Hopp til innhold
NHI.no
Annonse
Informasjon

Lekkasje av avføring

Lekkasje av luft eller avføring kalles anal inkontinens. Det kan skyldes forandringer i og rundt analkanalen, eventuelt svekket lukkemuskel.

toalett
Manglende kontroll over avføringen kan være et resultat av høy alder med dertil hørende svakere muskler og muskelkontroll.

Sist oppdatert:

5. jan. 2021

Hva er anal inkontinens?

Anal inkontinens kan innebære at man lekker, eller at man må springe på toalettet så snart trangen melder seg for å unngå lekkasje. Dette er et vanlig problem som hyppigst rammer kvinner. Forekomsten øker med alderen og er særlig høy i sykehjem. Utenom i eldreomsorgen, så regner vi med at det er minst 15-30.000 personer i Norge som plages av dette - kanskje enda flere, da de fleste av oss regner dette som et flaut tema som man helst ikke snakker om.

Annonse

Det er imidlertid et problem som hos mange kan behandles med godt resultat. Personer med denne typen problem bør derfor oppfordres til å søke hjelp.

Se egen artikkel om avføringslekkasje hos barn.

Animasjon av avføringslekkasje

Dette dokumentet er basert på det profesjonelle dokumentet Fekal inkontinens blant voksne . Referanselisten for dette dokumentet vises nedenfor

