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Abstract Objective To map available scientific evidence about the pediatric population with spina bifida submitted to transanal irrigation to manage signs and symptoms of neurogenic bowel. Source of data This research was developed according to recommendations from the Joanna Briggs Institute Reviewers' Manual and the PRISMA Extension for Scoping Reviews. Searches were carried out in the databases: CINAHL, Medline/Pubmed, Scielo, Scopus, Web of Science, Embase, LILACS, Proquest, and the CAPES catalog of theses and dissertations. Quantitative and qualitative studies on the topic were included, as long as they dealt with this population. There was no predetermined time frame. Summary of the findings The authors found 1.020 studies, selected 130 for close reading, and included 23 in the review, all of which had been published from 1989 to 2021. The authors mapped the characteristics of the studies, including their definitions of concepts and use of scales, criteria for the indication of transanal irrigation, training to carry out the procedure, devices and solutions used, number and frequency of transanal irrigations, health care actions, time spent, associated complications, complementary exams, adherence rate, follow-up, and outcomes, focusing on the benefits for bowel management. Conclusions Despite the variability of evaluation parameters and term definitions, evidence suggests that transanal irrigation is a safe and effective method to manage fecal incontinence. Studies in the field are likely to grow, using standardized scales and longitudinal follow-ups. The authors suggest further research on transanal irrigation in the pediatric population with spina bifida in the Latin American context.
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RESUMO Objetivo: analisar as evidências disponíveis sobre os cuidados de enfermagem em Programas de Reeducação Intestinal para pacientes com Intestino Neurogênico com constipação. Método: estudo bibliográfico, descritivo, tipo revisão integrativa de artigos publicados entre 2011 e 2021 nas bases de dados LILACS, SciELO, BDENF, SCOPUS e PubMed, utilizando os descritores "Intestino Neurogênico"; "Constipação"; "Enfermagem"; "Neurogenic Bowel"; "Constipation" e "Nursing". A análise foi realizada através da leitura reflexiva e criteriosa acerca da temática do estudo. Resultados: percebeu-se que os cuidados de enfermagem realizados com maior frequência em pacientes com intestino neurogênico incluíam: massagem intestinal, prensa abdominal, treino do vaso, estimulação dígito-anal, irrigação transanal e uso de supositórios, contribuindo positivamente para a instituição de um Programa de Reeducação Intestinal efetivo e seguro. Conclusão: o presente estudo contribui para as ações de cuidados de enfermagem de paciente com IN e para divulgação dos achados sobre os benefícios do Programa de Reeducação Intestinal.
ABSTRACT Objective: to analyze the available evidence on nursing care in Bowel Reeducation Programs for Neurogenic Bowel patients with constipation. Method: bibliographic, descriptive, integrative review type study of articles published between 2011 and 2021 in the LILACS, SciELO, BDENF, SCOPUS, and PubMed databases, using the descriptors "Neurogenic Bowel"; "Constipation"; "Nursing"; "Neurogenic Bowel"; "Constipation" and "Nursing". The analysis was performed through reflective and careful reading about the theme of the study. Results: it was perceived that the most frequently performed nursing care in patients with neurogenic bowel included: bowel massage, abdominal press, vessel training, digit-anal stimulation, transanal irrigation, and use of suppositories, contributing positively to the institution of an effective and safe Bowel Re-education Program. Conclusion: the present study contributes to the nursing care actions of patients with NB and to the dissemination of findings on the benefits of the Bowel Reeducation Program.
RESUMEN Objetivo: analizar las evidencias disponibles sobre los cuidados de enfermería en los Programas de Reeducación Intestinal para pacientes con Intestino Neurogénico y estreñimiento. Método: revisión bibliográfica, descriptiva, integradora de artículos publicados entre 2011 y 2021 en las bases de datos LILACS, SciELO, BDENF, SCOPUS y PubMed, utilizando los descriptores "Neurogenic Bowel"; "Constipation"; "Nursing"; "Neurogenic Bowel"; "Constipation" y "Nursing". El análisis se realizó a través de una lectura reflexiva y cuidadosa sobre el tema del estudio. Resultados: se percibió que los cuidados de enfermería más frecuentemente realizados en pacientes con intestino neurogénico incluían: masaje intestinal, prensa abdominal, entrenamiento de vasos, estimulación digitoanal, irrigación transanal y uso de supositorios, contribuyendo positivamente para la institución de un Programa de Reeducación Intestinal eficaz y seguro. Conclusión: el presente estudio contribuye a las acciones de cuidados de enfermería de los pacientes con IN y a la difusión de los resultados sobre los beneficios del Programa de Reeducación Intestinal.
