Colorectal cancer screening in patients with spinal cord injury yields similar results to the general population with an effective bowel preparation: a retrospective chart audit

Teng, Brandon J.; Song, Shawn H.; Svircev, Jelena N.; Dominitz, Jason A.; Burns, Stephen P.

doi:10.1038/s41393-017-0025-3

Cited by 7 publications

(3 citation statements)

References 22 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Moreover, there are several unique challenges in performing endoscopic procedures in patients with SCI, the most important being the inherent risk of AD in patients with lesions above the T6 level. 19 When suitable, rectosigmoidoscopy, which obviates oral bowel preparation, may be preferred. In addition, positioning during bowel preparation and the procedure may be demanding for both patients and health care providers.…”

Section: Discussionmentioning

confidence: 99%

“… 18 Nevertheless, there is a substantial gap in knowledge on this topic, since there are no international recommendations regarding the preferable regimen, the setting to be performed, and additional specific care for this population. Moreover, there are several unique challenges in performing endoscopic procedures in patients with SCI, the most important being the inherent risk of AD in patients with lesions above the T6 level 19 . When suitable, rectosigmoidoscopy, which obviates oral bowel preparation, may be preferred.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Inflammatory bowel disease—An enemy of neurogenic bowel management in patients with spinal cord injury

Teixeira-Vaz

Silva

Cunha

2023

PM&R

View full text Add to dashboard Cite

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Inflammatory bowel disease—An enemy of neurogenic bowel management in patients with spinal cord injury

Teixeira-Vaz

Silva

Cunha

2023

PM&R

View full text Add to dashboard Cite

“…Modification of the bowel preparation used for the general population has been reported to be tolerated and provides better opportunities for a successful colonoscopy [ 64 ]. Although the literature does not provide one definitive pre-colonoscopy preparation regimen, the consensus seems to include an extended preparation period requiring more than a few hours prior to the colonoscopy (often multiple days), split dosing of oral regimens may be more tolerable, assistance may be needed with managing the voluminous amount of bowel results during the preparation [ 64 , 65 , 67 ]. See Table 1 .…”

Section: Introductionmentioning

confidence: 99%

Primary Care in the Spinal Cord Injury Population: Things to Consider in the Ongoing Discussion

Gibson-Gill

Mingo

2023

Curr Phys Med Rehabil Rep

View full text Add to dashboard Cite

Purpose of Review Spinal cord injury (SCI) creates unique needs that if not recognized and addressed timely can have detrimental effects on the health and quality of life (QOL) of people living with a SCI. Primary preventive health care is shown to decrease morbidity and mortality, yet the SCI population reportedly faces challenges getting access to this care. This area in SCI health care is still largely understudied with no consensus on the ideal way or which health care provider is best to provide primary care for this population. Findings Preventive care is generally provided by general primary care providers, but not all primary care providers are trained in recognizing and addressing spinal cord injury-specific needs. SCI providers generally are not trained in addressing all aspects of preventive care. Knowing the recommended preventive care screenings, recognizing and managing specific conditions seen after a SCI, and seamless coordination of care between general practitioners and SCI specialists are some of the interventions to help prevent health complications, decrease morbidity and mortality, improve health outcomes, and promote QOL in this patient population. Summary Prioritized focus on preventive care is necessary for a positive impact on the overall health and QOL in this population. Addressing the knowledge gap reported by primary care providers and SCI providers may help increase the probability of SCI patients getting their preventive and specialty care needs addressed. We present a “cheat sheet” of recommendations for the preventive care evaluation of a person living with a SCI.

show abstract

Bowel Dysfunction in Spinal Cord Injury

Middleton

Malcolm

2018

Curr Gastroenterol Rep

View full text Add to dashboard Cite

Recent research has focused on defining the nature of symptomatology of bowel dysfunction in SCI and describing the effects on quality of life and social interactions. Technical aspects of colonoscopy have received attention, and aspects of understanding the pathophysiology in relation to both neural and non-neural dysfunction have been studied. There has been refinement and expansion of the pharmacological and non-pharmacological treatment options for bowel dysfunction in SCI. Management of bowel dysfunction in SCI requires a comprehensive and individualized approach, encompassing lifestyle, toileting routine, stimulation, diet, medications, and surgery. Further high-quality research is required to inform best practice.

show abstract

Colorectal cancer screening in patients with spinal cord injury yields similar results to the general population with an effective bowel preparation: a retrospective chart audit

Abstract: Our study demonstrated that an extended bowel preparation for patients with SCI produces similar bowel preparation results and diagnostic yield when compared to patients without SCI undergoing colonoscopy.

Cited by 7 publications

References 22 publications

Inflammatory bowel disease—An enemy of neurogenic bowel management in patients with spinal cord injury

Inflammatory bowel disease—An enemy of neurogenic bowel management in patients with spinal cord injury

Primary Care in the Spinal Cord Injury Population: Things to Consider in the Ongoing Discussion

Bowel Dysfunction in Spinal Cord Injury

Contact Info

Product

Resources

About