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©The Author(s) 2024.
World J Gastroenterol. Jan 21, 2024; 30(3): 204-210
Published online Jan 21, 2024. doi: 10.3748/wjg.v30.i3.204
Published online Jan 21, 2024. doi: 10.3748/wjg.v30.i3.204
Table 1 Wexner scoring[25]
Never | Rarely | Sometimes | Usually | Always | |
Solid | 0 | 1 | 2 | 3 | 4 |
Liquid | 0 | 1 | 2 | 3 | 4 |
Gas | 0 | 1 | 2 | 3 | 4 |
Wears a pad | 0 | 1 | 2 | 3 | 4 |
Lifestyle alteration | 0 | 1 | 2 | 3 | 4 |
Table 2 Vaizey’s scoring[25]
Never | Rarely | Sometimes | Weekly | Daily | |
Solid stool incontinence | 0 | 1 | 2 | 3 | 4 |
Liquid stool incontinence | 0 | 1 | 2 | 3 | 4 |
Gas incontinence | 0 | 1 | 2 | 3 | 4 |
Alteration in lifestyle | 0 | 1 | 2 | 3 | 4 |
No | Yes | ||||
Need to wear a pad or plug | 0 | 2 | |||
Constipating medication | 0 | 2 | |||
Lack of ability to defer defecation for 15 min | 0 | 4 |
Table 3 Fecal incontinence severity index scoring[25]
≥ 2 times/d (patient/surgeon scores) | Once/d (patient/surgeon scores) | ≥ 2 times/wk (patient/surgeon scores) | Once/wk (patient/surgeon) | 1-3 times/mo (patient/surgeon scores) | |
Gas | 12/9 | 11/8 | 8/6 | 6/4 | 4/2 |
Mucous | 12/11 | 10/9 | 7/7 | 5/7 | 3/5 |
Liquid | 19/18 | 17/16 | 13/14 | 10/13 | 8/10 |
Solid | 18/19 | 16/17 | 13/16 | 10/14 | 8/11 |
Table 4 Garg incontinence scores[25]
Incontinence type | Weight | Frequency | Maximum score | ||
Never (points) | Occasional (points) (≤ 1 episode/wk) | Common (points) (> 1 episode/wk) | |||
Solid | 8 | 0 | 1 | 2 | 16 |
Liquid | 8 | 0 | 1 | 2 | 16 |
Urge | 7 | 0 | 1 | 2 | 14 |
Flatus | 6 | 0 | 1 | 2 | 12 |
Mucus | 6 | 0 | 1 | 2 | 12 |
Stress | 5 | 0 | 1 | 2 | 10 |
Total | 80 |
Table 5 Comparison of existing scoring systems with new scoring system[25]
Wexner | Vaizey | FISI | GIS | |
Comprehensive | No | No | No | Yes |
FI type included: Urge FI | No | Yes | No | Yes |
FI type included: Mucous FI | No | No | Yes | Yes |
Presence of confounding parameters like “Need to wear a pad”, “Need to take constipating medicine”, and “Alteration of lifestyle” | Yes | Yes | No | No |
Assigning weights to each FI by an objective method | No | No | No | Yes |
Inclusion of patient perceptions (n) | 0 | 0 | 34 | 50 |
Inclusion of laypersons’ perceptions (n) | 0 | 0 | 0 | 50 |
Simple and easy to use | +++++ | +++++ | + | +++++ |
Detailed structured definitions | No | No | No | Yes |
In-depth disability scores based on an objective description system | No | No | No | 4D3L [modified EQ-5D+ (EuroQol)] used |
- Citation: Tsarkov P, Tulina I, Sheikh P, Shlyk DD, Garg P. Garg incontinence scores: New scoring system on the horizon to evaluate fecal incontinence. Will it make a difference? World J Gastroenterol 2024; 30(3): 204-210
- URL: https://www.wjgnet.com/1007-9327/full/v30/i3/204.htm
- DOI: https://dx.doi.org/10.3748/wjg.v30.i3.204