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Neurogenic bowel dysfunction is one of the common complications after spinal cord injury. Long-term constipation and fecal incontinence can cause great troubles in the daily life of patients and seriously affect their quality of life. The key to the solution is effective intestinal intervention, including the establishment of defecation patterns, dietary interventions, and drug interventions, enema, electromagnetic stimulation, and enterostomy, etc. At the same time, a personalized bowel management plan is formulated based on the specific conditions of the patient to better manage the bowel and improve the patient′s quality of life.
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RESUMO Objetivo: identificar quais intervenções de enfermagem são mais eficazes para a reabilitação de pessoas com intestino neurogênico. Método: revisão integrativa da literatura, no período de março de 2016 a dezembro de 2021, nos idiomas inglês, português e espanhol, nas bases de dados eletrônicasCINAHL, Cochrane Library, Embase (Elsevier) e MEDLINE, com os descritores "Neurogenicbowel" and"Nursing". Critérios de inclusão: estudos na íntegra, com conteúdos sobre intervenções de enfermagem para pacientes adultos com intestino neurogênico. Resultados: oito estudos incluídos. As intervenções mais citadas foram adequação dietética e ingestão hídrica(62,5%); uso apropriado de medicamentos (50%); massagem abdominal, retirada manual das fezes e estimulação reto-digital (50%); posicionamento para evacuação, prática de exercícios físicos e estimulação elétrica (25%). Considerações finais: a síntese integrativa dos estudos evidenciou que os resultados mais efetivos são os que associam mais de uma intervenção e que decorrem da avaliação individualizada e sistemática realizada pelo enfermeiro.
RESUMEN Objetivo: identificar qué intervenciones de enfermería son más eficaces para la rehabilitación de personas con intestino neurogénico. Método: revisión integradora de la literatura, en el período de marzo de 2016 a diciembre de 2021, en los idiomas inglés, portugués y español, en las bases de datos electrónicas CINAHL, Cochrane Library, Embase (Elsevier) y MEDLINE, con los descriptores "Neurogenicbowel" and "Nursing". Criterios de inclusión: estudios completos, con contenidos sobre intervenciones de enfermería para pacientes adultos con intestino neurogénico. Resultados: ocho estudios incluidos. Las intervenciones más mencionadas fueron adecuación dietética e ingesta hídrica (62,5%); uso apropiado de medicamentos (50%); masaje abdominal, extracción manual de las heces y estimulación recto-digital (50%); posicionamiento para evacuación, práctica de ejercicios físicos y estimulación eléctrica (25%). Consideraciones finales: la síntesis integradora de los estudios evidenció que los resultados más efectivos son los que asocian más de una intervención y que derivan de la evaluación individualizada y sistemática realizada por el enfermero.
ABSTRACT Objective: to identify which nursing interventions are most effective for the rehabilitation of people with neurogenic bowel. Method: integrative literature review, from March 2016 to December 2021, in English, Portuguese and Spanish, in the electronic databases CINAHL, Cochrane Library, Embase (Elsevier) and MEDLINE, with the descriptors "Neurogenic bowel" and "Nursing". Inclusion criteria: studies in full, with contents on nursing interventions for adult patients with neurogenic bowel. Results: eight studies were included. The most cited interventions were dietary adequacy and water intake (62.5%); appropriate use of medications (50%); abdominal massage, manual removal of feces and recto-digital stimulation (50%); positioning for elimination of feces, physical exercise and electrical stimulation (25%). Final considerations: the integrative synthesis of the studies showed that the most effective results are those that associate more than one intervention and that result from the individualized and systematic assessment carried out by the nurses.
