ACP-ASIM: Difficulty with Bowel Evacuation in Patients with Spinal Cord Injury Related to Decreased Colonic Motility

By Peggy Peck

Special to DG News

PHILADELPHIA, PA — April 16, 2002 — Study results suggest that phasic post-prandial colonic response and a more exaggerated sleep-induced depression of colonic motility are the likely mechanisms for neurogenic bowel dysfunction and difficulty with evacuation of the bowels associated with spinal cord injury.

The findings were reported here Saturday at the 2002 Annual Session of the American College of Physicians-American Society of Internal Medicine.

Noel R. Fajardo, MD, and Mark A.Korsten, MD, of Mount Sinai School of Medicine, Bronx, New York enrolled eight patients with spinal cord injury (SCI), five were paraplegics and three were quadriplegics. The mean age of SCI patients was 59, and mean duration of injury was 17 years. The control group was made up of six spinally intact volunteers with a mean age of 57 years.

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