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Lekkasje av avføring

Lekkasje av luft eller avføring kalles anal eller fekal inkontinens. Det kan skyldes forandringer i og rundt analkanalen, eventuelt svekket lukkemuskel.

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Den ligger åpent tilgjengelig på NHI.no sammen annen relevant informasjon

https://nhi.no/sykdommer/magetarm/endetarm/avforingslekkasje/ 

Hva er anal inkontinens?

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Diagnosen

Behandling

Medikamentell behandling

Andre tiltak

Kirurgi

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Referanser

Dette dokumentet er basert på det profesjonelle dokumentet Fekal inkontinens blant voksne. Referanselisten for dette dokumentet vises nedenfor.

  1. Bharucha AE, Dunivan G, Goode PS, et al. Epidemiology, pathophysiology, and classification of fecal incontinence: state of the science summary for the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) workshop. Am J Gastroenterol 2015; 110:127. PubMed 
  2. Ng KS, Sivakumaran Y, Nassar N, Gladman MA. Fecal incontinence: Community prevalence and associated factors--A systematic review. Dis Colon Rectum 2015; 58:1194. PubMed 
  3. Nygaard I, Barber MD, Burgio KL et al. Prevalence of symptomatic pelvic floor disorders in US women. JAMA 2008; 300: 1311-6. Journal of the American Medical Association 
  4. Norderval S, Nsubuga D, Bjelke C et al. Anal incontinence after obstetric sphincter tears: incidence in a Norwegian county. Acta Obstet Gynecol Scand 2004; 83: 989-94. PubMed 
  5. LaCross A, Groff M, Smaldone A. Obstetric anal sphincter injury and anal incontinence following vaginal birth: a systematic review and meta-analysis. J Midwifery Womens Health. 2015;60:37-47. PubMed 
  6. Dehli T, Norderval S, Lindsetmo R-O, Vonen B. Utredning av anal inkontinens hos voksne. Tidsskr Nor Legeforen 2008; 128: 1670-2. PubMed 
  7. Dudding TC, Vaizey CJ, Kamm MA. Obstetric anal sphincter injury: incidence, risk factors, and management. Ann Surg. 2008;247(2):224-237. PubMed 
  8. Matthews CA, Whitehead WE, Townsend MK, Grodstein F. Risk factors for urinary, fecal, or dual incontinence in the Nurses' Health Study. Obstet Gynecol 2013; 122:539. PubMed 
  9. Felt-Bersma RJ, Cazemier M. Endosonography in anorectal disease: an overview. Scand J Gastroenterol 2006; Suppl: 165-74.
  10. Williams KS, Shalom DF, Winkler HA. Faecal incontinence: a narrative review of clinic-based management for the general gynaecologist. J Obstet Gynaecol. 2018;38(1):1-9. PubMed 
  11. Robson KM, Lembo AJ. Fecal incontinence in adults: Management. UpToDate, last updated Nov 02, 2021. UpToDate 
  12. Dehli T, Lindsetmo R-O, Mevik K, Vonen B. Anal inkontinens - utprøvning av ny behandlingsmetode. Tidsskr Nor Lægeforen 2007; 127: 2934-6. PubMed 
  13. Norton C, Cody JD. Biofeedback and/or sphincter exercises for the treatment of faecal incontinence in adults. Cochrane Database of Systematic Reviews 2012, Issue 7. Art. No.: CD002111. DOI: 10.1002/14651858.CD002111.pub3. DOI 
  14. Dobben AC, Terra MP, Berghmans B et al. Functional changes after physiotherapy in fecal incontinence. Int J Colorectal Dis 2006; 21: 515-21. PubMed 
  15. Alstad B, Sahlin Y, Myrvold H E. Analpropp ved fekal inkontinens. Tidsskr Nor Lægeforen 1999; 119: 365-6 PubMed 
  16. Lukacz ES, Segall MM, Wexner SD. Evaluation of an Anal Insert Device for the Conservative Management of Fecal Incontinence. Dis Colon Rectum 2015; 58:892. PubMed 
  17. Deutekom M, Dobben AC. Plugs for containing faecal incontinence. Cochrane Database of Systematic Reviews 2015, Issue 7. Art. No.: CD005086. DOI: 10.1002/14651858.CD005086.pub4. DOI 
  18. Graf W, Mellgren A, Matzel KE, et al. Efficacy of dextranomer in stabilised hyaluronic acid for treatment of faecal incontinence: a randomised, sham-controlled trial. Lancet 2011; 377: 997-1003. PubMed 
  19. Simillis C, Lal N, Qiu S, et al. Sacral nerve stimulation versus percutaneous tibial nerve stimulation for faecal incontinence: a systematic review and meta-analysis. Int J Colorectal Dis. 2018;33(5):645-648. PubMed 
  20. Hetzer FH, Hahnloser D, Clavien PA, Demartines N. Quality of life and morbidity after permanent sacral nerve stimulation for fecal incontinence. Arch Surg 2007; 142: 8-13. PubMed 
  21. Malouf AJ, Norton CS, Engel AF, Nicholls RJ, Kamm MA. Long-term results of overlapping anterior anal-sphincter repair for obstetric trauma. Lancet 2000; 355: 260-5. PubMed 
  22. Laurberg S. Behandling av pasienter med inkontinens for avføring. Ugeskr Læger 2002; 164: nr. 33.