Fecal Impaction

ABSTRACT

Fecal impaction is a common gastrointestinal problem and a potential source of major morbidity. Prompt identification and treatment minimize the risks of complications. Treatment options include manual extraction and proximal or distal washout. Following treatment, possible etiologies should be sought and preventive therapy instituted.

KEYWORDS

Fecal impaction - constipation

REFERENCES

• 1 Tracey J. Fecal impaction: not always a benign condition.  J Clin Gastroenterol. 2000;  30 228-229
• 2 De Lillo A R, Rose S. Functional bowel disorders in the geriatric patient: constipation, fecal impaction, and fecal incontinence.  Am J Gastroenterol. 2000;  95 901-905
• 3 Read N W, Abouzekry L, Read M G, Howell P, Ottewell D, Donnelly T C. Anorectal function in elderly patients with fecal impaction.  Gastroenterology. 1985;  89 959-966
• 4 Beck D E. Fecal impaction.  Tech Gastrointest Endosc. 2004;  6 41-43
• 5 Reichel W. The Geriatric Patient. New York; HP Publishing Co 1978: 78
• 6 Wrenn K. Fecal impaction.  N Engl J Med. 1989;  321 658-662
• 7 Youssef N N, Peters J M, Henderson W. Dose response of PEG 3350 for the treatment of childhood fecal impaction.  J Pediatr. 2002;  141 410-414
• 8 Gurll N, Steer M. Diagnostic and therapeutic considerations for fecal impaction.  Dis Colon Rectum. 1975;  18 507-511
• 9 Schwartz J, Rabinowitz H, Rozenfeld V, Leibovitz A, Stelian J, Habot B. Rectovaginal fistula associated with fecal impaction.  J Am Geriatr Soc. 1992;  40 641
• 10 DiPalma J A, Smith J R, Cleveland M. Overnight efficacy of polyethylene glycol laxative.  Am J Gastroenterol. 2002;  97 1776-1779
• 11 Buls J G, Goldberg S M. Modern management of hemorrhoids.  Surg Clin North Am. 1978;  58 469-478