{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T04:58:05Z","timestamp":1785473885266,"version":"3.56.0"},"reference-count":55,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2026,7,27]],"date-time":"2026-07-27T00:00:00Z","timestamp":1785110400000},"content-version":"vor","delay-in-days":26,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100016670","name":"Region \u00d6sterg\u00f6tland","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100016670","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Neurogastroenterology Motil"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Many patients with fecal incontinence (FI) report a sensation of incomplete evacuation (SIE), a symptom that may have clinical relevance but remains insufficiently characterized. This study compared symptoms, categorized high\u2010resolution anorectal manometry (HRAM), and health\u2010related quality of life (HRQL) in patients with FI alone and those with FI and SIE.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>In this cross\u2010sectional study, 777 adults with FI referred to a tertiary pelvic floor unit (2015\u20132022) were included. All participants underwent HRAM and completed questionnaires assessing gastrointestinal symptoms and HRQL. Patients were categorized as FI only or FI with SIE.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Key Results<\/jats:title>\n                    <jats:p>\n                      Of 777 patients, 585 (75%) reported SIE. Compared with the FI\u2010only group (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009192, 25%), patients with SIE had higher stool frequency (mean (SD) 2.9 (2.8) vs. 2.0 (1.7)), more prolonged defecation time (\u2265\u200920\u2009min: 14% vs. 6%), and more frequent straining (\u2265\u200920\u2009min: 14% vs. 3%) (all\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). Weekly soiling was more prevalent (92% vs. 86%,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.02), as were bladder emptying difficulties, abdominal, and anorectal pain. FI severity and frequency did not differ between groups (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&gt;\u20090.05). The proportion of patients across categorized HRAM parameters was similar (all\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&gt;\u20090.05). HRQL was consistently worse across all domains in patients with additional SIE (all\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Coexisting SIE was associated with greater symptom burden, more pain, and substantially impaired HRQL in patients with FI, despite comparable distributions across categorized HRAM parameters and similar FI severity. Recognition of incomplete evacuation is therefore essential in FI care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/nmo.70403","type":"journal-article","created":{"date-parts":[[2026,7,27]],"date-time":"2026-07-27T08:40:07Z","timestamp":1785141607000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Sensation of Incomplete Evacuation in Patients With Fecal Incontinence: A Cross\u2010Sectional Study of a Tertiary Referral Cohort"],"prefix":"10.1111","volume":"38","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0836-3140","authenticated-orcid":false,"given":"Jenny","family":"Sj\u00f6dahl","sequence":"first","affiliation":[{"name":"Department of Health, Medicine, and Caring Sciences Link\u00f6ping University  Link\u00f6ping Sweden"},{"name":"Clinical Department of Gastroenterology and Hepatology Region \u00d6sterg\u00f6tland  Link\u00f6ping Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6655-1089","authenticated-orcid":false,"given":"Anna","family":"Ingemansson","sequence":"additional","affiliation":[{"name":"Clinical Department of Gastroenterology and Hepatology Region \u00d6sterg\u00f6tland  Link\u00f6ping Sweden"},{"name":"Department of Biomedical and Clinical Sciences Link\u00f6ping University  Link\u00f6ping Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3463-9705","authenticated-orcid":false,"given":"Susanna","family":"Walter","sequence":"additional","affiliation":[{"name":"Department of Health, Medicine, and Caring Sciences Link\u00f6ping University  Link\u00f6ping Sweden"},{"name":"Clinical Department of Gastroenterology and Hepatology Region \u00d6sterg\u00f6tland  Link\u00f6ping Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,7,27]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41572\u2010022\u201000381\u20107"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/nmo.13241"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cgh.2006.01.003"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cgh.2023.09.004"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/dcr.0000000000001242"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cgh.2025.11.016"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1080\/003655202760230865"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1038\/ajg.2011.164"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365\u20102036.2010.04273.x"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.14309\/ajg.0000000000003532