Neurogenic bowel dysfunction.
Bowel Dysfunction
Constipation
Faecal incontinence
Neurogenic Bladder
Journal
F1000Research
ISSN: 2046-1402
Titre abrégé: F1000Res
Pays: England
ID NLM: 101594320
Informations de publication
Date de publication:
2019
2019
Historique:
accepted:
23
10
2019
entrez:
9
11
2019
pubmed:
9
11
2019
medline:
4
6
2020
Statut:
epublish
Résumé
The symptoms of neurogenic bowel dysfunction (NBD) comprise constipation and fecal incontinence. These have a major impact on quality of life and dignity. Bowel symptoms occur in the majority of patients with chronic neurological diseases like multiple sclerosis, spinal cord injury, and Parkinson's disease. Management relies on obtaining a careful bowel history, including assessment of bowel function prior to the onset of neurological symptoms. Objective measures of NBD are available and important in terms of monitoring response for what are often intensely personal and difficult-to-elicit symptoms. Conservative management begins by establishing an effective and regular bowel regime by optimizing diet and laxative use. If this is insufficient, as seen in about half of patients, transanal irrigation has been shown to reduce NBD symptoms and improve quality of life. Failing that, there are more invasive surgical options available. This review aims to provide practical guidance for the clinician who encounters these patients, focusing on a stepwise approach to assessment, interventions, and monitoring.
Identifiants
pubmed: 31700610
doi: 10.12688/f1000research.20529.1
pmc: PMC6820819
pii:
doi:
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Informations de copyright
Copyright: © 2019 Emmanuel A.
Déclaration de conflit d'intérêts
Competing interests: The author has served on advisory boards for Coloplast, McGregor Healthcare, Wellspect. No competing interests were disclosed.No competing interests were disclosed.
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