RESUMO
No disponible
Assuntos
Humanos , Masculino , Pessoa de Meia-Idade , Carcinoma Verrucoso/diagnóstico por imagem , Carcinoma Verrucoso/patologia , Neoplasias Esofágicas/patologia , Carcinoma Verrucoso/cirurgia , Esôfago/patologia , Biópsia , Hematemese/diagnóstico , Tosse/etiologia , Gastroscopia , Diagnóstico DiferencialRESUMO
No disponible
Assuntos
Humanos , Masculino , Adulto , Polipose Intestinal/complicações , Síndrome do Hamartoma Múltiplo/diagnóstico , Pólipos do Colo/diagnóstico por imagem , Pólipos do Colo/cirurgia , Síndrome do Hamartoma Múltiplo/patologia , Colonoscopia/métodos , Fotomicrografia/métodos , Imuno-Histoquímica , Hiperplasia/complicaçõesAssuntos
Pólipos Adenomatosos/diagnóstico , Neoplasias do Colo/diagnóstico , Neoplasias Duodenais/diagnóstico , Ganglioneuroma/diagnóstico , Síndrome do Hamartoma Múltiplo/diagnóstico , Pólipos Intestinais/diagnóstico , Adenoma/cirurgia , Pólipos Adenomatosos/genética , Pólipos Adenomatosos/patologia , Adulto , Neoplasias do Colo/genética , Neoplasias do Colo/patologia , Colonoscopia , Diagnóstico Diferencial , Neoplasias Duodenais/genética , Neoplasias Duodenais/patologia , Éxons/genética , Ganglioneuroma/genética , Ganglioneuroma/patologia , Gastroscopia , Síndrome do Hamartoma Múltiplo/complicações , Síndrome do Hamartoma Múltiplo/genética , Síndrome do Hamartoma Múltiplo/patologia , Humanos , Hiperpigmentação/etiologia , Pólipos Intestinais/genética , Pólipos Intestinais/patologia , Masculino , Megalencefalia/etiologia , Neoplasia Endócrina Múltipla Tipo 2a/diagnóstico , Mutação de Sentido Incorreto , PTEN Fosfo-Hidrolase/genética , Doenças do Pênis/etiologia , Mutação Puntual , Neoplasias da Glândula Tireoide/cirurgia , TireoidectomiaRESUMO
BACKGROUND: Fecal impaction (FI) is a common problem in the elderly and other at-risk groups, such as patients with a neuro-psychiatric disease. It has been associated with medical problems and high morbi-mortality. A systematic review of this topic might be useful to improve the knowledge in this area and helpful to make an appropriate and early diagnosis. METHODS: A PubMed systematic search was performed using relevant keywords. Case reports published in English, Spanish or French till June 2014 were included if they had a diagnosis of FI and a medical complication secondary to it. Each case was classified based on its principal complication. The main objective is to create a classification of FI complications based on published clinical cases. RESULTS: 188 articles met inclusion criteria, comprising 280 clinical cases. Out of the total, 43,5% were over 65 years old, 49% suffered from chronic constipation, 29% had an underlying neuropsychiatric disease and 15% were hospitalised or institutionalised. A total of 346 medical complications secondary to FI were collected. They were divided according to gastrointestinal tract involvement and then classified based on their anatomical and pathophysiological mechanism into three groups: Complications secondary to fecaloma effect on the intestinal wall (73.4%), on the intestinal lumen (14%) and on adjacent structures (12.6%). CONCLUSIONS: FI causes complications that might be fatal. The elderly, underlying neuropsychiatric disease and hospitalised or institutionalised patients integrate the high-risk group in which FI must be suspected. The first FI complications classification is presented to improve the knowledge about this entity.