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Humans , Male , Female , Nursing , DietABSTRACT
Objective:To explore the effect of functional magnetic stimulation(FMS) on the intestinal function of patients with neurogenic bowel dysfunction (NBD) after spinal cord injury using anorectal manometry technology.Methods:36 NBD patients were divided into FMS group and control group by random number table method. Patients in the control group received conventional treatment, including diet adjustment, abdominal massage, and pelvic floor muscle training. Patients in the FMS group received FMS treatment on the basis of conventional treatment. Using 3D high-resolution anorectal manometry and neurogenic intestinal dysfunction score, the intestinal function of the two groups of patients before and after the treatment were evaluated.Results:After receiving conventional treatment + FMS treatment, the high-pressure belt length, anal systolic pressure, rectal pressure, rectal-anal pressure difference, initial sensory threshold, bowel sensation threshold, maximum tolerance threshold, rectal compliance of the patients in the FMS group received were better than those before the treatment (all P<0.05). After receiving conventional treatment, only the rectal-anal pressure difference, initial sensory threshold and maximum tolerance threshold of the patients in the control group were significantly improved (all P<0.05). The improvement of the FMS group on the length of the high-pressure belt, anal systolic pressure, rectal pressure, and initial sensory threshold was significantly better than those of the control group (all P<0.05). Conclusions:The implementation of FMS therapy on the basis of conventional treatment can better improve the intestinal motility and intestinal sensation of the patients with NBD. The 3D high-resolution anorectal manometry technique can be used to quantitatively evaluate the intestinal function of NBD patients.
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Neurogenic bowel dysfunction is one of the common complications after spinal cord injury. This paper reviewed the acupuncture and moxibustion used for neurogenic bowel dysfunction after spinal cord injury, from the aspects of prescription, acupoint selection, evaluation and possible mechanism. The ideas for further researches were discussed.
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Neurogenic bowel dysfunction (NBD) manifested as constipation and fecal incontinence often occurs after spinal cord injury (SCI).NBD affects patients' quality of life and is an urgent clinical problem to be solved.The mechanism of NBD is related to central and autonomic nervous system dysfunction,intestinal nervous system dysfunction,changes in intestinal microorganism composition and abnormal content of neurotransmitters.The evaluation method of NBD is mainly based on scoring and imaging,which lacks unified criteria,and the treatment method for NBD is the combination of traditional Chinese and Western medicine.The author summarizes the mechanism,evaluation method,treatment and nursing of NBD in order to provide new insight into these aspects to improve clinical efficacy.
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@#Introduction: The average incidence of spina bifida (SB) in Malaysia is 0.43 among 1,000 live births. The burden of the disease and its impact on the overall development and health though tremendously improved, remains significant. Therefore, current patient management strategies must include quality of life (QOL) measures. Methods: This was a prospective, cross-sectional study on spina bifida children aged 5-20 years, attending the paediatric spina bifida clinics of Universiti Kebangsaan Malaysia Medical Centre Kuala Lumpur and Hospital Tuanku Jaanku Seremban. Scores were obtained using the validated disease specific Parkin QOL questionnaire. Univariate and multivariate analysis were used to investigate factors that were determinants for these outcomes. Results were expressed as beta coefficient and 95% confidence intervals (95%CI). Results: A total of 54 children and adolescents aged between 5-20 years completed the questionnaires. Presence of neurogenic bowel (p=0.003), neurogenic bladder (p=0.041), shunt (p=0.044), non-ambulators (p=0.007) and being the only child in the family (p=0.037) were associated with lower QOL scores. Multivariate analysis showed presence of neurogenic bowel (β=0.375, 95%CI: 0.00, 0.15) and being the only child in the family (β=0.250, 95%CI: 0.04, 0.17) explained 22.1% of the variance in the QOL mean percentage scores. Conclusion: Being a single child in the family was the only socio-demographic variable associated with lower QOL scores. Although several clinical factors appeared to contribute significantly to QOL in spina bifida children, the presence of neurogenic bowel had the greatest impact.
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Abstract INTRODUCTION: Bowel dysfunction is frequent in patients with spinal cord diseases, but little is known about the prevalence of bowel symptoms in human T-lymphotropic virus-(HTLV-1) infected individuals. The purpose of this study is to determine the frequency of bowel symptoms in HTLV-1 infected individuals and their correlation with the degree of neurologic disease. METHODS: This is a cross-sectional study comparing the frequency of bowel symptoms in HTLV-1-infected individuals* and seronegative donors (controls). Patients answered a questionnaire, the Rome III Criteria was applied, and stool consistency was evaluated by the Bristol Stool Form Scale. The individuals were classified as HTLV-1 carriers, probable HTLV-1 myelopathy and definitive HTLV-1 associated myelopathy or tropical spastic paraparesis (definitive HAM / TSP)**. RESULTS: We studied 72 HTLV-1 infected individuals and 72 controls with equal age and gender distribution. Constipation was the most frequent complaint, occurring in 38 % of HTLV-1 individuals and in 15 % of the controls. In comparison to the seronegative controls, the probability of constipation occurrence was approximately 18 times higher in definitive HAM / TSP patients. Straining, lumpy or hard stools, sensation of anorectal obstruction/blockage, fewer than 3 defecations per week, flatulence, soiling, evacuation pain, and bleeding were also more frequent in the HTLV-1 patients than in the controls. Moreover, bowel symptoms were more frequent in patients with definitive or probable HAM / TSP than in carriers. CONCLUSIONS: Bowel symptoms were more frequent in HTLV-1-infected patients than in seronegative controls and the frequency of bowel symptoms correlated with the severity of neurologic disease.
