Sarcopenia: a cause of external anal sphincter fatigability in an elderly man

Yıl 2016, , 24 - 25, 28.04.2016

Levent Filik

https://doi.org/10.17940/endoskopi.307116

Öz

Sarcopenia, defined as loss of skeletal muscle mass and function, is associated with impaired quality of life in elderly age and may cause fecal incontinence. Herein we report an elderly men presenting with fecal incontinence due to external anal sphincter fatigability.

Anahtar Kelimeler

Anal manometry, incontinence, anal sphincter

İleri yaş erkek hastada eksternal anal sfinkter yorgunluğu nedeni olarak sarkopeni

Öz

Sarkopeni, ilerlemiş yaşa bağlı kas kütlesi ve fonksiyonlarındaki azalmadır. Yaşam kalitesini etkileyen bir faktör olan sarkopeni, anal sfinkter fonksiyonlarında da azalma ve fekal inkontinense neden olabilir. Bu olgu sunumunda eksternal anal sfinkter yorgunluğuna neden olarak fekal inkontinens gelişmiş bir vaka sunulacaktır.

Anahtar Kelimeler

Anal manometri, inkontinens, anal sfinkter

Kaynakça

• Bosaeus I, Rothenberg E. Nutrition and physical activity for the prevention and treatment of age-related sarcopenia. Proc Nutr Soc 2015;1:1-7.
• Bilali S, Pfeifer J. Anorectal manometry: are fatigue rate and fatigue rate index of any clinical importance? Tech Coloproctol 2005;9:225-8.
• Nockolds CL, Hosker GL, Kiff ES. Fatigue rate of the external anal sphincter. Colorectal Dis 2012;14:1095-100.
• Telford KJ, Ali AS, Lymer K, et al. Fatigability of the external anal sphincter in anal incontinence. Dis Colon Rectum 2004;47:746-52.
• Paganotti B, Miasato M, Kardoch FP, et al. Fatigue rate index is higher in children with functional constipation and retentive fecal incontinence. J Pediatr Gastroenterol Nutr 2015;61:525-6.