[Guidelines: neurogenic bowel dysfunction in spinal cord injury (long version)].

Autor: Geng V; Beratungszentrum für Ernährung und Verdauung Querschnittgelähmter, Manfred-Sauer-Stiftung, Neurott 20, 74931 Lobbach, Deutschland., Böthig R; Abteilung Neuro-Urologie, BG Klinikum Hamburg, Hamburg, Deutschland., Hildesheim A; Neurologisches Rehabilitationszentrum Godeshöhe, Bonn, Deutschland., Kurze I; Querschnittgelähmten-Zentrum, Klinik für Paraplegiologie und Neuro-Urologie, Zentralklinik Bad Berka, Bad Berka, Deutschland., Leder ED; Fachbereich Proktologie und Endoskopie, Viszera Chirurgiezentrum, München, Deutschland.
Jazyk: němčina
Zdroj: Coloproctology [Coloproctology] 2020; Vol. 42 (5), pp. 375-389. Date of Electronic Publication: 2020 Sep 11.
DOI: 10.1007/s00053-020-00482-5
Abstrakt: The guidelines (AWMF register number: 179-004) on neurogenic bowel dysfunction (NBD) in spinal cord injury of the German-speaking Medical Society for Paraplegiology is addressed to all persons who care for people with congenital or acquired paraplegia with NBD. In particular, doctors, nurses and therapists are addressed. The multiprofessionally developed guidelines (involving neurourologists, visceral surgeons, gastroenterologists, health and nursing staff, nutritionists and associated professional societies in the review process) provides practical support for the care of patients with NBD. Definitions and up to date knowledge on the diagnostics of NBD as well as on the necessary conservative bowel management are conveyed in order to ensure the competent treatment of patients with NBD. The concept of NBD and its clinical implications are described. Drug interventions and surgical procedures are explained in brief and recommendations are given. The main objective of the present guidelines is to prevent complications including fecal incontinence and constipation and thus to positively influence the quality of life of those affected. Helpful appendices, which can be used in everyday life, complete the guidelines.
(© Springer Medizin Verlag GmbH, ein Teil von Springer Nature 2020.)
Databáze: MEDLINE
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