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Humans , Male , Female , Adult , HTLV-I Infections/physiopathology , Intestines/physiopathology , Socioeconomic Factors , Severity of Illness Index , Case-Control Studies , Prevalence , Cross-Sectional Studies , Middle AgedABSTRACT
ABSTRACT Objective: produce and validate an educational video about bowel emptying maneuvers for training of individuals with neurogenic bowel in bowel rehabilitation process. Method: this is a methodological study developed in four stages: script/storyboard production, validation, educational video production and pilot study, which was conducted from January 2013 to July 2015. Instruments for validation, which was performed from December 2014 to February 2015 by a group of experts. A value equal to or greater than 70% was considered for validation of agreement and relevance of the script and storyboard, using descriptive statistics for data analysis. Results: the script and storyboard were validated by 94% of the experts in the subject and 100% of the technicians. After validation and video recording, the pilot study was conducted with six individuals with neurogenic bowel - 100% of them evaluated the video positively. Conclusion: the video may contribute to the education of individuals with neurogenic bowel.
RESUMEN Objetivo: Producir y validar video educativo sobre maniobras de vaciamiento intestinal para capacitar individuos con intestino neurogénico sobre el proceso de rehabilitación intestinal. Método: Estudio metodológico desarrollado en cuatro etapas: guionado/storyboard, validación, producción del vídeo educativo y prueba piloto. Realizado entre enero 2013 y julio2015. Validación mediante instrumentos, efectuada por comité de expertos, con experiencia en vídeos de diciembre 2014 a febrero 2015. Valor de concordancia y pertinencia de guionado y storyboard considerado en 70% o superior. Datos analizados por estadística descriptiva. Resultados: Guionado y storyboard validados por 94% de expertos en temática y 100% de expertos técnicos. Validado y grabado el vídeo, se realizó prueba piloto con seis individuos con intestino neurogénico, 100% evaluó positivamente el vídeo. Conclusión: El vídeo contribuirá a educar a individuos con intestino neurogénico.
RESUMO Objetivo: produzir e validar vídeo educativo sobre manobras de esvaziamento intestinal para capacitação de indivíduos com intestino neurogênico, no processo de reabilitação intestinal. Método: estudo metodológico, desenvolvido em quatro etapas: produção do roteiro/storyboard, validação , produção do vídeo educativo e estudo-piloto. Ocorreu no período de janeiro de 2013 a julho de 2015. Para a validação, utilizaram-se instrumentos, sendo realizada por um comitê de especialistas, no período de dezembro de 2014 a fevereiro de 2015. Considerou-se valor igual ou superior a 70% para validação de concordância e pertinência do roteiro e storyboard, utilizando-se estatística descritiva para análise dos dados. Resultados: o roteiro e storyboard foram validados por 94% dos especialistas na temática e 100% dos especialistas técnicos. Após validação e gravação do vídeo, foi realizado estudo-piloto com seis indivíduos com intestino neurogênico, dos quais 100% avaliaram o vídeo positivamente. Conclusão: o vídeo poderá contribuir para a educação de indivíduos com intestino neurogênico.
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Humans , Male , Female , Spinal Cord Injuries/complications , Neurogenic Bowel/rehabilitation , Gastrointestinal Contents/microbiology , Video Recording/methods , Pilot Projects , Health Education/methods , Validation Studies as Topic , Neurogenic Bowel/complications , Middle AgedABSTRACT
Spinal cord injury has the characteristics of high incidence, high disability, high cost and younger age. It imposes a huge burden on patients and society. Neurogenic bowel dysfunction is one of the serious complications of spinal cord injury. It often manifests as constipation and fecal incontinence, which severely limit the social activities of patients and reduce the quality of life. It is a major problem for clinicians to solve. In recent years, the concern for neurogenic bowel dysfunction after spinal cord injury has been increasing. This article reviewed its epidemiology, classification, pathophysiological, diagnosis and treatment.
