Objective - To investigate the prevalence of anal incontinence in the general population and in patients consulting gastroenterologist and gynecologist practices in the Rh ne Alpes area. Methods - For the first stud...Objective - To investigate the prevalence of anal incontinence in the general population and in patients consulting gastroenterologist and gynecologist practices in the Rh ne Alpes area. Methods - For the first study a questionnaire was sent to a sample of 2800 people selected randomly from the electoral roll. Another study of patients selected randomly among patients attending gynecology and gastroenterology consultations was performed. A Jorge & Wexner score above or equal to 5 was used to define anal incontinence. Results - For the first study, a total of 706 questionnaires was analyzed: the prevalence of anal incontinence was 5.1% [95% CI: 3.6- 7.0] and the scores of each dimension of the SF- 12 Health Survey were signifi- cantly lower among incontinent people than among continent people. The prevalence was significantly higher for women (7.5% [5.0- 10.7]) than for men (2.4% [1.1- 4.7]). Eighty-four physicians returned 835 valid questionnaires. The prevalence was 13.1% [10.1- 16.6] among patients attending gastroenterology consultations and 5.0% [3.1- 7.6] among those attending gynecology consultations. For 84.8% of the incontinent patients, the physician was unaware of the patient’s disorder. Conclusion- The prevalence figures we obtained coincide with data in the literature. This disorder is common and affects the patient’s quality-of-life, but remains underestimated and underdiagnosed.展开更多
Epidemiology and risk factors of hemorrhoidal disease are not well defined. Aims and methods-Past history and events occuring during the last two weeks before a medical visit for acute hemorrhoidal symptoms were analy...Epidemiology and risk factors of hemorrhoidal disease are not well defined. Aims and methods-Past history and events occuring during the last two weeks before a medical visit for acute hemorrhoidal symptoms were analyzed and compared with controls consulting for any other diagnosis without exclusion. Results-Among complete inquiries returned by 931 private gastroenterologists, files from 1033 patients (542 males) and 1028 controls (504 males) were randomly selected. Hemorrhoidal disease patients were younger (47 ±14.5 vs. 52 ±16.5 yrs; P < 0.0001);sex ratio was not different from controls. Factors significantly associated with hemorrhoidal crisis were: past history of hemorrhoidal symptoms, age < 50 yrs, past history of anal fissure, occupational activity (OR 5.17; 1.95; 1.72; 1.43; P < 0.1) and recent unusual events : spicy diet, constipation, physical activity, alcohol intake (OR 4.95; 3.93; 2.79; 1.99; P < 0.1). Stress protected against hemorrhoids (OR 0.49; P < 0.0001). For women aged less than 40 yrs, no significant risk factor related with genital activity was found for hemorrhoidal disease. Conclusion-For young patients, especially those with a past hemorrhoidal history, spice or alcohol intake and constipation are risk factors for hemorrhoidal crisis. For young women, prevention is essentialy based on treatment of constipation associated with genito-obstetrical events.展开更多
World Journal of Gastroenterology （ worla J Gastroenterol ISSN 1007-9327 CN 14-1219/R） is a weekly open-access （OA） peer reviewed journal supported by an editorial board consisting of 1179 experts in gastroenterol...World Journal of Gastroenterology （ worla J Gastroenterol ISSN 1007-9327 CN 14-1219/R） is a weekly open-access （OA） peer reviewed journal supported by an editorial board consisting of 1179 experts in gastroenterology and hepatology from 60 countries. The biggest advantage of the OA model is that it provides free, full text articles in PDF and other formats for experts and the public without registration, which eliminates the obstacle that traditional journals possess and usually delays the speed of the propagation and communication of scientific research results. The open access model has been proven to be a true approach that may achieve the ultimate goal of the journals, i.e. the maximization of the value to the readers, authors and society.展开更多
文摘Objective - To investigate the prevalence of anal incontinence in the general population and in patients consulting gastroenterologist and gynecologist practices in the Rh ne Alpes area. Methods - For the first study a questionnaire was sent to a sample of 2800 people selected randomly from the electoral roll. Another study of patients selected randomly among patients attending gynecology and gastroenterology consultations was performed. A Jorge & Wexner score above or equal to 5 was used to define anal incontinence. Results - For the first study, a total of 706 questionnaires was analyzed: the prevalence of anal incontinence was 5.1% [95% CI: 3.6- 7.0] and the scores of each dimension of the SF- 12 Health Survey were signifi- cantly lower among incontinent people than among continent people. The prevalence was significantly higher for women (7.5% [5.0- 10.7]) than for men (2.4% [1.1- 4.7]). Eighty-four physicians returned 835 valid questionnaires. The prevalence was 13.1% [10.1- 16.6] among patients attending gastroenterology consultations and 5.0% [3.1- 7.6] among those attending gynecology consultations. For 84.8% of the incontinent patients, the physician was unaware of the patient’s disorder. Conclusion- The prevalence figures we obtained coincide with data in the literature. This disorder is common and affects the patient’s quality-of-life, but remains underestimated and underdiagnosed.
文摘Epidemiology and risk factors of hemorrhoidal disease are not well defined. Aims and methods-Past history and events occuring during the last two weeks before a medical visit for acute hemorrhoidal symptoms were analyzed and compared with controls consulting for any other diagnosis without exclusion. Results-Among complete inquiries returned by 931 private gastroenterologists, files from 1033 patients (542 males) and 1028 controls (504 males) were randomly selected. Hemorrhoidal disease patients were younger (47 ±14.5 vs. 52 ±16.5 yrs; P < 0.0001);sex ratio was not different from controls. Factors significantly associated with hemorrhoidal crisis were: past history of hemorrhoidal symptoms, age < 50 yrs, past history of anal fissure, occupational activity (OR 5.17; 1.95; 1.72; 1.43; P < 0.1) and recent unusual events : spicy diet, constipation, physical activity, alcohol intake (OR 4.95; 3.93; 2.79; 1.99; P < 0.1). Stress protected against hemorrhoids (OR 0.49; P < 0.0001). For women aged less than 40 yrs, no significant risk factor related with genital activity was found for hemorrhoidal disease. Conclusion-For young patients, especially those with a past hemorrhoidal history, spice or alcohol intake and constipation are risk factors for hemorrhoidal crisis. For young women, prevention is essentialy based on treatment of constipation associated with genito-obstetrical events.
文摘World Journal of Gastroenterology （ worla J Gastroenterol ISSN 1007-9327 CN 14-1219/R） is a weekly open-access （OA） peer reviewed journal supported by an editorial board consisting of 1179 experts in gastroenterology and hepatology from 60 countries. The biggest advantage of the OA model is that it provides free, full text articles in PDF and other formats for experts and the public without registration, which eliminates the obstacle that traditional journals possess and usually delays the speed of the propagation and communication of scientific research results. The open access model has been proven to be a true approach that may achieve the ultimate goal of the journals, i.e. the maximization of the value to the readers, authors and society.
