Clinical practice guidelines for diagnostic and therapeutic management of faecal incontinence: Baiona consensus from the Spanish Association of Coloproctology.

Autors de IIS La Fe

• Mónica Millán Scheiding

  Autor

Autors aliens a IIS La Fe

• Cerdan Miguel, Javier
• Arroyo Sebastian, Antonio
• Codina Cazador, Antonio
• de la Portilla de Juan, Fernando
• de Miguel Velasco, Mario
• de San Ildefonso Pereira, Alberto
• Jimenez Escovar, Fernando
• Marinello, Franco
• Munoz Duyos, Arantxa
• Ortega Lopez, Mario
• Roig Vila, Jose Vicente
• Salgado Mijaiel, Gervasio

Grups d'Investigació

• Cirugía digestiva y Cuidados perioperatorios

  

  Leader

  Matteo Frasson

Abstract

Faecal incontinence (FI) is a major health problem, both for individuals and for health systems. It is obvious that, for all these reasons, there is widespread concern for healing it or, at least, reducing as far as possible its numerous undesirable effects, in addition to the high costs it entails. There are different criteria for the diagnostic tests to be carried out and the same applies to the most appropriate treatment, among the numerous options that have proliferated in recent years, not always based on rigorous scientific evidence. For this reason, the Spanish Association of Coloproctology (AECP) proposed to draw up a consensus to serve as a guide for all health professionals interested in the problem, aware, however, that the therapeutic decision must be taken on an individual basis: patient characteristics/experience of the care team. For its development it was adopted the Nominal Group Technique methodology. The Levels of Evidence and Grades of Recommendation were established according to the criteria of the Oxford Centre for Evidence-Based Medicine. In addition, expert recommendations were added briefly to each of the items analysed.

Copyright © 2023 AEC. Published by Elsevier España, S.L.U. All rights reserved.

Keywords

• Biofeedback; Esfinteroplastia; Fecal incontinence; Incontinencia fecal; Irrigación transanal; Neuromodulación de raíces sacras; Neuromodulación tibial posterior; Posterior tibial nerve stimulation; Sacral nerve stimulation; Sphincteroplasty; Transanal irrigation