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doi: 10.1016/S0211-139X(04)74952-5
Incontinencia fecal en el anciano
Faecal incontinence in the elderly
F. Formigaa,, , J. Mascaróa, J. Monterob, C. del Ríoc, R. Pujola
a UFISS Geriatría-Servicio de Medicina Interna. Hospital Universitari de Bellvitge. L'Hospitalet de Llobregat. Barcelona
b Servicio de Neurología. Hospital Universitari de Bellvitge. L'Hospitalet de Llobregat. Barcelona
c Servicio de Cirugía General. Hospital Universitari de Bellvitge. L'Hospitalet de Llobregat. Barcelona. España
Received 25 November 2003, Accepted 10 March 2004
Abstract
Resumen

Es importante que los médicos consideremos la incontinencia fecal como un serio problema y no como una parte normal del envejecimiento. Con frecuencia, el paciente anciano no refiere su existencia y se deberá preguntar específicamente por su presencia. Muchos médicos desconocen que pueden existir tratamientos para la incontinencia fecal. Hay numerosas causas de incontinencia fecal, y las secundarias a traumatismos obstétricos, junto a la impactación fecal, son las más frecuentes. Una correcta historia clínica y una minuciosa exploración física permitirán descubrir la causa. El tratamiento conservador consistirá en antidiarreicos, dieta rica en fibra, «bio-retroalimentación» o enemas. Si falla el tratamiento médico, el paciente deberá ser evaluado por un equipo multidisciplinario que incluya a un cirujano. La meta final es mejorar la calidad de vida del paciente.

Abstract
Abstract

It is important for physicians to considerer faecal incontinence as a serious health problem and not dismiss it as a normal fact of ageing. Elderly patients are frequently reluctant to admit to faecal incontinence and therefore clinicians need to ask about it. Many physicians are unaware that faecal incontinence is often correctable. There are many causes of faecal incontinence, among the most frequent of which are obstetric trauma and faecal impaction. A complete medical history and thorough physical examination should disclose the cause. Conservative treatment includes the use of antidiarrheal medication and fibre intake, biofeedback, or enemas. When medical therapy is unsuccessful, a multidisciplinary approach, including surgical possibilities, should be considered. The final goal is to improve the patient's quality of life.

Palabras clave
Incontinencia fecal, Anciano, Calidad de vida
Key words
Faecal incontinence, The elderly, Quality of life
This article is only available in PDF
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Correspondencia: UFISS de Geriatría. Servicio de Medicina Interna. Hospital Universitari de Bellvitge. 08907 L'Hospitalet de Llobregat. Barcelona. España.
Copyright © 2004. Sociedad Española de Geriatría y Gerontología