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Radiofrequency energy delivery to the anal canal: is it a promising new approach to the treatment of fecal incontinence?

Cited 24 time in Web of Science Cited 34 time in Scopus
Authors
Kim, Duck-Woo; Yoon, Hong-Man; Park, Jun-Seok; Kim, Young Hoon; Kang, Sung-Bum
Issue Date
2009-01
Publisher
EXCERPTA MEDICA INC-ELSEVIER SCIENCE INC
Citation
AMERICAN JOURNAL OF SURGERY; Vol.197 1; 14-18
Keywords
Anorectal manometrySECCA procedureRadiofrequencyEndoanal ultrasonographyFecal incontinence
Abstract
BACKGROUND: The present study was conducted to assess the efficacy and safety of the delivery of radiofrequency energy to the anal canal (the SECCA procedure). METHODS: Eight patients with fecal incontinence underwent the SECCA procedure. The Fecal Incontinence Severity Index (FISI) score and the Fecal Incontinence-related Quality of Life (FIQL) scale were completed at baseline and after the procedure. Anorectal manometry and endoanal ultrasound also were conducted. RESULTS: Seven of the 8 patients were women, and the median age of the patients was 59 years (range, 28-73 y). The mean FISI score and all of the parameters in the FIQL scale with the exception of the embarrassment scale measured at 6 months after the procedure was not improved significantly. We observed no changes in the anal manometry and endoanal ultrasound parameters. Complications associated with the procedure developed in 7 of the 8 patients, including anal bleeding, anal pain, and anal mucosal discharge. CONCLUSIONS: The FISI score and FIQL scale were not improved significantly after the SECCA procedure, and considerable complications were associated with the procedure. (C) 2009 Elsevier Inc. All rights reserved.
ISSN
0002-9610
Language
English
URI
http://hdl.handle.net/10371/78066
DOI
https://doi.org/10.1016/j.amjsurg.2007.11.023
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College of Medicine/School of Medicine (의과대학/대학원)Radiology (영상의학전공)Journal Papers (저널논문_영상의학전공)
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