Bowel function and quality of life after colostomy in individuals with spinal cord injury

The Journal of Spinal Cord Medicine
Rikke Bølling HansenFin Biering-Sørensen

Abstract

To evaluate the effect of colostomy on bowel function and quality of life (QoL) in individuals with spinal cord injury (SCI). Cross-sectional descriptive study. Department for Spinal Cord Injuries and Departments of Gastroenterology and Radiology, Rigshospitalet. Eighteen individuals with SCI and a colostomy performed post injury, 12 males, 6 females, 8 with tetraplegia and 10 with paraplegia. Median age at time of study was 49.9 years, years since lesion was 3-56 years, and time since colostomy was performed 0.5 to 20 years. Questionnaires and measurement of gastrointestinal transit time (GITT). Retrospective data collection from patient records, a questionnaire on bowel management pre and post colostomy, quality of life (QoL) by SF-36, and GITT. Seventy-two percent significantly reduced their use of time on bowel emptying after the colostomy. All but one reported being content with the colostomy. Thirty-nine percent reported one or more problems related to the colostomy. Seventy-five percent had a GITT within normal range for able-bodied populations. When disregarding the physical component, QoL was not significantly lower in the total study group compared to a Danish norm group, but significantly lower when compared the subg...Continue Reading

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Citations

Jul 31, 2016·Archives of Physical Medicine and Rehabilitation·Miriam HwangLawrence C Vogel
Aug 3, 2020·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·H Ø KristensenT Thomsen
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Dec 22, 2021·The Journal of the American Academy of Orthopaedic Surgeons·Eren O KurisAlan H Daniels

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