Risk of anal incontinence in women with inflammatory bowel diseases after delivery

Kód výsledku v IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00216208%3A11140%2F17%3A10360095" target="_blank" >RIV/00216208:11140/17:10360095 - isvavai.cz</a>

Nalezeny alternativní kódy

RIV/00669806:_____/17:10360095

Výsledek na webu

<a href="http://dx.doi.org/10.4149/BLL_2017_072" target="_blank" >http://dx.doi.org/10.4149/BLL_2017_072</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.4149/BLL_2017_072" target="_blank" >10.4149/BLL_2017_072</a>

Jazyk výsledku

angličtina

Název v původním jazyce

Risk of anal incontinence in women with inflammatory bowel diseases after delivery

Popis výsledku v původním jazyce

AIM: The aim of our prospective study was to evaluate the development of postpartum anal incontinence in patients with infl ammatory bowel disease (IBD) compared to healthy women. MATERIAL AND METHODS: Patients with IBD and healthy controls enrolled in the study from January 1st 2013 to November 30th 2016 and fi lled in the anal incontinence questionnaire in the beginning of pregnancy and after vaginal delivery. The results were statistically processed using suitable tests. RESULTS: A total of 57 women were enrolled, 17 (29.8 %) with ulcerative colitis, 23 (40.4 %) with Crohn&apos;s disease, and 17 (29.8 %) healthy controls. Incidence of postpartum anal incontinence is comparable across all groups; there was no statistically signifi cant difference between the IBD and control groups (Kruskal-Wallis test by ranks with Dunn correction, non-signifi cant). Postpartum anal incontinence was strongly correlated with the extent of perineal injury (r = 0.80; p &lt; 0.0001; Pearson&apos;s linear correlation). CONCLUSIONS: Women with infl ammatory bowel disease in remission do not exhibit higher incidence of postpartum anal incontinence (PPAI) compared to healthy controls; the key correlate of PPAI appears to be the extent of obstetric injury, consistently across all study groups. These results suggest that concerns about postpartum anal incontinence development should not be an indication for Caesarean section in IBD patients (Tab. 6, Fig. 1, Ref. 34).

Název v anglickém jazyce

Risk of anal incontinence in women with inflammatory bowel diseases after delivery

Popis výsledku anglicky

AIM: The aim of our prospective study was to evaluate the development of postpartum anal incontinence in patients with infl ammatory bowel disease (IBD) compared to healthy women. MATERIAL AND METHODS: Patients with IBD and healthy controls enrolled in the study from January 1st 2013 to November 30th 2016 and fi lled in the anal incontinence questionnaire in the beginning of pregnancy and after vaginal delivery. The results were statistically processed using suitable tests. RESULTS: A total of 57 women were enrolled, 17 (29.8 %) with ulcerative colitis, 23 (40.4 %) with Crohn&apos;s disease, and 17 (29.8 %) healthy controls. Incidence of postpartum anal incontinence is comparable across all groups; there was no statistically signifi cant difference between the IBD and control groups (Kruskal-Wallis test by ranks with Dunn correction, non-signifi cant). Postpartum anal incontinence was strongly correlated with the extent of perineal injury (r = 0.80; p &lt; 0.0001; Pearson&apos;s linear correlation). CONCLUSIONS: Women with infl ammatory bowel disease in remission do not exhibit higher incidence of postpartum anal incontinence (PPAI) compared to healthy controls; the key correlate of PPAI appears to be the extent of obstetric injury, consistently across all study groups. These results suggest that concerns about postpartum anal incontinence development should not be an indication for Caesarean section in IBD patients (Tab. 6, Fig. 1, Ref. 34).

Druh

J_imp - Článek v periodiku v databázi Web of Science

CEP obor

—

OECD FORD obor

30219 - Gastroenterology and hepatology

Projekt

—

Návaznosti

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Rok uplatnění

2017

Kód důvěrnosti údajů

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Název periodika

Bratislavské lekárske listy

ISSN

0006-9248

e-ISSN

—

Svazek periodika

118

Číslo periodika v rámci svazku

6

Stát vydavatele periodika

SK - Slovenská republika

Počet stran výsledku

6

Strana od-do

328-333

Kód UT WoS článku

000405064300004

EID výsledku v databázi Scopus

2-s2.0-85021361421