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Articles Published Processes
9/12/2014 8:41:00 PM | Browse: 1030 | Download: 863
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Received |
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2013-06-28 10:02 |
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Peer-Review Started |
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2013-06-28 15:52 |
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To Make the First Decision |
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2013-07-05 18:35 |
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Return for Revision |
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2013-07-31 10:47 |
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Revised |
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2013-08-07 22:02 |
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Second Decision |
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2013-08-29 07:59 |
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Accepted by Journal Editor-in-Chief |
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Accepted by Executive Editor-in-Chief |
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2013-08-29 10:13 |
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Articles in Press |
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Publication Fee Transferred |
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Edit the Manuscript by Language Editor |
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2013-09-08 01:19 |
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Typeset the Manuscript |
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2013-10-29 11:32 |
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Publish the Manuscript Online |
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2013-11-16 18:29 |
Category |
Gastroenterology & Hepatology |
Manuscript Type |
Minireviews |
Article Title |
Neuromodulation for fecal incontinence: An effective surgical intervention
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Manuscript Source |
Invited Manuscript |
All Author List |
Giuseppe Chiarioni, Olafur S Palsson, Corrado R Asteria and William E Whitehead |
Funding Agency and Grant Number |
Funding Agency |
Grant Number |
National Institute of Diabetes and Digestive and Kidney Disease |
R01 DK031369 |
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Corresponding Author |
Giuseppe Chiarioni, MD, Division of Gastroenterology of the University of Verona, Valeggio s/M Hospital, Azienda Ospedaliera Universitaria Integrata di Verona, 37067 Valeggio sul Mincio, Verona, Italy. chiarioni@tin.it |
Key Words |
Fecal incontinence; Neuromodulation; Sacral nerve stimulation; Biofeedback; Anal sphincter |
Core Tip |
This review summarizes the evidence for neuromodulation of fecal incontinence. Neuromodulation is effective for some patients with fecal incontinence of different etiology unknown mechanism; when analyzed by intent to treat analysis, the median responder rate is 59%. The most common serious adverse event is infection at the site of implant which occurs in about 3% of patients. Cost of treatment is high relative to conservative treatment and biofeedback but seems to be cost-effective when offset by gains in quality-adjusted years. Randomized controlled trials comparing neuromodulation with biofeedback therapy in fecal incontinence are advisable to tailor patients' management. |
Publish Date |
2013-11-16 18:29 |
Citation |
Chiarioni G, Palsson OS, Asteria CR, Whitehead WE. Neuromodulation for fecal incontinence: An effective surgical intervention. World J Gastroenterol 2013; 19(41): 7048-7054 |
URL |
http://www.wjgnet.com/1007-9327/full/v19/i41/7048.htm |
DOI |
http://dx.doi.org/10.3748/wjg.v19.i41.7048 |
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