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Bowel problems in patients with systemic sclerosis.

M Trezza1, K Krogh, H Egekvist

  • 1Dept. of Surgery L, Marselisborg Hospital, University Hospital of Aarhus, Denmark.

Scandinavian Journal of Gastroenterology
|June 12, 1999
PubMed
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Colorectal dysfunction is common in systemic sclerosis patients, impacting bowel habits and quality of life. Further research into the causes of these bowel problems is necessary.

Area of Science:

  • Gastroenterology
  • Rheumatology
  • Clinical Medicine

Background:

  • The effects of systemic sclerosis on bowel function remain largely uncharacterized.
  • Understanding colorectal issues in systemic sclerosis is crucial for patient care.

Purpose of the Study:

  • To evaluate the prevalence and severity of colorectal problems in systemic sclerosis patients.
  • To investigate associations between colorectal dysfunction and patient demographics or disease characteristics.

Main Methods:

  • A comprehensive questionnaire was administered to 96 systemic sclerosis patients.
  • The questionnaire assessed symptoms of diarrhea, constipation, obstructed defecation, and fecal incontinence.
  • Quality of life and social activity restrictions related to bowel dysfunction were also evaluated.

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Main Results:

  • Among 83 respondents, 16% experienced abnormal defecation urges, and 18% required manual rectal evacuation.
  • Fecal incontinence affected 38% of patients, while 79% reported episodes of diarrhea.
  • Colorectal dysfunction significantly restricted social activities or quality of life for 20% of patients.

Conclusions:

  • Colorectal dysfunction is highly prevalent in systemic sclerosis, significantly impacting patients' quality of life.
  • The findings underscore the need for further investigation into the pathophysiology of colorectal issues in systemic sclerosis.
  • Targeted interventions may be required to manage these debilitating gastrointestinal symptoms.