fecal incontinence/demam

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USEFULNESS OF FECAL INCONTINENCE CATHETER (Flexi-Seal®) FOR POSTOPERATIVE MANAGEMENT OF EVACUATION IN FOURNIER'S GANGRENE: TWO CASE REPORTS.

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In patients with Fournier's gangrene, massive debridement is necessary. The debrided region is usually near the anus, which means that management of evacuation becomes difficult and a colostomy is often created for diversion of stool. Our two patients were a 72-year-old man with scrotal swelling and

Long-term sequelae of Rocky Mountain spotted fever.

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Twenty-five patients with definite or probable Rocky Mountain spotted fever (RMSF) who were hospitalized for > or = 2 weeks were identified from our database of 105 patients. Follow-up information was collected for 20 patients, per telephone and/or medical records. The remaining five patients were

Independent risk factors for the development of incontinence-associated dermatitis (category 2) in critically ill patients with fecal incontinence: A cross-sectional observational study in 48 ICU units.

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BACKGROUND Critically ill patients suffering from fecal incontinence have a major risk of developing incontinence-associated dermatitis (IAD). The presence of moisture and digestive enzymes (lipase, protease) negatively influences skin barrier function. Additional risk factors will make some

Clostridial sacroiliitis in a patient with fecal incontinence: a case report and review of the literature.

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BACKGROUND Image-guided sacroiliac joint injections are frequently employed for both diagnostic and therapeutic relief of low back pain. METHODS An 83-year-old male with chronic lumbrosacral pain previously responsive to right sacroliac joint injections presented for repeat injection. His medical

Japanese Practice Guidelines for Anal Disorders II. Anal fistula.

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Anal fistulas usually result from an anal gland infection in the intersphincteric space, which is caused by bacteria entering through the anal crypt (cryoptglandular infection). Reports of anal fistulas have been as high as 21 people in 100,000. Anal fistulas are 2-6 times more prevalent in males

"Red flag" evaluation yield in irritable bowel syndrome.

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BACKGROUND The diagnosis of irritable bowel syndrome (IBS) is based on clinical criteria. Further diagnostic testing is advised for certain "red flag" alarm or warning signs. OBJECTIVE This investigation was designed to examine the yield of testing for "red flags". METHODS Consecutive patients who

H7N9 influenza A-induced pneumonia associated with acute myelitis in an adult.

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Recently, we encountered three patients infected with an avian influenza A virus (H7N9) who exhibited upper respiratory catarrh symptoms, pharyngalgia, a high fever and hypodynamia in the early stages of the disease. Their conditions deteriorated rapidly, and one-sided pneumonia progressed to

[Non pharmacological treatments in cerebral vascular diseases].

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Non pharmacological treatments are useful in cerebral vascular diseases. An adequate diet, physical exercise and avoidance of modificable risk factors associated with lifestyle (smoking, obesity and alcohol abuse) are recommended as primary prevention against these diseases. In the early treatment,

Prevalence and correlates of perineal dermatitis in nursing home residents.

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BACKGROUND Perineal dermatitis is an adverse outcome of incontinence, which is common in older nursing home residents; yet knowledge about perineal dermatitis in this population is sorely lacking. OBJECTIVE To determine the prevalence and significant correlates of perineal dermatitis in older

Laparoscopic-assisted percutaneous endoscopic cecostomy in children with defecation disorders (with video).

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BACKGROUND The antegrade continence enema (ACE) procedure has been widely used in the management of children with defecation disorders. The ACE procedure has undergone many technical modifications. We developed a safe and minimally invasive technique, the laparoscopic-assisted percutaneous

Perineal dermatitis risk factors: clinical validation of a conceptual framework.

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As part of a larger study previously published in December of 1994, the question was asked whether commonly used pressure ulcer assessment tools (the Braden and Medley) were applicable to a broader definition of "skin risk assessment" and altered skin integrity related to perineal dermatitis (PD),

Inadequate barium enemas in hospitalized elderly patients. Incidence and risk factors.

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The likelihood of obtaining interpretable results is as important as sensitivity and specificity in selecting diagnostic tests. We reviewed medical and radiologic records of 140 consecutive inpatients over the age of 65 years who underwent a nonemergent barium enema. In 43 (31%) of these patients,

Perirectal abscess masquerading as cauda equina syndrome in an otherwise healthy 12-year-old child.

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A 12-year-old boy was brought to an urgent care center for fever, back pain, and abnormal gait. In addition to back pain, the patient was found to be persistently febrile but also had decreased perianal sensation and bowel incontinence. He was therefore referred to the emergency department where his

Neurologic Injury After Sacral Neuromodulation.

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Neurologic injury after sacral nerve stimulation (SNS) is rare, but the incidence is unknown. Infection is a potential mechanism for neurologic damage. This report illustrates the presentation, pathophysiology, diagnostic considerations, and treatment of epidural infection causing

Transanal endoscopic microsurgery resection of rectal tumors: outcomes and recommendations.

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OBJECTIVE Transanal endoscopic microsurgery provides a minimally invasive alternative to radical surgery for excision of benign and malignant rectal tumors. The purpose of this study was to review our experience with transanal endoscopic microsurgery to clarify its role in the treatment of different

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