"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eclinm.2020.100572"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bpg.2010.12.002"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11894\u2010019\u20100690\u20109"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.gastro.2016.02.015"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.gastro.2016.02.014"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41575\u2010021\u201000487\u20105"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.3389\/fsurg.2024.1340720"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1572\u20100241.2004.40105.x"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.1080\/17474124.2020.1708718"},{"key":"e_1_2_11_21_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1572\u20100241.2004.30176.x"},{"key":"e_1_2_11_22_1","doi-asserted-by":"publisher","DOI":"10.5152\/tjg.2023.22148"},{"key":"e_1_2_11_23_1","doi-asserted-by":"publisher","DOI":"10.1080\/00365521.2023.2248538"},{"key":"e_1_2_11_24_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.gastro.2003.10.013"},{"key":"e_1_2_11_25_1","doi-asserted-by":"publisher","DOI":"10.1097\/00000658\u2010199607000\u201000009"},{"key":"e_1_2_11_26_1","doi-asserted-by":"publisher","DOI":"10.1007\/bf02050307"},{"key":"e_1_2_11_27_1","doi-asserted-by":"publisher","DOI":"10.1111\/nmo.13679"},{"key":"e_1_2_11_28_1","doi-asserted-by":"publisher","DOI":"10.1111\/nmo.13597"},{"key":"e_1_2_11_29_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.gtc.2008.06.011"},{"key":"e_1_2_11_30_1","doi-asserted-by":"publisher","DOI":"10.1080\/00365520600610618"},{"key":"e_1_2_11_31_1","doi-asserted-by":"publisher","DOI":"10.1080\/00365521.2021.1974087"},{"key":"e_1_2_11_32_1","doi-asserted-by":"publisher","DOI":"10.1038\/nrdp.2017.95"},{"key":"e_1_2_11_33_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj\u20102024\u2010079980"},{"key":"e_1_2_11_34_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.gtc.2021.10.004"},{"key":"e_1_2_11_35_1","doi-asserted-by":"publisher","DOI":"10.5056\/jnm.2012.18.4.373"},{"key":"e_1_2_11_36_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.gastro.2026.01.037"},{"key":"e_1_2_11_37_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.gastro.2021.11.019"},{"key":"e_1_2_11_38_1","doi-asserted-by":"publisher","DOI":"10.1097\/00042737\u2010200410000\u201000007"},{"key":"e_1_2_11_39_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.gastro.2022.08.034"},{"key":"e_1_2_11_40_1","doi-asserted-by":"publisher","DOI":"10.1111\/nmo.14453"},{"key":"e_1_2_11_41_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.mcg.0000135929.78074.8c"},{"key":"e_1_2_11_42_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12664\u2010018\u20100866\u20105"},{"key":"e_1_2_11_43_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.gastro.2012.10.029"},{"key":"e_1_2_11_44_1","doi-asserted-by":"publisher","DOI":"10.5056\/jnm16060"},{"key":"e_1_2_11_45_1","doi-asserted-by":"publisher","DOI":"10.1016\/s0140\u20106736(20)31548\u20108"},{"key":"e_1_2_11_46_1","doi-asserted-by":"publisher","DOI":"10.1055\/s\u20100036\u20101593427"},{"key":"e_1_2_11_47_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12876\u2010025\u201003685\u20106"},{"key":"e_1_2_11_48_1","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.164.16.1773"},{"key":"e_1_2_11_49_1","doi-asserted-by":"publisher","DOI":"10.1111\/apt.17465"},{"key":"e_1_2_11_50_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpsychores.2018.07.015"},{"key":"e_1_2_11_51_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192\u2010025\u201006288\u20107"},{"key":"e_1_2_11_52_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.gastha.2024.03.002"},{"key":"e_1_2_11_53_1","doi-asserted-by":"publisher","DOI":"10.14744\/cpr.2024.57286"},{"key":"e_1_2_11_54_1","doi-asserted-by":"publisher","DOI":"10.1148\/rg.220119"},{"key":"e_1_2_11_55_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11894\u2010019\u20100688\u20103"},{"key":"e_1_2_11_56_1","doi-asserted-by":"publisher","DOI":"10.1007\/164_2016_111"}],"container-title":["Neurogastroenterology &amp; Motility"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/nmo.70403","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/nmo.70403","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/nmo.70403","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T04:03:31Z","timestamp":1785470611000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/nmo.70403"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7]]},"references-count":55,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2026,7]]}},"alternative-id":["10.1111\/nmo.70403"],"URL":"https:\/\/doi.org\/10.1111\/nmo.70403","archive":["Portico"],"relation":{},"ISSN":["1350-1925","1365-2982"],"issn-type":[{"value":"1350-1925","type":"print"},{"value":"1365-2982","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7]]},"assertion":[{"value":"2026-02-26","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-07-14","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-07-27","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70403"}}