Pathophysiology Prevention and Management of Chronic Neurogenic Constipation in Adults

Jacek Hermann; Sławomir Michalak; Michał Dopierała; Dariusz Tertoń; Michał Drews

doi:doi:10.11648/j.sjcm.20130204.11

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Pathophysiology Prevention and Management of Chronic Neurogenic Constipation in Adults

Jacek Hermann, Sławomir Michalak, Michał Dopierała, Dariusz Tertoń, Michał Drews

Published in Science Journal of Clinical Medicine (Volume 2, Issue 4)

Received: 1 June 2013 Published: 30 June 2013

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Abstract

Neurogenic constipation occurs most commonly after spinal cord injury, in multiple sclerosis and in Parkinson`s disease. Slow colonic transit time is a major disorder. Patients also develop pelvic floor dysfunction. Spinal cord patients are unable to defecate voluntarily due to the loss of the rectal fullness sensation and they depend on the spinal reflexes. Obstructed defecation in upper motor neuron spinal cord injury and in Parkinson`s disease is a result of inability to relax the pelvic floor muscles, whereas in the lower type of injury it is due to hyporeactivity of the rectum. In multiple sclerosis it is a combination of lesions from different levels of the nervous system. In diagnosis, neurological and proctologic examinations are required followed by colonic transit time, defecography and anorectal manometry. Most of the patients respond positively on medical treatment. However, a small group of them requires surgical treatment in the form of either colostomy or ileostomy.

Published in	Science Journal of Clinical Medicine (Volume 2, Issue 4)
DOI	10.11648/j.sjcm.20130204.11
Page(s)	122-128
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2013. Published by Science Publishing Group

Keywords

Neurogenic Constipation, Pathophysiology, Prevention, Management

References

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APA Style

Jacek Hermann, Sławomir Michalak, Michał Dopierała, Dariusz Tertoń, Michał Drews. (2013). Pathophysiology Prevention and Management of Chronic Neurogenic Constipation in Adults. Science Journal of Clinical Medicine, 2(4), 122-128. https://doi.org/10.11648/j.sjcm.20130204.11

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ACS Style

Jacek Hermann; Sławomir Michalak; Michał Dopierała; Dariusz Tertoń; Michał Drews. Pathophysiology Prevention and Management of Chronic Neurogenic Constipation in Adults. Sci. J. Clin. Med. 2013, 2(4), 122-128. doi: 10.11648/j.sjcm.20130204.11

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AMA Style

Jacek Hermann, Sławomir Michalak, Michał Dopierała, Dariusz Tertoń, Michał Drews. Pathophysiology Prevention and Management of Chronic Neurogenic Constipation in Adults. Sci J Clin Med. 2013;2(4):122-128. doi: 10.11648/j.sjcm.20130204.11

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@article{10.11648/j.sjcm.20130204.11,
  author = {Jacek Hermann and Sławomir Michalak and Michał Dopierała and Dariusz Tertoń and Michał Drews},
  title = {Pathophysiology Prevention and Management of Chronic Neurogenic Constipation in Adults},
  journal = {Science Journal of Clinical Medicine},
  volume = {2},
  number = {4},
  pages = {122-128},
  doi = {10.11648/j.sjcm.20130204.11},
  url = {https://doi.org/10.11648/j.sjcm.20130204.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.sjcm.20130204.11},
  abstract = {Neurogenic constipation occurs most commonly after spinal cord injury, in multiple sclerosis and in Parkinson`s disease. Slow colonic transit time is a major disorder. Patients also develop pelvic floor dysfunction. Spinal cord patients are unable to defecate voluntarily due to the loss of the rectal fullness sensation and they depend on the spinal reflexes. Obstructed defecation in upper motor neuron spinal cord injury and in Parkinson`s disease is a result of inability to relax the pelvic floor muscles, whereas in the lower type of injury it is due to hyporeactivity of the rectum. In multiple sclerosis it is a combination of lesions from different levels of the nervous system. In diagnosis, neurological and proctologic examinations are required followed by colonic transit time, defecography and anorectal manometry. Most of the patients respond positively on medical treatment. However, a small group of them requires surgical treatment in the form of either colostomy or ileostomy.},
 year = {2013}
}

