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Updated: May 23, 2026
09:21
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.
Annals of Rehabilitation Medicine
|April 17, 2012
Summary
Stroke patients with constipation experience prolonged colon transit time and poorer functional status. Addressing bowel function is crucial for recovery and requires intensive training for post-stroke constipation.
Area of Science:
- Gastroenterology
- Neurology
- Rehabilitation Medicine
Background:
- Constipation is a common complication in acute stroke patients.
- Bowel dysfunction can negatively impact patient recovery and quality of life.
Purpose of the Study:
- To investigate factors associated with bowel function and colon motility in acute stroke patients.
- To identify differences in colon transit time and functional status between constipated and non-constipated stroke patients.
Main Methods:
- Fifty-one acute stroke patients were assessed, divided into constipation (n=25) and non-constipation (n=26) groups.
- Colon transit time (CTT) was measured using radio-opaque markers.
- Functional status was evaluated using the Adapted Patient Evaluation Conference System (APEC), Korean version of Modified Bathel Index (K-MBI), and Motricity Index (MI).
Main Results:
- Constipated patients exhibited significantly prolonged CTT in the ascending, descending, and entire colon.
- The constipation group had more severe swallowing problems (p=0.048).
- Significantly lower APEC, K-MBI, and MI scores were observed in the constipation group compared to the non-constipation group (p<0.001 for all).
Conclusions:
- Bowel function in acute stroke patients is closely linked to their overall functional status and swallowing ability.
- These findings highlight the importance of addressing constipation in stroke rehabilitation.
- Intensive functional training is recommended for stroke patients suffering from constipation.
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