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Ageing with neurogenic bowel dysfunction.

S D Nielsen1, P M Faaborg2, N B Finnerup3

  • 1Neurogastroenterology Unit, Department of Hepatology and Gastroenterology, Aarhus University Hospital, Aarhus, Denmark.

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This summary is machine-generated.

Constipation severity worsened for individuals with spinal cord injury (SCI) over 19 years, yet their quality of life remained stable. Bowel management methods showed little change, though many required surgery for bowel dysfunction.

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Area of Science:

  • Neuroscience
  • Rehabilitation Medicine
  • Epidemiology

Background:

  • Neurogenic bowel dysfunction (NBD) significantly impacts individuals with spinal cord injury (SCI).
  • Longitudinal data on the progression of NBD and its management over extended periods are crucial for understanding long-term outcomes.

Purpose of the Study:

  • To investigate changes in neurogenic bowel dysfunction patterns and bowel management strategies in a cohort of individuals with SCI over two decades.
  • To assess the long-term evolution of constipation, fecal incontinence, and treatment modalities in this population.

Main Methods:

  • A longitudinal study utilizing postal surveys administered in 1996, 2006, and 2015 to members of the Danish SCI Association.
  • Analysis focused on comparing bowel function and management data from 1996 to 2015 among participants who completed both questionnaires (n=109).

Main Results:

  • A significant increase in the proportion of individuals reporting prolonged defecation times (21% to 39%) and self-assessed constipation (19% to 31%) was observed.
  • The prevalence of fecal incontinence remained stable (18% to 19%), while laxative use increased.
  • Despite stable bowel care methods, 20% underwent surgery for bowel dysfunction, with 10% having a stoma.

Conclusions:

  • Self-reported constipation severity increased among individuals with SCI over 19 years, but overall quality of life was maintained.
  • Bowel management techniques demonstrated remarkable stability, contrasting with a substantial need for surgical interventions, including stoma formation, for NBD.