Microchip implants on the anterior sacral roots in patients with spinal trauma: does it improve bowel function?
| Autor: | N. W. Kour, K. H. Tung, Y. W. Chia, T. K. Y. Lee, E. S. Tan |
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| Rok vydání: | 1996 |
| Předmět: |
Adult
Male medicine.medical_specialty Constipation External anal sphincter Manometry Electric Stimulation Therapy Microcomputers Surveys and Questionnaires Medicine Humans Spinal cord injury Spinal Cord Injuries business.industry Anorectal manometry Gastroenterology General Medicine Middle Aged Spinal cord medicine.disease Surgery Lumbar anterior root stimulator Electrodes Implanted medicine.anatomical_structure Anesthesia Defecation Female Implant medicine.symptom business Spinal Nerve Roots |
| Zdroj: | Diseases of the colon and rectum. 39(6) |
| ISSN: | 0012-3706 |
| Popis: | PURPOSE: This study evaluated the effect of anterior sacral roots stimulator implants on bowel function of patients with spinal cord trauma. METHOD: Eight patients with spinal cord injury and constipation had anterior sacral roots stimulator implants inserted for concomitant bladder dysfunction. Questionnaires on bowel function and anorectal manometry tests were given before and after insertion of the implants. RESULTS: Six patients achieved improvement in bowel function. Four of these patients could defecate spontaneously following stimulation. Two patients had no improvement in bowel function. Anorectal manometry studies showed a negative rectoanal pressure difference at the time of stimulation. All patients were unable to defecate during stimulation. Positive rectoanal pressure difference was recorded in the six patients who had improved bowel function. This may be attributable to the slower relaxation of the smooth rectal muscle compared with the easily fatigable striated external anal sphincter. CONCLUSION: Anterior sacral roots stimulator implants can improve bowel function in patients with spinal cord trauma. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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