{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,24]],"date-time":"2026-06-24T12:56:11Z","timestamp":1782305771697,"version":"3.54.5"},"reference-count":16,"publisher":"Oxford University Press (OUP)","issue":"8","license":[{"start":{"date-parts":[[1983,8,1]],"date-time":"1983-08-01T00:00:00Z","timestamp":428544000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[1983,8,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Ninety-five patients have been referred for the assessment and treatment of faecal incontinence. Incontinence was associated with previous anal trauma in 49 cases: 13 occurred after vaginal delivery, 32 were associated with anal operations and in 4 severe perineal trauma occurred after road accidents. Other causes were: idiopathic incontinence in 18, persistent incontinence despite successful rectopexy for prolapse in 10, diabetic neuropathy in 5 and in 13 the cause was not identified. Conservative treatment by control of diarrhoea, physiotherapy or electrical therapy was often successful in patients with minor incontinence. Fifty-six patients have been treated surgically. Complete continence was achieved in 67 per cent of patients treated by postanal repair and in 61 per cent by sphincter reconstruction. We believe that postanal repair is the treatment of choice for idiopathic incontinence and incontinence after rectopexy or anal dilatation. Sphincter repair should only be performed with a covering colostomy and is the treatment of choice for recent or long standing division of the external sphincter ring.<\/jats:p>","DOI":"10.1002\/bjs.1800700806","type":"journal-article","created":{"date-parts":[[2007,3,2]],"date-time":"2007-03-02T23:45:45Z","timestamp":1172879145000},"page":"463-468","source":"Crossref","is-referenced-by-count":112,"title":["Management of faecal incontinence and results of surgical treatment"],"prefix":"10.1093","volume":"70","author":[{"given":"M R B","family":"Keighley","sequence":"first","affiliation":[{"name":"The General Hospital , Birmingham B4 6NH"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J W L","family":"Fielding","sequence":"additional","affiliation":[{"name":"The General Hospital , Birmingham B4 6NH"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[1983,8,1]]},"reference":[{"key":"2024092715295703500_bib1","doi-asserted-by":"crossref","first-page":"844","DOI":"10.1136\/gut.12.10.844","article-title":"Progress report on anal continence","volume":"12","author":"Duthie","year":"1971","journal-title":"Gut"},{"key":"2024092715295703500_bib2","doi-asserted-by":"crossref","first-page":"64","DOI":"10.1136\/gut.19.1.64","article-title":"Sensibility of the rectum to distension and the anorectal distension reflex in ulcerative colitis","volume":"19","author":"Farthing","year":"1978","journal-title":"Gut"},{"key":"2024092715295703500_bib3","first-page":"305","volume-title":"Topics in Gastroenterology","author":"Keighley","year":"1981"},{"key":"2024092715295703500_bib4","first-page":"379","article-title":"A physiological study of the pelvic floor in rectal prolapse","volume":"31","author":"Porter","year":"1962","journal-title":"Ann. R. Coll. Surg."},{"key":"2024092715295703500_bib5","first-page":"477","article-title":"The syndrome of the descending perineum","volume":"59","author":"Parks","year":"1966","journal-title":"Proc. R. Soc. Med."},{"key":"2024092715295703500_bib6","doi-asserted-by":"crossref","first-page":"656","DOI":"10.1136\/gut.18.8.656","article-title":"Sphincter denervation in anorectal incontinence and rectal prolapse","volume":"18","author":"Parks","year":"1977","journal-title":"Gut"},{"key":"2024092715295703500_bib7","first-page":"249","volume-title":"Operative Surgery","author":"Parks","year":"1980"},{"key":"2024092715295703500_bib8","doi-asserted-by":"crossref","first-page":"54","DOI":"10.1002\/bjs.1800670117","article-title":"Clinical and manometric evaluation of rectal prolapse and incontinence","volume":"67","author":"Keighley","year":"1980","journal-title":"Br. J. Surg."},{"key":"2024092715295703500_bib9","doi-asserted-by":"crossref","first-page":"645","DOI":"10.1136\/gut.17.8.645","article-title":"Measurement of anal pressure and motility","volume":"17","author":"Hancock","year":"1976","journal-title":"Gut"},{"key":"2024092715295703500_bib10","first-page":"1","article-title":"Studies on anal function in continent and incontinent patients","volume":"9","author":"Ihre","year":"1974","journal-title":"Scand. J. Gastroenterol."},{"key":"2024092715295703500_bib11","first-page":"A942","article-title":"Effects of loperamide on anal sphincter function in patients with diarrhoea","volume":"20","author":"Read","year":"1979","journal-title":"Gut"},{"key":"2024092715295703500_bib12","doi-asserted-by":"crossref","first-page":"297","DOI":"10.1016\/S0140-6736(66)90644-1","article-title":"Electrical treatment of anal incontinence","volume":"1","author":"Hopkinson","year":"1966","journal-title":"Lancet"},{"key":"2024092715295703500_bib13","first-page":"320","article-title":"Trans-sphincteric exposure of the rectum","volume":"51","author":"York Mason","year":"1972","journal-title":"Ann. R. Coll. Surg."},{"key":"2024092715295703500_bib14","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/0016-5085(81)90643-0","article-title":"Bowel preparation and the safety of colonoscopic polypectomy","volume":"81","author":"Taylor","year":"1981","journal-title":"Gastroenterology"},{"key":"2024092715295703500_bib15","doi-asserted-by":"crossref","first-page":"400","DOI":"10.1016\/0002-9610(80)90177-4","article-title":"Comparison of three methods of whole bowel irrigation","volume":"140","author":"Minervini","year":"1980","journal-title":"Am. J. Surg."},{"key":"2024092715295703500_bib16","first-page":"281","article-title":"The effect of postanal repair on anal canal pressures","volume":"69","author":"Browning","year":"1982","journal-title":"Br. J. Surg."}],"container-title":["Journal of British Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fbjs.1800700806","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/academic.oup.com\/bjs\/article-pdf\/70\/8\/463\/59377279\/bjs1800700806.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/bjs\/article-pdf\/70\/8\/463\/59377279\/bjs1800700806.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,9,27]],"date-time":"2024-09-27T15:30:04Z","timestamp":1727451004000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/bjs\/article\/70\/8\/463\/6185984"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1983,8,1]]},"references-count":16,"journal-issue":{"issue":"8","published-online":{"date-parts":[[1983,8,1]]},"published-print":{"date-parts":[[1983,8,1]]}},"URL":"https:\/\/doi.org\/10.1002\/bjs.1800700806","relation":{},"ISSN":["0007-1323","1365-2168"],"issn-type":[{"value":"0007-1323","type":"print"},{"value":"1365-2168","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[1983,8]]},"published":{"date-parts":[[1983,8,1]]}}}