Scores uitkomstmaten

Wexner incontinence score

Fecal incontinence	Never	Rarely	Sometimes	Usually	Always
Solid	0	1	2	3	4
Liquid	0	1	2	3	4
Gas	0	1	2	3	4
Wears pad	0	1	2	3	4
Lifestyle alteration	0	1	2	3	4

Minimum Score, 0; Maximum Score, 20. 0 = perfect; 20 = complete incontinence.

 

Never = 0 (never).

Rarely = <l/month.

Sometimes = <l/week, ≥l /month.

Usually = <l/day, ≥l/week.

Always = ≥l/day.

The continence score is determined by adding points from the above table, which takes into account the type and frequency of incontinence and the extent to which it alters the patient's life.

 

Wexner obstipation score

Frequency of bowel movements	Score
1-2 times per 1-2 days	0
2 times per week	1
Once per week	2
Less than once per week	3
Less than once per month	4
Difficulty: painful evacuation effort
Never	0
Rarely	1
Sometimes	2
Usually	3
Always	4
Completeness: feeling incomplete evacuation
Never	0
Rarely	1
Sometimes	2
Usually	3
Always	4
Pain: abdominal pain
Never	0
Rarely	1
Sometimes	2
Usually	3
Always	4
Time: minutes in lavatory per attempt
Less than 5	0
5-10	1
10-20	2
20 -30	3
More than 30	4
Assistance: type of assistance
Without assistance	0
Stimulative laxatives	1
Digital assistance or enema	2
Failure: unsuccessful attempts for evacuation per 24 hours
Never	0
1-3	1
3-6	2
6-9	3
More than 9	4
History: duration of constipation (yr)
0	0
1-5	1
5-10	2
10-20	3
More than 20	4

Minimum Score, 0; Maximum Score, 30. 0 = perfect; 20 = completely constipated

 

ROME III criteria:

De Rome-III-criteria voor de diagnose functionele obstipatie luiden als volgt.

1. Twee of meer van de volgende criteria:
• defecatiefrequentie ≤ 2 per week;
• hard persen in > 25% van de defecaties;
• harde of keutelvormige ontlasting in > 25% van de defecaties;
• gevoel van incomplete evacuatie in > 25% van de defecaties;
• gevoel van anorectale obstructie of blokkade in > 25% van de defecaties;
• manuele handelingen noodzakelijk in > 25% van de defecaties.
2. Zachte ontlasting zelden zonder laxantia.
3. Onvoldoende criteria voor het prikkelbaredarmsyndroom.

Bovenstaande criteria zijn tenminste 3 maanden aanwezig en de klachten zijn ten minste 6 maanden voor het stellen van de diagnose begonnen.