International Clinical and Medical Case Reports Journal (ISSN: 2832-5788) | Volume 4, Issue 6 | Case Report | Open Access
Houhong Wang*
Department of General Surgery, The Affiliated Bozhou Hospital of Anhui Medical University, China
*Correspondence to: Houhong Wang
Fulltext PDFBackground: Defecation habit disorders, including constipation, diarrhea, and fecal incontinence, are common and can significantly impact patients' quality of life. This retrospective study aimed to analyze the etiological spectrum, diagnostic approaches, and prognostic factors in patients with defecation habit disorders. 1.2. Methods: Data from 180 patients with defecation habit disorders admitted to a single tertiary hospital between 2021 and 2023 were retrospectively reviewed. Patient demographics, medical history, symptoms, laboratory tests, imaging and endoscopic findings, treatment modalities, and follow-up outcomes were analyzed.
Results: The most common etiologies were functional gastrointestinal disorders (45%, 81/180), followed by colorectal diseases (28%, 50/180) and endocrine/metabolic disorders (15%, 27/180). Colonoscopy had a diagnostic accuracy of 88% for colorectal diseases, while anorectal manometry showed a 75% success rate in diagnosing functional defecation disorders. Multivariate analysis identified age ≥65 years (OR = 2.9, 95% CI: 1.4 - 6.1, p = 0.005), presence of comorbidities (≥3, OR = 3.2, 95% CI: 1.6 - 6.4, p = 0.002), and long disease duration (≥6 months, OR = 2.5, 95% CI: 1.2 - 5.1, p = 0.023) as independent risk factors for poor prognosis.
Conclusion: Functional gastrointestinal disorders are the leading cause of defecation habit disorders. A combination of diagnostic methods is necessary for accurate diagnosis, and age, comorbidities, and disease duration are important prognostic factors.
Defecation Habit Disorders; Etiology; Diagnosis; Prognosis; Retrospective Analysis; Functional Gastrointestinal Disorders
Houhong Wang. Retrospective Analysis of Etiology, Treatment Outcomes, And Risk Factors in Intestinal Obstruction. Int Clinc Med Case Rep Jour. 2025;4(6):1-4.