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Fecal impaction

MedGen UID:
8800
•Concept ID:
C0015734
•
Finding
Synonyms: Fecal Impaction; Impaction, Fecal
SNOMED CT: Fecal impaction (67409000); Feces - impacted (44635007); Impacted feces (44635007); Fecal impaction (44635007)

Definition

Formation of a firm impassable mass of stool in the RECTUM or distal COLON. [from MeSH]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVFecal impaction

Professional guidelines

PubMed

Constipation in Children and Adolescents: Evaluation and Treatment.
Mulhem E, Khondoker F, Kandiah S
Am Fam Physician 2022 May 1;105(5):469-478. PMID: 35559625
Management of Constipation in Older Adults.
Mounsey A, Raleigh M, Wilson A
Am Fam Physician 2015 Sep 15;92(6):500-4. PMID: 26371734
Evaluation and treatment of colonic symptoms.
Pasanen ME
Med Clin North Am 2014 May;98(3):529-47. Epub 2014 Mar 21 doi: 10.1016/j.mcna.2014.01.009. PMID: 24758959

Recent clinical studies

Etiology

A Randomized Trial Comparing Antibiotics with Appendectomy for Appendicitis.
CODA Collaborative, Flum DR, Davidson GH, Monsell SE, Shapiro NI, Odom SR, Sanchez SE, Drake FT, Fischkoff K, Johnson J, Patton JH, Evans H, Cuschieri J, Sabbatini AK, Faine BA, Skeete DA, Liang MK, Sohn V, McGrane K, Kutcher ME, Chung B, Carter DW, Ayoung-Chee P, Chiang W, Rushing A, Steinberg S, Foster CS, Schaetzel SM, Price TP, Mandell KA, Ferrigno L, Salzberg M, DeUgarte DA, Kaji AH, Moran GJ, Saltzman D, Alam HB, Park PK, Kao LS, Thompson CM, Self WH, Yu JT, Wiebusch A, Winchell RJ, Clark S, Krishnadasan A, Fannon E, Lavallee DC, Comstock BA, Bizzell B, Heagerty PJ, Kessler LG, Talan DA
N Engl J Med 2020 Nov 12;383(20):1907-1919. Epub 2020 Oct 5 doi: 10.1056/NEJMoa2014320. PMID: 33017106
Fecal impaction.
Hussain ZH, Whitehead DA, Lacy BE
Curr Gastroenterol Rep 2014 Sep;16(9):404. doi: 10.1007/s11894-014-0404-2. PMID: 25119877
Constipation in old age.
Gallagher P, O'Mahony D
Best Pract Res Clin Gastroenterol 2009;23(6):875-87. doi: 10.1016/j.bpg.2009.09.001. PMID: 19942165
Fecal impaction: a review.
Creason N, Sparks D
Nurs Diagn 2000 Jan-Mar;11(1):15-23. doi: 10.1111/j.1744-618x.2000.tb00381.x. PMID: 10847055
Fecal impaction.
Wrenn K
N Engl J Med 1989 Sep 7;321(10):658-62. doi: 10.1056/NEJM198909073211007. PMID: 2671728

Diagnosis

Constipation in Children and Adolescents: Evaluation and Treatment.
Mulhem E, Khondoker F, Kandiah S
Am Fam Physician 2022 May 1;105(5):469-478. PMID: 35559625
Anorectal emergencies.
Lohsiriwat V
World J Gastroenterol 2016 Jul 14;22(26):5867-78. doi: 10.3748/wjg.v22.i26.5867. PMID: 27468181Free PMC Article
Management of Constipation in Older Adults.
Mounsey A, Raleigh M, Wilson A
Am Fam Physician 2015 Sep 15;92(6):500-4. PMID: 26371734
Fecal impaction.
Hussain ZH, Whitehead DA, Lacy BE
Curr Gastroenterol Rep 2014 Sep;16(9):404. doi: 10.1007/s11894-014-0404-2. PMID: 25119877
The use of abdominal massage to treat chronic constipation.
Sinclair M
J Bodyw Mov Ther 2011 Oct;15(4):436-45. Epub 2010 Aug 25 doi: 10.1016/j.jbmt.2010.07.007. PMID: 21943617

