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Updated: May 23, 2026

Optimized Management of Endovascular Treatment for Acute Ischemic Stroke
Published on: January 18, 2018
Bowel function in acute stroke patients
Jin Hwa Yi1, Min Ho Chun, Bo Ryun Kim
1Department of Rehabilitation Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul 138-736, Korea.
Objective:
To investigate factors related to bowel function and colon motility in acute stroke patients.
Method:
Fifty-one stroke patients (29 males, mean age 63.4±13.6 years, onset 13.4±4.8 days) were recruited and divided into two groups: constipation (n=25) and non-constipation (n=26) groups. We evaluated the amount of intake, voiding function, concomitant swallowing problem and colon transit time (CTT) using radio-opaque markers for ascending, descending and rectosigmoid colons. The Adapted Patient Evaluation Conference System (APEC), Korean version of Modified Bathel Index (K-MBI) and Motricity Index (MI) were evaluated.
Results:
The constipation group showed significantly prolonged CTT of ascending, descending and entire colon (p<0.05) and more severe swallowing problems (p=0.048). The APEC scale (2.65±1.44 vs 1.52±0.92, p=0.001), K-MBI scores (59.4±14.4 vs 28.0±24.3, p<0.001) and MI scores (69.1±22.3 vs 46.8±25.9, p=0.001) of the constipation group were significantly lower compared to the non-constipation group.
Conclusion:
Our study demonstrated that bowel function in acute stroke patients was associated with functional status and swallowing function, indicating the need for intensive functional training in post-stroke constipation patients.
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