Large-bowel transit in paraplegic patients

Menardo, G.; Bausano, G.; Corazziari, E.; Fazio, A; Marangi, A.; Genta, V.; Marenco, G

doi:10.1007/bf02554277

Cited by 111 publications

(57 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Results in Mendaro's study are expressed as transit index, so cannot be compared to the results obtained in this study. 2 Results of mean colonic transit time in the high fibre group were similar to those of normal adults, 39 h. 9 However, in normal adults no difference in transit times of the various colonic segments has been reported. The less than normal mean colonic transit time of our study was probably due to the spinal cord injury.…”

Section: Baseline Bowel Fu Nctionmentioning

confidence: 54%

Assessment of the effect of increased dietary fibre intake on bowel function in patients with spinal cord injury

et al. 1996

View full text Add to dashboard Cite

It is common for constipation to occur following severe spinal cord injury (SCI). Although a bowel management program including a high fibre diet is an integral part of rehabilitation, 1 the effect of a high fibre diet on large bowel function in SCI has not been examined. The aims of this study were to assess the nutrient intake of SCI patients, to determine baseline transit time, stool weight and evacuation time and to assess the effect of addition of bran on large bowel function. Eleven subjects, aged 32 ± lO.5 years participated in the study. The level of injury ranged from C 4 to Tl 2 ; only one patient had an incomplete injury. Baseline mean energy intake was 7823± 1443 kJ/d, protein intake 93±21 g/d, carbohydrate intake 209 ± 39 g/d and mean dietary fibre intake 25 ± 8 g/d. Mean baseline stool weight was 128 ± 55 g/d and bowel evacuation time was 13 ± 7.4 min/d. Three subjects who consumed < 18 g dietary fibre/d had low stool weights of 60-70 g/d and two had very delayed transit times that were too slow to enable quantitation. Mean mouth to anus transit time was 51.3±31.2 h, mean colonic transit time 28.2±3.5 h, right colonic transit time 5.9±4.5 h, left colonic transit time 14.5 ± 5.2 h and rectosigmoid colonic transit time 7.9 ± 5.6 h. Following the addition of bran, dietary fibre intake significantly increased from 25 g/d to 31 g/d (P

show abstract

Section: Baseline Bowel Fu Nctionmentioning

confidence: 54%

Assessment of the effect of increased dietary fibre intake on bowel function in patients with spinal cord injury

et al. 1996

View full text Add to dashboard Cite

show abstract

“…[1][2][3][4] Colonic transit times are often prolonged, [5][6][7][8] and anorectal sensibility and voluntary control of the external anal sphincter is reduced or lost. 5,9,10 The severity of colorectal and anal sphincter dysfunction depends on the completeness of SCI 3 and constipation-related symptoms become significantly more severe with time since injury.…”

Section: Introductionmentioning

confidence: 99%

International bowel function basic spinal cord injury data set

et al. 2008

View full text Add to dashboard Cite

Study design: International expert working group. Objective: To develop an International Bowel Function Basic Spinal Cord Injury (SCI) Data Set presenting a standardized format for the collection and reporting of a minimal amount of information on bowel function in daily practice or in research. Setting: Working group consisting of members appointed by the American Spinal Injury Association (ASIA) and the International Spinal Cord Society (ISCoS). Methods: A draft prepared by the working group was reviewed by Executive Committee of the International SCI Standards and Data Sets, and later by ISCoS Scientific Committee and the ASIA Board. Relevant and interested scientific and professional (international) organizations and societies (approximately 40) were also invited to review the data set and it was posted on the ISCoS and ASIA websites for 3 months to allow comments and suggestions. The ISCoS Scientific Committee, Council and ASIA Board received the data set for final review and approval. Results: The International Bowel Function Basic SCI Data Set includes the following 12 items: date of data collection, gastrointestinal or anal sphincter dysfunction unrelated to SCI, surgical procedures on the gastrointestinal tract, awareness of the need to defecate, defecation method and bowel care procedures, average time required for defecation, frequency of defecation, frequency of fecal incontinence, need to wear pad or plug, medication affecting bowel function/constipating agents, oral laxatives and perianal problems. Conclusion: An International Bowel Function Basic SCI Data Set has been developed.

show abstract

“…Gastrointestinal (GI) complications, previously underestimated, are becoming more evident as a result of the improvement in postinjury care and respiratory/genitourinary management 1 and have been reported to account for 10% of fatalities in SCI patients. 2 Delayed large bowel transit, 3 colon and anorectal functional alterations 4 have been described and large bowel dysfunction is burdensome for SCI patients. 5 Reduced motility of the distal colon has also been observed in rats.…”

Section: Introductionmentioning

confidence: 99%

Complete cervical or thoracic spinal cord transections delay gastric emptying and gastrointestinal transit of liquid in awake rats

et al. 1999

View full text Add to dashboard Cite

Study Design: To determine the changes on gastric emptying and gastrointestinal transit of liquid throughout the ®rst week after spinal cord transection (SCT) in rats. Methods: Male Wistar rats (n=121) were fasted for 16 h and a complete SCT or laminectomy was performed between C 7 and T 1 (cervical group) or between T 4 and T 5 (thoracic group). Dye recovery in the stomach, proximal, mid and distal small intestine was determined 30 min, 6 h, 1, 3 or 7 days after surgery. The test meal (1.5 ml of a phenol red solution, 0.5 mg/ml in 5% glucose) was intragastrically administered and the animals sacri®ced by cervical dislocation 10 min later. Results: Cervical SCT increased dye recovery in the stomach (P50.05) by 70.1, 78.7, 34.2, 41.3 and 50.9% while it decreased recovery in the mid small intestine (P50.05) by 87.1, 85.1, 74.8, 59.5 and 80.1%, respectively 30 min, 6 h, 1, 3 and 7 days after SCT. Thoracic SCT increased gastric recovery (P50.05) by 43.5, 67.6, 51.2, 75.4 and 38.9% while it decreased recovery in the mid small intestine (P50.05) by 100, 100, 45.6, 100 and 66.6%, respectively 30 min, 6 h, 1, 3 and 7 days after SCT. A separate group was submitted to laminectomy+bilateral sciatic nerve transection (paraplegic sham). Gastric emptying and gastrointestinal transit were not inhibited in this group. Conclusion: In summary, gastric emptying and gastrointestinal transit of liquid are inhibited throughout the ®rst week after high SCT in awake rats.

show abstract

Large-bowel transit in paraplegic patients

Cited by 111 publications

References 9 publications

Assessment of the effect of increased dietary fibre intake on bowel function in patients with spinal cord injury

Assessment of the effect of increased dietary fibre intake on bowel function in patients with spinal cord injury

International bowel function basic spinal cord injury data set

Complete cervical or thoracic spinal cord transections delay gastric emptying and gastrointestinal transit of liquid in awake rats

Contact Info

Product

Resources

About