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Objective To study the dynamic changes of the intestinal function of neurogenic bowel dysfunction rats caused by spi-nal cord injury using X-ray radiography. Methods Twenty-four female Sprague-Dawley rats were divided into control group (n=12) and spinal cord injury group (n=12). The T10spinal cord injury model was established using aneurysm clip (70 grams calibration force) for 60 seconds. The control group exposed the dura only. X-ray Barium was used to observe the dynamic changes of in-testinal function, and HE staining was used to observe the pathology of the colon before and four weeks after modeling. Results Compared with the control group, gastric emptying and intestinal transit function significantly reduced in the spinal cord injury group (P<0.05). Conclusion The spinal cord injury model can be successfully duplicated with aneurysm clip in rats; neurogenic bowel dysfunction occurs after spinal cord injury, gastric emptying and intestinal transit function are weakened.
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Neurogenic bowel dysfunction is one of the most common complications of spinal cord injury.It can cause abdominal distension,constipation,fecal incontinence,difficult defecation,prolonged defecation and other symptoms.At present, neurogenic bowel dysfunction is mainly evaluated through general condition,physical examination,experimental exami-nation,professional scales and intestinal microbiota,etc.
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Objective To observe the therapeutic efficacy of hyperbaric oxygen with needles retained after BO's abdominal acupuncture in treating neurogenic bowel dysfunction after spinal cord injury. Method Ninety patients diagnosed with neurogenic bowel dysfunction after spinal cord injury were randomized into hyperbaric oxygen with needles retained group, hyperbaric oxygen followed by acupuncture group, and acupuncture followed by hyperbaric oxygen group, 30 cases each. The clinical efficacies of the three groups were observed. Result The three treatment protocols were all effective in treating neurogenic bowel dysfunction due to spinal cord injury, but the hyperbaric oxygen with needles retained group was superior to the other two groups(P<0.05), and the hyperbaric oxygen followed by acupuncture group was better than the acupuncture followed by hyperbaric oxygen group(P<0.05). Conclusion Hyperbaric oxygen with needles retained can effectively treat neurogenic bowel dysfunction due to spinal cord injury, and generally enhance the quality of life of spinal cord injury patients.
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ABSTRACT Purpose: To identify the minimum bladder diary's length required to furnish reliable documentation of LUTS in a specific cohort of patients suffering from neurogenic urinary dysfunction secondary to suprapontine pathology. Materials and Methods: From January 2008 to January 2014, patients suffering from suprapontine pathology and LUTS were requested to prospectively complete a bladder diary form for 7 consecutive days. Micturitions per day, excreta per micturition, urgency and incontinence episodes and voided volume per day were evaluated from the completed diaries. We compared the averaged records of consecutive days (2-6 days) to the total 7 days records for each patient's diary, seeking the minimum diary's length that could provide records comparable to the 7 days average, the reference point in terms of reliability. Results: From 285 subjects, 94 male and 69 female patients enrolled in the study. The records of day 1 were significantly different from the average of the 7 days records in every parameter, showing relatively small correlation and providing insufficient documentation. Correlations gradually increased along the increase in diary's duration. According to our results a 3-day duration bladder diary is efficient and can provide results comparable to a 7 day length for four of our evaluated parameters. Regarding incontinence episodes, 3 days seems inadequate to furnish comparable results, showing a borderline difference. Conclusions: A 3-day diary can be used, as its reliability is efficient regarding number of micturition per day, excreta per micturition, episodes of urgency and voided volume per day.
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Humans , Male , Female , Adult , Aged , Young Adult , Urinary Bladder/physiopathology , Urinary Bladder, Neurogenic/physiopathology , Medical Records , Lower Urinary Tract Symptoms/physiopathology , Time Factors , Urination , Prospective Studies , Urinary Bladder, Overactive/urine , Middle AgedABSTRACT
OBJECTIVE: To assess the correlation between the anorectal function and bladder detrusor function in patients with complete spinal cord injury (SCI) according to the type of lesion. METHODS: Medical records of twenty-eight patients with SCI were included in this study. We compared the anorectal manometric and urodynamic (UD) parameters in total subjects. We analyzed the anorectal manometric and UD parameters between the two groups: upper motor neuron (UMN) lesion and lower motor neuron (LMN) lesion. In addition, we reclassified the total subjects into two groups according to the bladder detrusor function: overactive and non-overactive. RESULTS: In the group with LMN lesion, the mean value of maximal anal squeeze pressure (MSP) was slightly higher than that in the group with UMN lesion, and the ratio of MSP to maximal anal resting pressure (MRP) was statistically significant different between the two groups. In addition, although the mean value of MSP was slightly higher in the group with non-overactive detrusor function, there was no statistical correlation of anorectal manometric parameters between the groups with overactive and non-overactive detrusor function. CONCLUSION: The MSP and the ratio of MSP to MRP were higher in the group with LMN lesion. In this study, we could not identify the correlation between bladder and bowel function in total subjects. We conclude that the results of UD study alone cannot predict the outcome of anorectal manometry in patients with SCI. Therefore, it is recommended to perform assessment of anorectal function with anorectal manometry in patients with SCI.