Therapy

Constipation in Children and Adolescents: Evaluation and Treatment.
Mulhem E, Khondoker F, Kandiah S
Am Fam Physician 2022 May 1;105(5):469-478. PMID: 35559625
A Randomized Trial Comparing Antibiotics with Appendectomy for Appendicitis.
CODA Collaborative, Flum DR, Davidson GH, Monsell SE, Shapiro NI, Odom SR, Sanchez SE, Drake FT, Fischkoff K, Johnson J, Patton JH, Evans H, Cuschieri J, Sabbatini AK, Faine BA, Skeete DA, Liang MK, Sohn V, McGrane K, Kutcher ME, Chung B, Carter DW, Ayoung-Chee P, Chiang W, Rushing A, Steinberg S, Foster CS, Schaetzel SM, Price TP, Mandell KA, Ferrigno L, Salzberg M, DeUgarte DA, Kaji AH, Moran GJ, Saltzman D, Alam HB, Park PK, Kao LS, Thompson CM, Self WH, Yu JT, Wiebusch A, Winchell RJ, Clark S, Krishnadasan A, Fannon E, Lavallee DC, Comstock BA, Bizzell B, Heagerty PJ, Kessler LG, Talan DA
N Engl J Med 2020 Nov 12;383(20):1907-1919. Epub 2020 Oct 5 doi: 10.1056/NEJMoa2014320. PMID: 33017106
Lactulose versus Polyethylene Glycol for Chronic Constipation.
Lee-Robichaud H, Thomas K, Morgan J, Nelson RL
Cochrane Database Syst Rev 2010 Jul 7;(7):CD007570. doi: 10.1002/14651858.CD007570.pub2. PMID: 20614462
Fecal impaction: a review.
Creason N, Sparks D
Nurs Diagn 2000 Jan-Mar;11(1):15-23. doi: 10.1111/j.1744-618x.2000.tb00381.x. PMID: 10847055
Encopresis.
Patel DR, Pratt HD
Indian J Pediatr 1999 May-Jun;66(3):439-46. doi: 10.1007/BF02845538. PMID: 10798091

Prognosis

Constipation in Children and Adolescents: Evaluation and Treatment.
Mulhem E, Khondoker F, Kandiah S
Am Fam Physician 2022 May 1;105(5):469-478. PMID: 35559625
A Randomized Trial Comparing Antibiotics with Appendectomy for Appendicitis.
CODA Collaborative, Flum DR, Davidson GH, Monsell SE, Shapiro NI, Odom SR, Sanchez SE, Drake FT, Fischkoff K, Johnson J, Patton JH, Evans H, Cuschieri J, Sabbatini AK, Faine BA, Skeete DA, Liang MK, Sohn V, McGrane K, Kutcher ME, Chung B, Carter DW, Ayoung-Chee P, Chiang W, Rushing A, Steinberg S, Foster CS, Schaetzel SM, Price TP, Mandell KA, Ferrigno L, Salzberg M, DeUgarte DA, Kaji AH, Moran GJ, Saltzman D, Alam HB, Park PK, Kao LS, Thompson CM, Self WH, Yu JT, Wiebusch A, Winchell RJ, Clark S, Krishnadasan A, Fannon E, Lavallee DC, Comstock BA, Bizzell B, Heagerty PJ, Kessler LG, Talan DA
N Engl J Med 2020 Nov 12;383(20):1907-1919. Epub 2020 Oct 5 doi: 10.1056/NEJMoa2014320. PMID: 33017106
Constipation in old age.
Gallagher P, O'Mahony D
Best Pract Res Clin Gastroenterol 2009;23(6):875-87. doi: 10.1016/j.bpg.2009.09.001. PMID: 19942165
Isolated colonic ulcers: diagnosis and management.
Nagar AB
Curr Gastroenterol Rep 2007 Oct;9(5):422-8. doi: 10.1007/s11894-007-0053-9. PMID: 17991345
Bowel care in the elderly.
Spinzi GC
Dig Dis 2007;25(2):160-5. doi: 10.1159/000099481. PMID: 17468552

