Bowel Dysfunction in Spinal Cord Injury

被引：47
|
作者：
Qi Z. [1 ,2 ]
Middleton J.W. [2 ,3 ,4 ]
Malcolm A. [1 ,2 ]
机构：
[1] Neurogastroenterology Unit and Department of Gastroenterology, Royal North Shore Hospital, Reserve Road, St Leonards, 2065, NSW
[2] The University of Sydney, Sydney
[3] John Walsh Centre for Rehabilitation Research, Sydney Medical School, Faculty of Medicine and Health, The University of Sydney, Sydney
[4] Kolling Institute of Medical Research, Level 12, Royal North Shore Hospital, St Leonards, 2065, NSW
来源：
Current Gastroenterology Reports | 2018年 / 20卷 / 10期
关键词：
Constipation; Fecal incontinence; Neurogenic bowel dysfunction (NBD); Spinal cord injury (SCI);
D O I：
10.1007/s11894-018-0655-4
中图分类号：
学科分类号：
摘要：
Purpose of Review: To evaluate and report current evidence regarding the management of bowel dysfunction in spinal cord injury. There is a paucity of high-quality large studies on which to base management advice. Recent Findings: Recent research has focused on defining the nature of symptomatology of bowel dysfunction in SCI and describing the effects on quality of life and social interactions. Technical aspects of colonoscopy have received attention, and aspects of understanding the pathophysiology in relation to both neural and non-neural dysfunction have been studied. There has been refinement and expansion of the pharmacological and non-pharmacological treatment options for bowel dysfunction in SCI. Summary: Management of bowel dysfunction in SCI requires a comprehensive and individualized approach, encompassing lifestyle, toileting routine, stimulation, diet, medications, and surgery. Further high-quality research is required to inform best practice. © 2018, Springer Science+Business Media, LLC, part of Springer Nature.
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