990 Mar;19(2):142-3
2337011
Gut. 1986 Mar;27(3):283-7
3699548
Am J Gastroenterol. 2000 Apr;95(4):901-5
10763934
Dig Dis Sci. 1994 Mar;39(3):561-4
8131693
Clin Gastroenterol Hepatol. 2008 May;6(5):556-60
18378497
Dig Dis Sci. 1997 Jul;42(7):1454-7
9246046
Dig Dis Sci. 1984 Oct;29(10):902-6
6090083
Gastroenterology. 2004 Jan;126(1 Suppl 1):S33-40
14978636
N Engl J Med. 2005 Mar 24;352(12):e12
15788491
J Am Geriatr Soc. 1996 Apr;44(4):424-8
8636590
Dis Colon Rectum. 2006 Nov;49(11):1768-71
17036204
Gastroenterology. 2004 Jan;126(1 Suppl 1):S41-7
14978637
Curr Med Res Opin. 2007 Sep;23(9):2213-25
17692152
Gastroenterology. 1985 Nov;89(5):959-66
4043676
Dis Colon Rectum. 1996 Apr;39(4):435-9
8878505
AJR Am J Roentgenol. 1978 Apr;130(4):747-50
416689
J Pediatr Gastroenterol Nutr. 2006 Jul;43(1):65-70
16819379