Colonic transit time and constipation in children with spastic cerebral palsy

Park, Eun Sook; Park, Chang Il; Cho, Sung Rae; Na, Sang Il; Cho, Youn Soo

doi:10.1016/s0003-9993(03)00479-9

Cited by 66 publications

(62 citation statements)

References 19 publications

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“…In 2004, Park et al24 showed that transit time was delayed in the proximal colon in cerebral palsy patients with constipation. This study also showed that patients in the constipation group experienced prolonged transit time in the proximal colon, which could have been caused due to neurological problems following lesions.…”

Section: Discussionmentioning

confidence: 99%

Bowel Function in Acute Stroke Patients

Chun

Kim

et al. 2011

Ann Rehabil Med

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ObjectiveTo investigate factors related to bowel function and colon motility in acute stroke patients.MethodFifty-one stroke patients (29 males, mean age 63.4±13.6 years, onset 13.4±4.8 days) were recruited and divided into two groups: constipation (n=25) and non-constipation (n=26) groups. We evaluated the amount of intake, voiding function, concomitant swallowing problem and colon transit time (CTT) using radio-opaque markers for ascending, descending and rectosigmoid colons. The Adapted Patient Evaluation Conference System (APEC), Korean version of Modified Bathel Index (K-MBI) and Motricity Index (MI) were evaluated.ResultsThe constipation group showed significantly prolonged CTT of ascending, descending and entire colon (p<0.05) and more severe swallowing problems (p=0.048). The APEC scale (2.65±1.44 vs 1.52±0.92, p=0.001), K-MBI scores (59.4±14.4 vs 28.0±24.3, p<0.001) and MI scores (69.1±22.3 vs 46.8±25.9, p=0.001) of the constipation group were significantly lower compared to the non-constipation group.ConclusionOur study demonstrated that bowel function in acute stroke patients was associated with functional status and swallowing function, indicating the need for intensive functional training in post-stroke constipation patients.

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Section: Discussionmentioning

confidence: 99%

Bowel Function in Acute Stroke Patients

Chun

Kim

et al. 2011

Ann Rehabil Med

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“…12,13 However, as stated by Park et al 14 and Staiano and Del Giudice, 15 children with CP have lower frequency of defecation (1 per week or 1/10 days) and longer colonic transit passage compared with healthy children.…”

mentioning

confidence: 94%

The Effects of Osteopathic Treatment on Constipation in Children With Cerebral Palsy: A Pilot Study

Şimşek

Bol

Şimşek

et al. 2009

Journal of Manipulative and Physiological Therapeutics

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“…It is well documented that patients suffering with cerebral palsy suffer a multitude of gastrointestinal disorders, with chronic constipation and the development of a megacolon being one 8. It has been suggested that the intricate neurological control of the digestive tract is disrupted during its development, resulting in such conditions 9.…”

Section: Discussionmentioning

confidence: 99%

Is constipation a trivial matter?

2016

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Constipation is a common symptom of patients presenting to the emergency department. If poorly managed, it can have significant consequences. A 50-year-old man was admitted to the emergency department following cardiac arrest. His medical history included a diagnosis of cerebral palsy and multiple admissions to hospital with constipation. Clinical examination revealed a grossly distended and tense abdomen. Circulatory supply to the lower limbs was acutely impaired. CT scan revealed massive dilation of the large bowel due to faecal loading with compromised circulation to the lower limbs. Despite aggressive attempts at resuscitation, the patient continued to deteriorate and passed away. On reflection, a diagnosis of abdominal compartment syndrome secondary to severe constipation was made. This case highlights the vigilance required when managing what is often felt to be a trivial complaint and the considerable consequences when there is a failure to do so.

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Colonic transit time and constipation in children with spastic cerebral palsy

Cited by 66 publications

References 19 publications

Bowel Function in Acute Stroke Patients

Bowel Function in Acute Stroke Patients

The Effects of Osteopathic Treatment on Constipation in Children With Cerebral Palsy: A Pilot Study

Is constipation a trivial matter?

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