Ahmed Abdel Monem, Mahmoud Bahram and Mohammed Alkatary
Abhu Dhabi
Scientific Tracks Abstracts: Surgery Curr Res
Background: Gatekeeper is a bulking agent recently introduced for fecal incontinence, implants of polyacrylonitrile (4-6) implants are inserted in inter-sphincter space (Gatekeeper, THD) follow-up was at 2, 4, 8 months. Aim: Aim is to evaluate efficacy of gatekeeper application in obese patient with fecal incontinence going to do bariatric surgery. Materials & Methods: Twenty obese patients undergoing bariatric surgery are evaluated for fecal incontinence (FI), which provides clues to the etiology and severity of problem. Complete History: Signs and symptoms for bowel movement, DD from other causes of fecal soiling incontinence scoring system based on Jorge Wetner Scoring. Physical Examination/Investigations: Perineal/rectal/abdominal patients are subjected to different types of bariatric surgery. The subjects are divided into two groups: Group I subjected to gatekeeper (bulking agent) polyacrylonitrile prosthetic cylinders at intersphincteric space. Group II not subjected to gatekeeper. Results: Patients in Group I are subjected to gatekeeper and have significantly improved the fecal incontinence signs and symptoms. Conclusion: The use of gatekeeper in obese patients with fecal incontinence undergoing bariatric surgery has improved the incontinence postoperative.
