{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,20]],"date-time":"2026-03-20T14:30:15Z","timestamp":1774017015929,"version":"3.50.1"},"reference-count":48,"publisher":"Oxford University Press (OUP)","issue":"7","license":[{"start":{"date-parts":[[2013,3,27]],"date-time":"2013-03-27T00:00:00Z","timestamp":1364342400000},"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":[[2013,5,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Sacral nerve stimulation (SNS) is an effective treatment for neurogenic faecal incontinence (FI). However, the clinical improvement that patients experience cannot be explained adequately by changes in anorectal function. The aim of this study was to examine the effect of SNS on colonic propagating sequences (PSs) in patients with FI in whom urgency and incontinence was the predominant symptom.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>In patients with FI a high-resolution fibre-optic manometry catheter, containing 90 sensors spaced at 1-cm intervals, was positioned colonoscopically and clipped to the caecum. A unipolar or quadripolar tined electrode was implanted into the S3 sacral nerve foramen. Colonic manometry was evaluated in a double-blind randomized crossover trial, using true suprasensory stimulation or sham stimulation. Each stimulation period, lasting 2 h, was preceded by a 2-h basal manometric recording.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>All 11 patients studied showed a colonic response to SNS. In ten patients there was a significant increase in the frequency of retrograde PSs throughout the colon during true stimulation compared with sham stimulation (P = 0\u00b7014). In one outlier, with baseline retrograde PS frequency nine times that of the nearest patient, a reduction in retrograde PS frequency was recorded. Compared with sham stimulation, SNS had no effect on the frequency of antegrade PSs or high-amplitude PSs.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>SNS modulates colonic motility in patients with faecal urge incontinence. These data suggest that SNS may improve continence and urgency through alteration of colonic motility, particularly by increasing retrograde PSs in the left colon.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1002\/bjs.9114","type":"journal-article","created":{"date-parts":[[2013,3,27]],"date-time":"2013-03-27T14:43:32Z","timestamp":1364395412000},"page":"959-968","source":"Crossref","is-referenced-by-count":106,"title":["The effect of sacral nerve stimulation on distal colonic motility in patients with faecal incontinence"],"prefix":"10.1093","volume":"100","author":[{"given":"V","family":"Patton","sequence":"first","affiliation":[{"name":"Department of Anorectal Physiology, St George Hospital, Sydney, Australia"},{"name":"St George Clinical School, University of New South Wales, Sydney, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"L","family":"Wiklendt","sequence":"additional","affiliation":[{"name":"Department of Medicine, University of New South Wales, Sydney, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J W","family":"Arkwright","sequence":"additional","affiliation":[{"name":"CSIRO Materials Science and Engineering, Lindfield, New South Wales, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"D Z","family":"Lubowski","sequence":"additional","affiliation":[{"name":"Department of Anorectal Physiology, St George Hospital, Sydney, Australia"},{"name":"Department of Colorectal Surgery, St George Hospital, Sydney, Australia"},{"name":"Department of Medicine, University of New South Wales, Sydney, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P G","family":"Dinning","sequence":"additional","affiliation":[{"name":"Department of Medicine, University of New South Wales, Sydney, Australia"},{"name":"Department of Gastroenterology and Surgery, Flinders University, Flinders Medical Centre, Adelaide, South Australia, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2013,3,27]]},"reference":[{"key":"2021031208425625600_bjs9114-bib-0001","volume-title":"Faecal Incontinence: the Management of Faecal Incontinence in Adults","author":"National Institute for Health and Clinical Excellence (NICE)","year":"2007"},{"key":"2021031208425625600_bjs9114-bib-0002","doi-asserted-by":"crossref","first-page":"67","DOI":"10.1007\/BF02234823","article-title":"What is the impact of fecal incontinence on quality of life?","volume":"44","author":"Rothbarth","year":"2001","journal-title":"Dis Colon Rectum"},{"key":"2021031208425625600_bjs9114-bib-0003","doi-asserted-by":"crossref","first-page":"30","DOI":"10.1097\/01.NAJ.0000388262.72298.f5","article-title":"Conservative management of fecal incontinence","volume":"110","author":"Bliss","year":"2010","journal-title":"Am J Nurs"},{"key":"2021031208425625600_bjs9114-bib-0004","doi-asserted-by":"crossref","first-page":"199","DOI":"10.1002\/nau.20803","article-title":"Lang J; Conservative Management of Fecal Incontinence in Adults Committee of the International Consultation. 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