Abstract: Inflammatory bowel disease （IBD） including Crohn’s disease and ulcerative colitiscan. It affects the perianal region and the rectum, often presenting as anal fistulas, perianal abscesses, and fecal incontinence, etc. Among these manifestations, fecal incontinence is frequently neglected in clinical practice, whereas it will cause significant impact on the quality of life and mental health of IBD patients. In this article, research progress in the current status of fecal incontinence in IBD, adverse effects, associated risk factors, assessment and management of anal function was reviewed, aiming to enhance awareness among healthcare professionals regarding the importance of fecal incontinence in the IBD population and to provide valuable insights for effective management of this condition in affected patients.