Antegrade continence enema procedure: impact on quality of life in patients with spinal cord injury

Smith, Paul; Decter, Ross M.

doi:10.1038/sc.2014.223

Cited by 12 publications

(6 citation statements)

References 18 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Ein Therapieansatz, ursprünglich für Kinder mit Spina bifida entwickelt, stellen anterograde Irrigationen („antergrade continent enema“, ACE) dar [ 25 , 41 , 49 ]. Entweder kann diese per endoskopisch eingebrachter perkutaner Zökostomie oder chirurgisch angelegter Stomata erfolgen [ 8 , 20 ].…”

Section: Ergebnisseunclassified

Der querschnittgelähmte Patient – Besonderheiten der viszeralchirurgischen Diagnostik und Therapie

Seifert

Böthig

Wolter

et al. 2021

Chirurg

View full text Add to dashboard Cite

Zusammenfassung Hintergrund Patienten mit einer Querschnittlähmung entwickeln syndromspezifische, viszeralchirurgisch relevante Krankheitsbilder, die im Rahmen des akuten spinalen Schocks auftreten können oder Folge der zumeist progredienten neurogenen Darmfunktionsstörung (NBD) mit Ausbildung eines Colon elongatum und/oder Megakolons sind. Auch die akuten abdominalchirurgischen Notfälle, wie akute Appendizitis, Cholezystitis, Divertikultis oder Ileusbilder, stellen den Kliniker bei untypischer oder teils fehlender Klinik vor diagnostische und therapeutische Herausforderungen. Einen zunehmenden Stellenwert nimmt die Ausweitung adipositaschirurgischer Indikationen auf Patienten mit einer Querschnittlähmung ein Ziel der Arbeit Dieser Artikel soll einen Überblick über die speziellen Anforderungen und Aspekte in der Behandlung dieses speziellen Patientenkollektivs geben und die Evidenz querschnittspezifischer viszeralchirurgischer Behandlungen aufzeigen. Material und Methoden Es wurde eine selektive Literaturrecherche in den Datenbanken Medline und Cochrane Library in deutscher und englischer Sprache (1985–2020) durchgeführt. Ergebnisse und Diskussion Die klinische Behandlung querschnittgelähmter Patienten erfordert einen profunden Kenntnisstand über die pathophysiologischen Veränderungen bei unterschiedlicher Querschnitthöhe (oberes vs. unteres motorisches Neuron) und die Phasen der Erkrankung (spinaler Schock vs. Langzeitverlauf). Fehlende oder atypische klinische Symptome akuter Erkrankungen verzögern eine rasche Diagnosefindung und machen eine frühzeitige Durchführung gezielter Diagnostik unabdingbar. Die Evidenz der chirurgischen Behandlung der akuten und chronischen Folgen der NBD ist gering und basiert auf Fallserien und „case reports“ ebenso wie die für spezielle Indikationen wie adipositaschirurgische Eingriffe.

show abstract

Section: Ergebnisseunclassified

Der querschnittgelähmte Patient – Besonderheiten der viszeralchirurgischen Diagnostik und Therapie

Seifert

Böthig

Wolter

et al. 2021

Chirurg

View full text Add to dashboard Cite

show abstract

“…This is a continental appendicostomy for antegrade irrigation of the colon. The literature reports good results in children with spina bifida [19].…”

Section: Surgical Treatment Measuresmentioning

confidence: 99%

Guideline for the management of neurogenic bowel dysfunction in spinal cord injury/disease

