Effectiveness of Autologous Fat Graft in Treating Fecal Incontinence

정현석; 황성환; 김형래; 류길오; 임지용; 유혜미; 윤지훈; 김치영; 정광용; 정영재; 정인섭; 최영길

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자료유형: 학술저널

저자정보: 정현석 (부산항운병원) 황성환 (부산항운병원) 김형래 (부산항운병원) 류길오 (부산항운병원) 임지용 (부산항운병원) 유혜미 (부산항운병원) 윤지훈 (부산항운병원) 김치영 (부산항운병원) 정광용 (부산항운병원) 정영재 (부산항운병원) 정인섭 (부산항운병원) 최영길 (부산항운병원)

저널정보: 대한대장항문학회 Annals of Coloproctology Annals of Coloproctolgy Vol.35 No.3

발행연도: 2019.1

수록면: 144 - 151 (8page)

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Purpose: The most common risk factor for fecal incontinence (FI) is obstetric injury. FI affects 1.4%–18% of adults. Most patients are unaware when they are young, when symptoms appear suddenly and worsen with aging. Autologous fat graft is widely used in cosmetic surgical field and may substitute for injectable bulky agents in treating FI. Authors have done fat graft for past several years. This article reports the effectiveness of the fat graft in treating FI and discusses satisfaction with the procedure. Methods: Fat was harvested from both lateral thighs using 10-mL Luer-loc syringe. Pure fat was extracted from harvests and mixed with fat, oil, and tumescent through refinement. Fats were injected into upper border of posterior ano-rectal ring, submucosa of anal canal and intersphincteric space. Thirty-five patients with FI were treated with this method from July 2016 to February 2017 in Busan Hangun Hospital. They were 13 male (mean age, 60.8 years) and 22 female patients (mean age, 63.3 years). The Wexner score was checked before procedure. We evaluated outcome in outpatients by asking the patients. For 19 patients we checked the Wexner score after procedure. Results: Symptom improved in 29 (82.9%), and not improved in 6 (17.1%). In 2 of 6 patients, they felt better than before procedure, although not satisfied. No improvement in 4. Mean Wexner score was 9.7 before procedure. There were no serious complications such as inflammation or fat embolism. Conclusion: Autologous fat graft can be an effective alternative treatment for FI. It is safe and easy to perform, and cost effective.

#Fecal incontinence #Autologous fat graft #Bulking form agent injection

참고문헌 (35)

참고문헌 신청

Whitehead WE / 2001 / Treatment options for fecal incontinence / Dis Colon Rectum 44:131~142

Mavrantonis C / 1998 / A clinical approach to fecal incontinence / J Clin Gastroenterol 27:108~121

Miner PB Jr. / 2004 / Economic and personal impact of fecal and urinary incontinence / Gastroenterology 126(1 Suppl 1):S8~S13

Ditah I / 2014 / Prevalence, trends, and risk factors for fecal incontinence in United States adults, 2005-2010 / Clin Gastroenterol Hepatol 12:636~643

Goode PS / 2005 / Prevalence and correlates of fecal incontinence in community-dwelling older adults / J Am Geriatr Soc 53:629~635

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