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Humans , Manometry , Medical Records , Motor Neurons , Neurogenic Bowel , Spinal Cord Injuries , Spinal Cord , Urinary Bladder , Urinary Bladder, Neurogenic , UrodynamicsABSTRACT
OBJECTIVE: To assess the correlation between the anorectal function and bladder detrusor function in patients with complete spinal cord injury (SCI) according to the type of lesion. METHODS: Medical records of twenty-eight patients with SCI were included in this study. We compared the anorectal manometric and urodynamic (UD) parameters in total subjects. We analyzed the anorectal manometric and UD parameters between the two groups: upper motor neuron (UMN) lesion and lower motor neuron (LMN) lesion. In addition, we reclassified the total subjects into two groups according to the bladder detrusor function: overactive and non-overactive. RESULTS: In the group with LMN lesion, the mean value of maximal anal squeeze pressure (MSP) was slightly higher than that in the group with UMN lesion, and the ratio of MSP to maximal anal resting pressure (MRP) was statistically significant different between the two groups. In addition, although the mean value of MSP was slightly higher in the group with non-overactive detrusor function, there was no statistical correlation of anorectal manometric parameters between the groups with overactive and non-overactive detrusor function. CONCLUSION: The MSP and the ratio of MSP to MRP were higher in the group with LMN lesion. In this study, we could not identify the correlation between bladder and bowel function in total subjects. We conclude that the results of UD study alone cannot predict the outcome of anorectal manometry in patients with SCI. Therefore, it is recommended to perform assessment of anorectal function with anorectal manometry in patients with SCI.
Subject(s)
Humans , Manometry , Medical Records , Motor Neurons , Neurogenic Bowel , Spinal Cord Injuries , Spinal Cord , Urinary Bladder , Urinary Bladder, Neurogenic , UrodynamicsABSTRACT
Neurogenic bowel is a syndrome that resulted from the denervation after spinal cord injury (SCI), and may influence the quality of life of SCI patients for the constipation and incontinence. It might be benefit of multidimensional bowel management including nu-trition, medicine and liquid, as well as stimulation, clyster etc. Surgery could be considered if necessary.
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@#Objective To analyze the clinical characteristics of spinal cord injury patients with postoperative adhesive intestinal obstruction, and summarize the clinical experience of diagnosis and treatment. Methods 35 spinal cord injury patients with postoperative adhesive intestinal obstruction in our department from August 2008 to August 2013 were reviewed. Results All of them had a history of abdominal surgery for various reasons, 22 cases received sigmoid colon pouch procedure and 13 cases received cholecystectomy. 25 cases suffered T10-L1 spinal cord injury, 10 cases suffered cervical spinal cord injury; 26 cases (74.3%) received non-operative treatment and recovered, 9 cases (25.7%) were transferred to surgery. Conclusion There is no typical clinical symptom and sign in spinal cord injury patients with adhesive intestinal obstruction after abdominal surgery, so early diagnosis is difficult, and the imaging examination is necessary. When non-operation treatment is not effective to these patients, surgical treatment should be timely carried out.
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Objective To analyze the clinical characteristics of spinal cord injury patients with postoperative adhesive intestinal obstruc-tion, and summarize the clinical experience of diagnosis and treatment. Methods 35 spinal cord injury patients with postoperative adhesive intestinal obstruction in our department from August 2008 to August 2013 were reviewed. Results All of them had a history of abdominal surgery for various reasons, 22 cases received sigmoid colon pouch procedure and 13 cases received cholecystectomy. 25 cases suffered T10-L1 spinal cord injury, 10 cases suffered cervical spinal cord injury;26 cases (74.3%) received non-operative treatment and recovered, 9 cases (25.7%) were transferred to surgery. Conclusion There is no typical clinical symptom and sign in spinal cord injury patients with adhe-sive intestinal obstruction after abdominal surgery, so early diagnosis is difficult, and the imaging examination is necessary. When non-opera-tion treatment is not effective to these patients, surgical treatment should be timely carried out.