Kurze

Geng²,

Böthig

2022

Spinal Cord

View full text Add to dashboard Cite

INTRODUCTION: Almost all people with spinal cord injury/disease (SCI/D) suffer from neurogenic bowel dysfunction (NBD), with a considerable impact on quality of life. The Association of the Scientific Medical Societies in Germany (AWMF e.V.) guideline for NBD in SCI/D aims to provide practice-oriented support for the care of patients with NBD resulting from congenital or aquired SCI/D. The guideline describes the diagnosis and bowel management of NBD in people with SCI/D. Thus, treatment processes in acute medical care and rehabilitation as well as for lifelong aftercare are presented. METHODS: The present guideline was developed under the leadership of the German-speaking Medical Society for Paraplegiology in a multiprofessional interdisciplinary guideline team. To exceed the level of expert recommendations, consensus was reached within the framework of a structured nominal group process in defined steps under neutral moderation considering the criteria of the German guideline development instrument (DELBI). RESULTS: Individual bowel management must be developed on the basis of an adequate diagnosis and considering the different lesion types. Due to the multifactorial influenceability of the intestine and the individual neurological deficit, a simple to-do checklist is not effective. Various and complex bowel management programmes are the basis of the treatment of NBD. CONCLUSIONS: Guidelines can only be successful in so far as they are applied in everyday life. Of course, the selection and application of the measures described must always take into consideration the individual situation of the person concerned, and the correct application is always a prerequisite for success.

show abstract

“…There is level 4 evidence that the MACE successfully treats NBD. 49,171,220,221,222,223 10.3 Colostomy is recommended for individuals with severe NBD for whom other treatment modalities have failed or who have had significant complications.…”

Section: 2mentioning

confidence: 99%

Management of Neurogenic Bowel Dysfunction in Adults after Spinal Cord Injury

Johns

Krogh

Rodriguez

et al. 2021

Topics in Spinal Cord Injury Rehabilitation

View full text Add to dashboard Cite

Since nearly everyone who experiences a spinal cord injury (SCI) experiences neurogenic bowel dysfunction (NBD), the information contained in this clinical practice guideline (CPG) is of great relevance both to the community of persons with SCI and to the clinicians who help them manage the secondary conditions of SCI, of which controlled NBD remains a major determinant of quality of life (QOL). This CPG, similar to its predecessor version, is anticipated to be one of the most important CPGs of the Consortium for Spinal Cord Medicine regarding potential impact on the care of persons with SCI. The scope of this most recent update has been expanded to include a review of the different types of oral and rectally administered medications, of procedures such as transanal irrigation, and of surgical options.During the development and peer review of this CPG, we were fortunate to have the representation of an international team of various stakeholders, including the subspecialties affected by these recommendations, ranging from experts in gastroenterology, gastrointestinal surgery, and nutrition to rehabilitation professionals, including physiatrists, nurses, psychologists, and occupational and physical therapists. We hope that this wide-ranging representation translates into uniform quality practice through the widespread use of this CPG to guide NBD in all settings, which can only result in the best outcomes and QOL for those who experience SCI.On behalf of the consortium steering committee, I want first to acknowledge the leadership of the Chair, Jeffery Johns, MD, in guiding this panel through the development process. Next, I would like to acknowledge the panel members themselves for keeping to task, as well as the many reviewers who provided valuable feedback from all areas and are to be commended. All of these people, including the panel Chair, have volunteered their time to help produce this superb document. In addition, I wish to acknowledge the ongoing support of the Paralyzed Veterans of America, especially President David Zurfluh, Executive Director Carl Blake, and Director of Research and Education Cheryl Vines, as well as the rest of the leadership team, without whose support these guidelines would not exist.Finally, we thank the Craig H. Neilsen Foundation and Executive Director Kym Eisner for their commitment to improving the QOL for those living with SCIs and for their generous financial support of this CPG.

show abstract

Antegrade continence enema procedure: impact on quality of life in patients with spinal cord injury

Cited by 12 publications

References 18 publications

Der querschnittgelähmte Patient – Besonderheiten der viszeralchirurgischen Diagnostik und Therapie

Der querschnittgelähmte Patient – Besonderheiten der viszeralchirurgischen Diagnostik und Therapie

Guideline for the management of neurogenic bowel dysfunction in spinal cord injury/disease

Management of Neurogenic Bowel Dysfunction in Adults after Spinal Cord Injury

Contact Info

Product

Resources

About