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TY - JOUR
T1 - Pathophysiology Prevention and Management of Chronic Neurogenic Constipation in Adults
AU - Jacek Hermann
AU - Sławomir Michalak
AU - Michał Dopierała
AU - Dariusz Tertoń
AU - Michał Drews
Y1 - 2013/06/30
PY - 2013
N1 - https://doi.org/10.11648/j.sjcm.20130204.11
DO - 10.11648/j.sjcm.20130204.11
T2 - Science Journal of Clinical Medicine
JF - Science Journal of Clinical Medicine
JO - Science Journal of Clinical Medicine
SP - 122
EP - 128
PB - Science Publishing Group
SN - 2327-2732
UR - https://doi.org/10.11648/j.sjcm.20130204.11
AB - Neurogenic constipation occurs most commonly after spinal cord injury, in multiple sclerosis and in Parkinson`s disease. Slow colonic transit time is a major disorder. Patients also develop pelvic floor dysfunction. Spinal cord patients are unable to defecate voluntarily due to the loss of the rectal fullness sensation and they depend on the spinal reflexes. Obstructed defecation in upper motor neuron spinal cord injury and in Parkinson`s disease is a result of inability to relax the pelvic floor muscles, whereas in the lower type of injury it is due to hyporeactivity of the rectum. In multiple sclerosis it is a combination of lesions from different levels of the nervous system. In diagnosis, neurological and proctologic examinations are required followed by colonic transit time, defecography and anorectal manometry. Most of the patients respond positively on medical treatment. However, a small group of them requires surgical treatment in the form of either colostomy or ileostomy.
VL - 2
IS - 4
ER -

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Author Information

Jacek Hermann

Chair and Department of General Surgery, Gastroenterological Oncological Surgery and Plastic Surgery, Poznań University of Medical Sciences, Poznań, Poland
Sławomir Michalak
Michał Dopierała
Dariusz Tertoń

Chair and Department of Neurology, Poznań University of Medical Sciences, Poznań, Poland
Michał Drews

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Plain Text BibTeX RIS

APA Style

Jacek Hermann, Sławomir Michalak, Michał Dopierała, Dariusz Tertoń, Michał Drews. (2013). Pathophysiology Prevention and Management of Chronic Neurogenic Constipation in Adults. Science Journal of Clinical Medicine, 2(4), 122-128. https://doi.org/10.11648/j.sjcm.20130204.11

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ACS Style

Jacek Hermann; Sławomir Michalak; Michał Dopierała; Dariusz Tertoń; Michał Drews. Pathophysiology Prevention and Management of Chronic Neurogenic Constipation in Adults. Sci. J. Clin. Med. 2013, 2(4), 122-128. doi: 10.11648/j.sjcm.20130204.11

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AMA Style

Jacek Hermann, Sławomir Michalak, Michał Dopierała, Dariusz Tertoń, Michał Drews. Pathophysiology Prevention and Management of Chronic Neurogenic Constipation in Adults. Sci J Clin Med. 2013;2(4):122-128. doi: 10.11648/j.sjcm.20130204.11

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@article{10.11648/j.sjcm.20130204.11,
  author = {Jacek Hermann and Sławomir Michalak and Michał Dopierała and Dariusz Tertoń and Michał Drews},
  title = {Pathophysiology Prevention and Management of Chronic Neurogenic Constipation in Adults},
  journal = {Science Journal of Clinical Medicine},
  volume = {2},
  number = {4},
  pages = {122-128},
  doi = {10.11648/j.sjcm.20130204.11},
  url = {https://doi.org/10.11648/j.sjcm.20130204.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.sjcm.20130204.11},
  abstract = {Neurogenic constipation occurs most commonly after spinal cord injury, in multiple sclerosis and in Parkinson`s disease. Slow colonic transit time is a major disorder. Patients also develop pelvic floor dysfunction. Spinal cord patients are unable to defecate voluntarily due to the loss of the rectal fullness sensation and they depend on the spinal reflexes. Obstructed defecation in upper motor neuron spinal cord injury and in Parkinson`s disease is a result of inability to relax the pelvic floor muscles, whereas in the lower type of injury it is due to hyporeactivity of the rectum. In multiple sclerosis it is a combination of lesions from different levels of the nervous system. In diagnosis, neurological and proctologic examinations are required followed by colonic transit time, defecography and anorectal manometry. Most of the patients respond positively on medical treatment. However, a small group of them requires surgical treatment in the form of either colostomy or ileostomy.},
 year = {2013}
}

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