Management of faecal incontinence and constipation in adults with central neurological diseases

Percutaneous endoscopic sigmoid colostomy for irrigation in the management of bowel dysfunction of adults with central neurologic disease

“…Bowel dysfunction affects approximately 70% of people with central neurologic disease, an incidence much higher than in the general population [7,8]. It often is the most significant disability after motor dysfunction and loss of mobility and can be managed more easily than severe bowel dysfunction [9].…”

“…Little research evidence exists to determine the optimal management of bowel dysfunction in such patients, and few studies focus on the practical management [7]. A stoma is a last resort in the management of bowel dysfunction, and any technique that can provide acceptable bowel management and avoid a stoma is welcomed by most patients.…”

“…A stoma is a last resort in the management of bowel dysfunction, and any technique that can provide acceptable bowel management and avoid a stoma is welcomed by most patients. The majority of patients with minor symptoms can be managed conservatively with dietary management and a combination of medications such as bulking agents, laxatives or enemas, and mechanical interventions such as digital stimulation, manual evacuation, abdominal massage, or retrograde rectal irrigation [7,8,10]. Biofeedback is of limited benefit [11].…”

Bowel Dysfunction in Persons with Multiple Sclerosis

“…Development of the bowel program should be comprehensive and individualized to include the physical abilities of the patient, availability of care, the chosen lifestyle and preferences of the patient and education of the patient and caregiver (Coggrave, Wiesel & Norton, 2006). The approach to treating bowel problems in MS should be guided by an evaluation of likely pathophysiology of the bowel symptoms (Hay-Smith, Siegert, Weatherall & Abernethy, 2007).…”

“…As was noted for the Bowel Program described for constipation, the development of the bowel program for fecal incontinence should be comprehensive and individualized to include the physical abilities of the patient, availability of care, the chosen lifestyle and preferences of the patient and education of the patient and caregiver (Coggrave, et al 2006). Except for fecal incontinence caused by viral, bacterial or protozoal infections, treatment for fecal incontinence commonly experienced by MS patients should entail a conservative approach.…”