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Updates in Surgery
Published in: Updates in Surgery 1/2018

Open Access 01-03-2018 | Review Article

A systematic review of sacral nerve stimulation for faecal incontinence following ileal pouch anal anastomosis

Authors: E. Kong, S. Nikolaou, S. Qiu, G. Pellino, P. Tekkis, C. Kontovounisios

Published in: Updates in Surgery | Issue 1/2018

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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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Metadata
Title
A systematic review of sacral nerve stimulation for faecal incontinence following ileal pouch anal anastomosis
Authors
E. Kong
S. Nikolaou
S. Qiu
G. Pellino
P. Tekkis
C. Kontovounisios
Publication date
01-03-2018
Publisher
Springer Milan
Published in
Updates in Surgery / Issue 1/2018
Print ISSN: 2038-131X
Electronic ISSN: 2038-3312
DOI
https://doi.org/10.1007/s13304-017-0496-y

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