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Colorectal function in patients with spinal cord lesions
K Krogh1, J Nielsen, J C Djurhuus
1Department of Surgery L, University Hospital of Aarhus, Denmark.
Diseases of the Colon and Rectum
|October 23, 1997
Summary
Colorectal dysfunction is prevalent in spinal cord-injured patients, impacting quality of life and social activities. These issues require greater clinical attention for improved patient management and care.
Area of Science:
- Neuroscience
- Gastroenterology
- Rehabilitation Medicine
Background:
- Spinal cord injury (SCI) frequently leads to secondary complications affecting various bodily functions.
- Colorectal dysfunction is a significant concern for individuals with SCI, impacting their daily lives and overall well-being.
Purpose of the Study:
- To determine the frequency and severity of colorectal problems in patients with spinal cord lesions.
- To investigate the association of these problems with demographic and injury-related factors such as age, gender, time since lesion, and lesion level/severity.
Main Methods:
- A comprehensive questionnaire assessing colorectal and bladder function was distributed to 589 members of The Danish Paraplegic Association.
- A response rate of 72% (424 participants) provided data for the study.
Main Results:
- A majority of SCI patients experience altered bowel sensations (19% normal desire, 38% no desire, 37% abdominal discomfort).
- Fecal incontinence affects 75% of patients, though often infrequently; 65% use regular bowel management techniques.
- Colorectal dysfunction significantly restricts social activities and quality of life for 39% of patients, with women reporting greater impact than men.
Conclusions:
- Colorectal dysfunction is a common and impactful condition in spinal cord-injured individuals.
- These findings underscore the need for increased focus on managing colorectal issues within SCI patient care.