Functional fecal incontinence in children

Abstract

Fecal incontinence is defined as the passage of stools in an inappropriate place. This frustrating symptom is a source of considerable distress and embarrassment for the child and his/her family. Pediatric fecal incontinence can be divided into 2 main categories: (1) organic fecal incontinence, e.g., resulting from anorectal malformations or neurogenic abnormalities, and (2) functional fecal incontinence. This review will only address functional fecal incontinence in children, and the definition, epidemiology, pathophysiology and recent updates on the clinical and diagnostic aspects of functional fecal incontinence will be discussed. Copyright © 2007 Nestec Ltd., Vevey/S. Karger AG.