Clinical prediction guides

A Randomized Trial Comparing Antibiotics with Appendectomy for Appendicitis.
CODA Collaborative, Flum DR, Davidson GH, Monsell SE, Shapiro NI, Odom SR, Sanchez SE, Drake FT, Fischkoff K, Johnson J, Patton JH, Evans H, Cuschieri J, Sabbatini AK, Faine BA, Skeete DA, Liang MK, Sohn V, McGrane K, Kutcher ME, Chung B, Carter DW, Ayoung-Chee P, Chiang W, Rushing A, Steinberg S, Foster CS, Schaetzel SM, Price TP, Mandell KA, Ferrigno L, Salzberg M, DeUgarte DA, Kaji AH, Moran GJ, Saltzman D, Alam HB, Park PK, Kao LS, Thompson CM, Self WH, Yu JT, Wiebusch A, Winchell RJ, Clark S, Krishnadasan A, Fannon E, Lavallee DC, Comstock BA, Bizzell B, Heagerty PJ, Kessler LG, Talan DA
N Engl J Med 2020 Nov 12;383(20):1907-1919. Epub 2020 Oct 5 doi: 10.1056/NEJMoa2014320. PMID: 33017106
Use of polyethylene glycol in functional constipation and fecal impaction.
Mínguez M, López Higueras A, Júdez J
Rev Esp Enferm Dig 2016 Dec;108(12):790-806. doi: 10.17235/reed.2016.4571/2016. PMID: 27871178
Constipation in old age.
Gallagher P, O'Mahony D
Best Pract Res Clin Gastroenterol 2009;23(6):875-87. doi: 10.1016/j.bpg.2009.09.001. PMID: 19942165
Bowel care in the elderly.
Spinzi GC
Dig Dis 2007;25(2):160-5. doi: 10.1159/000099481. PMID: 17468552
Constipation in children.
Abhyankar A, Carcani-Rathwell I, Clayden G
BMJ Clin Evid 2006 Oct 1;2006 PMID: 19454102

Recent systematic reviews

Fecal impaction: a systematic review of its medical complications.
Serrano Falcón B, Barceló López M, Mateos Muñoz B, Álvarez Sánchez A, Rey E
BMC Geriatr 2016 Jan 11;16:4. doi: 10.1186/s12877-015-0162-5. PMID: 26754969Free PMC Article
A systematic review of stercoral perforation.
Chakravartty S, Chang A, Nunoo-Mensah J
Colorectal Dis 2013 Aug;15(8):930-5. doi: 10.1111/codi.12123. PMID: 23331762
Self-expandable metallic stents in patients with stage IV obstructing colorectal cancer.
Lamazza A, Fiori E, Schillaci A, DeMasi E, Pontone S, Sterpetti AV
World J Surg 2012 Dec;36(12):2931-6. doi: 10.1007/s00268-012-1767-x. PMID: 22960673
Lactulose versus Polyethylene Glycol for Chronic Constipation.
Lee-Robichaud H, Thomas K, Morgan J, Nelson RL
Cochrane Database Syst Rev 2010 Jul 7;(7):CD007570. doi: 10.1002/14651858.CD007570.pub2. PMID: 20614462
Constipation in children.
Abhyankar A, Carcani-Rathwell I, Clayden G
BMJ Clin Evid 2006 Oct 1;2006 PMID: 19454102

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