7. Fecal Incontinence

  1. C. J. Hawkey FMedSci4,
  2. Jaime Bosch MD, PhD5,6,
  3. Joel E. Richter MD, FACP, MACG7,8,
  4. Guadalupe Garcia-Tsao MD9,10 and
  5. Francis K. L. Chan MD11
  1. Ashok Attaluri MD1 and
  2. Satish S. C. Rao MD, FRCP (Lon), PhD2,3

Published Online: 16 APR 2012

DOI: 10.1002/9781118321386.ch7

Textbook of Clinical Gastroenterology and Hepatology, Second Edition

Textbook of Clinical Gastroenterology and Hepatology, Second Edition

How to Cite

Attaluri, A. and Rao, S. S. C. (2012) Fecal Incontinence, in Textbook of Clinical Gastroenterology and Hepatology, Second Edition (eds C. J. Hawkey, J. Bosch, J. E. Richter, G. Garcia-Tsao and F. K. L. Chan), Wiley-Blackwell, Oxford, UK. doi: 10.1002/9781118321386.ch7

Editor Information

  1. 4

    Nottingham Digestive Diseases Centre, University of Nottingham and Nottingham University Hospitals, Nottingham, UK

  2. 5

    Hepatic Hemodynamic Laboratory, Liver Unit Hospital Clínic-IDIBAPS, University of Barcelona, Spain

  3. 6

    Biomedical Research Centre Network of Hepatic and Digestive Diseases (CIBERehd), National Institute of Health Carlos III Ministry of Science and Innovation Barcelona, Spain

  4. 7

    Division of Gastroenterology and Nutrition, University of South Florida Tampa, FL, USA

  5. 8

    Joy M. Culverhouse Center for Esophageal Diseases, University of South Florida Tampa, FL, USA

  6. 9

    Section of Digestive Diseases Yale University, School of Medicine New Haven, CT, USA

  7. 10

    Veterans Affairs Connecticut Healthcare System West Haven, CT, USA

  8. 11

    Department of Medicine & Therapeutics The Chinese University of Hong Kong, Hong Kong SAR, China

Author Information

  1. 1

    Division of Gastroenterology and Hepatology, Department of Internal Medicine, University of Iowa Carver College of Medicine, Iowa City, IA, USA

  2. 2

    Digestive Health Center, Medical College of Georgia, Georgia Health Sciences University, Augusta, GA, USA

  3. 3

    American Neurogastroenterology & Motility Society/FBG, Belleville, MI, USA

Publication History

  1. Published Online: 16 APR 2012
  2. Published Print: 20 APR 2012

ISBN Information

Print ISBN: 9781405191821

Online ISBN: 9781118321386



  • fecal incontinence;
  • anorectal manometry;
  • biofeedback therapy;
  • pathophysiology;
  • treatment;
  • anal ultrasound


Fecal incontinence is a symptom with complex etiology and pathogenesis. A detailed history, digital rectal examination, and anorectal physiological tests facilitate accurate diagnosis. Antidiarrheals, behavioral modification and biofeedback therapies are mainstay therapies and there is growing evidence-based data for these and other management approaches.