  1. Bharucha AE, Dunivan G, Goode PS, et al. Epidemiology, pathophysiology, and classification of fecal incontinence: state of the science summary for the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) workshop. Am J Gastroenterol 2015; 110:127. PubMed
  2. Ng KS, Sivakumaran Y, Nassar N, Gladman MA. Fecal incontinence: Community prevalence and associated factors--A systematic review. Dis Colon Rectum 2015; 58:1194. PubMed
  3. Nygaard I, Barber MD, Burgio KL et al. Prevalence of symptomatic pelvic floor disorders in US women. JAMA 2008; 300: 1311-6. Journal of the American Medical Association
  4. Macmillan AK, Merrie AEH, Marshall RJ, Parry BR. The prevalence of fecal incontinence in community-dwelling adults: a systematic review of the literature. Dis Colon Rectum 2004; 47: 1341-9. PubMed
  5. Norderval S, Nsubuga D, Bjelke C et al. Anal incontinence after obstetric sphincter tears: incidence in a Norwegian county. Acta Obstet Gynecol Scand 2004; 83: 989-94. PubMed
  6. LaCross A, Groff M, Smaldone A. Obstetric anal sphincter injury and anal incontinence following vaginal birth: a systematic review and meta-analysis. J Midwifery Womens Health. 2015;60:37-47. PubMed
  7. Sultan AH, Monga AK, Kumar D, Stanton SL. Primary repair of obstetric anal sphincter rupture using the overlap technique. Br J Obstet Gynaecol 1999; 106: 318 - 23. PubMed
  8. Dehli T, Norderval S, Lindsetmo R-O, Vonen B. Utredning av anal inkontinens hos voksne. Tidsskr Nor Legeforen 2008; 128: 1670-2. PubMed
  9. Oberwalder M, Connor J, Wexner SD. Meta-analysis to determine the incidence of obstetric and sphincter damage. Br J Surg. 2003; 90: 1333-7. PubMed
  10. Matthews CA, Whitehead WE, Townsend MK, Grodstein F. Risk factors for urinary, fecal, or dual incontinence in the Nurses' Health Study. Obstet Gynecol 2013; 122:539. PubMed
  11. Rockwood TH, Church JM, Fleshman JW, Kane RL, Mavrantonis C, Thorson AG, et al. Fecal incontinence quality of life scale: quality of life instrument for patients with fecal incontinence. Dis Colon Rectum 2000; 43: 9-16. PubMed
  12. Felt-Bersma RJ, Cazemier M. Endosonography in anorectal disease: an overview. Scand J Gastroenterol 2006; Suppl: 165-74.
  13. Morren GL, Beets-Tan RG, van Engelshoven JM. Anatomy of the anal canal and perianal structures as defined by phased-array magnetic resonance imaging. Br J Surg 2001; 88: 1506-12. PubMed
  14. Malouf AJ, Williams AB, Halligan S, Bartram CI, Dhillon S, Kamm MA. Prospective assessment of accuracy of endoanal MR imaging and endosonography in patients with fecal incontinence. AJR Am J Roentgenol 2000; 175: 741-45. PubMed
  15. Madoff RD, Parker SC, Varma MG, Lowry AC. Faecal incontinence in adults. Lancet 2004; 364: 621-32. PubMed
  16. Dehli T, Lindsetmo R-O, Mevik K, Vonen B. Anal inkontinens - utprøvning av ny behandlingsmetode. Tidsskr Nor Lægeforen 2007; 127: 2934-6. PubMed
  17. Cheetham, Kamm MA, Phillips RKS. Topical phenylephrine increases anal canal resting pressure in patients with faecal incontinence. Gut 2001;48: 356-9. Gut
  18. Carapeti EA, Kamm MA, Phillips RK. Randomized controlled trial of topical phenylephrine in the treatment of faecal incontinence. Br J Surg 2000; 87: 38-42. PubMed
  19. Norton C, Cody JD. Biofeedback and/or sphincter exercises for the treatment of faecal incontinence in adults. Cochrane Database of Systematic Reviews 2012, Issue 7. Art. No.: CD002111. DOI: 10.1002/14651858.CD002111.pub3. DOI
  20. Norton C, Chelvanayagam S, Wilson-Barnett J et al. Randomized controlled trial of biofeedback for fecal incontinence. Gastroenterology 2003; 125: 1320-9. Gastroenterology
  21. Dobben AC, Terra MP, Berghmans B et al. Functional changes after physiotherapy in fecal incontinence. Int J Colorectal Dis 2006; 21: 515-21. PubMed
  22. Alstad B, Sahlin Y, Myrvold H E. Analpropp ved fekal inkontinens. Tidsskr Nor Lægeforen 1999; 119: 365-6 PubMed
  23. Deutekom M, Dobben AC. Plugs for containing faecal incontinence. Cochrane Database of Systematic Reviews 2015, Issue 7. Art. No.: CD005086. DOI: 10.1002/14651858.CD005086.pub4. DOI
  24. Graf W, Mellgren A, Matzel KE, et al. Efficacy of dextranomer in stabilised hyaluronic acid for treatment of faecal incontinence: a randomised, sham-controlled trial. Lancet 2011; 377: 997-1003. PubMed
  25. Rasmussen OØ, Christiansen J. Sakralnervestimulation ved analinkontinens. Ugeskr Læger 2002; 164: 3866-8. PubMed
  26. Matzel KE, Stadelmaier U, Hohenfellner M et al. Chronic sacral spinal nerve stimulation for fecal incontinence: long-term results with foramen and cuff electrodes. Dis Colon Rectum 2001; 44: 59-66. PubMed
  27. Matzel ME, Kamm MA, Stösser M, et al. Sacral spinal nerve stimulation for faecal incontinence: multicentre study. Lancet 2004; 363: 1270-6. PubMed
  28. Hetzer FH, Hahnloser D, Clavien PA, Demartines N. Quality of life and morbidity after permanent sacral nerve stimulation for fecal incontinence. Arch Surg 2007; 142: 8-13. PubMed
  29. Malouf AJ, Vaizey CJ, Nicholls RJ et al. Permanent sacral nerve stimulation for fecal incontinence. Ann Surg 2000; 232: 143-8. PubMed
  30. Buie WD, Lowry AC, Rothenberger DA, Madoff RD. Clinical rather than laboratory assessment predicts continence after anterior sphincteroplasty. Dis Colon Rectum 2001; 44: 1255 - 60. PubMed
  31. Young CJ, Mathus MN, Eyers AA, Solomon MJ. Successful overlapping anal sphincter repair. Relationship to patient age, neuropathy, and colostomy formation. Dis Colon Rectum 1998; 41: 344 - 9. PubMed
  32. Malouf AJ, Norton CS, Engel AF, Nicholls RJ, Kamm MA. Long-term results of overlapping anterior anal-sphincter repair for obstetric trauma. Lancet 2000; 355: 260-5. PubMed
  33. Laurberg S. Behandling av pasienter med inkontinens for avføring. Ugeskr Læger 2002; 164: nr. 33.
Annonse
Annonse