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  4. Transanal irrigation bowel routine for people with Cauda Equina Syndrome

Transanal irrigation bowel routine for people with Cauda Equina Syndrome

The Journal of Spinal Cord Medicine, 2024 · DOI: 10.1080/10790268.2021.2022371 · Published: January 1, 2024

Spinal Cord InjuryGastroenterologyRehabilitation

Simple Explanation

This study investigates the use of transanal irrigation for bowel management in people with Cauda Equina Syndrome (CES), a condition causing neurologic bowel dysfunction. The Peristeen Anal Irrigation System (PAIS) was used by participants over 10 weeks to see if it improved their bowel function and quality of life. The study found significant improvements in bowel function, constipation, fecal incontinence, quality of life, and colonic transit time using the PAIS system.

Study Duration
10 weeks
Participants
12 participants (10 completed), mean age 46.2 years, 4 females, with CES
Evidence Level
Clinical Trial

Key Findings

  • 1
    The Neurogenic Bowel Dysfunction (NBD) score significantly improved after the 10-week intervention with the PAIS system.
  • 2
    Significant improvements were observed in secondary outcomes, including the St. Mark’s Fecal Incontinence score and Cleveland Clinic Constipation score.
  • 3
    Colonic transit time improved by 22% with the use of the PAIS system, indicating better bowel function.

Research Summary

This study evaluated the efficacy of the Peristeen Anal Irrigation System (PAIS) in people with Cauda Equina Syndrome (CES) experiencing neurogenic bowel dysfunction. Participants used the PAIS bowel routine for 10 weeks, and various outcome measures were assessed, including the Neurogenic Bowel Dysfunction Score (NBD), St. Mark’s Fecal Incontinence score, and colonic transit times. The study concluded that the PAIS system significantly improved bowel function and quality of life in people with CES, suggesting it should be considered when traditional methods fail.

Practical Implications

Improved Bowel Management

Transanal irrigation can be an effective non-pharmaceutical method for managing bowel dysfunction in people with CES.

Enhanced Quality of Life

The PAIS system has the potential to improve the quality of life for patients with CES and neurogenic bowel dysfunction.

Alternative to Traditional Methods

PAIS should be considered for those with CES in whom traditional methods of managing neurogenic bowel fail.

Study Limitations

  • 1
    Small sample size
  • 2
    Short study time
  • 3
    Variability of the degree of severity and level of neurologic impairment

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