Neurogenic Bowel Dysfunction in Patients with Spinal Cord Injury and Multiple Sclerosis—An Updated and Simplified Treatment Algorithm
Neurogenic bowel dysfunction (NBD) is a common condition in individuals with spinal cord injury (SCI) or multiple sclerosis (MS). It usually entails constipation, difficult evacuation of the rectum, and fecal incontinence (FI); often in combination. It is highly burdensome for affected patients and...
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-11-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/12/22/6971 |
| _version_ | 1797458875765489664 |
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| author | Fredrika S. Magnuson Peter Christensen Andrei Krassioukov Gianna Rodriguez Anton Emmanuel Steven Kirshblum Klaus Krogh |
| author_facet | Fredrika S. Magnuson Peter Christensen Andrei Krassioukov Gianna Rodriguez Anton Emmanuel Steven Kirshblum Klaus Krogh |
| author_sort | Fredrika S. Magnuson |
| collection | DOAJ |
| description | Neurogenic bowel dysfunction (NBD) is a common condition in individuals with spinal cord injury (SCI) or multiple sclerosis (MS). It usually entails constipation, difficult evacuation of the rectum, and fecal incontinence (FI); often in combination. It is highly burdensome for affected patients and is correlated with poor quality of life. The current treatment algorithm, or treatment pyramid, does not completely correspond to actual clinical practice, and the known and classical pyramid contains both treatments still in their experimental stage as well as several treatments which are not available at all treatment centers. Thus, an updated treatment algorithm is called upon, and the authors of this paper therefore propose a simplified version of the treatment pyramid, aiming to guide clinicians in treating NBD. |
| first_indexed | 2024-03-09T16:44:24Z |
| format | Article |
| id | doaj.art-db47e6da21574b02a70aa35f34cb6b84 |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-09T16:44:24Z |
| publishDate | 2023-11-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-db47e6da21574b02a70aa35f34cb6b842023-11-24T14:48:59ZengMDPI AGJournal of Clinical Medicine2077-03832023-11-011222697110.3390/jcm12226971Neurogenic Bowel Dysfunction in Patients with Spinal Cord Injury and Multiple Sclerosis—An Updated and Simplified Treatment AlgorithmFredrika S. Magnuson0Peter Christensen1Andrei Krassioukov2Gianna Rodriguez3Anton Emmanuel4Steven Kirshblum5Klaus Krogh6Department of Hepatology and Gastroenterology, Aarhus University Hospital, 8200 Aarhus, DenmarkDepartment of Surgery, Aarhus University Hospital, 8200 Aarhus, DenmarkInternational Collaboration of Repair Discoveries (ICORD), Department of Medicine, Division of Physical Medicine and Rehabilitation, The University of British Columbia, Vancouver, BC V5Z 1M9, CanadaPhysical Medicine and Rehabilitation, Spinal Cord Injury Medicine, University of Michigan Health, Ann Arbor, MI 48108, USAGI Physiology Unit, University College London Hospital, London WC1E 6DB, UKKessler Institute for Rehabilitation, West Orange, NJ 07052, USADepartment of Hepatology and Gastroenterology, Aarhus University Hospital, 8200 Aarhus, DenmarkNeurogenic bowel dysfunction (NBD) is a common condition in individuals with spinal cord injury (SCI) or multiple sclerosis (MS). It usually entails constipation, difficult evacuation of the rectum, and fecal incontinence (FI); often in combination. It is highly burdensome for affected patients and is correlated with poor quality of life. The current treatment algorithm, or treatment pyramid, does not completely correspond to actual clinical practice, and the known and classical pyramid contains both treatments still in their experimental stage as well as several treatments which are not available at all treatment centers. Thus, an updated treatment algorithm is called upon, and the authors of this paper therefore propose a simplified version of the treatment pyramid, aiming to guide clinicians in treating NBD.https://www.mdpi.com/2077-0383/12/22/6971neurogenic bowel dysfunctionmultiple sclerosisspinal cord injurytreatment algorithmtreatment pyramid |
| spellingShingle | Fredrika S. Magnuson Peter Christensen Andrei Krassioukov Gianna Rodriguez Anton Emmanuel Steven Kirshblum Klaus Krogh Neurogenic Bowel Dysfunction in Patients with Spinal Cord Injury and Multiple Sclerosis—An Updated and Simplified Treatment Algorithm Journal of Clinical Medicine neurogenic bowel dysfunction multiple sclerosis spinal cord injury treatment algorithm treatment pyramid |
| title | Neurogenic Bowel Dysfunction in Patients with Spinal Cord Injury and Multiple Sclerosis—An Updated and Simplified Treatment Algorithm |
| title_full | Neurogenic Bowel Dysfunction in Patients with Spinal Cord Injury and Multiple Sclerosis—An Updated and Simplified Treatment Algorithm |
| title_fullStr | Neurogenic Bowel Dysfunction in Patients with Spinal Cord Injury and Multiple Sclerosis—An Updated and Simplified Treatment Algorithm |
| title_full_unstemmed | Neurogenic Bowel Dysfunction in Patients with Spinal Cord Injury and Multiple Sclerosis—An Updated and Simplified Treatment Algorithm |
| title_short | Neurogenic Bowel Dysfunction in Patients with Spinal Cord Injury and Multiple Sclerosis—An Updated and Simplified Treatment Algorithm |
| title_sort | neurogenic bowel dysfunction in patients with spinal cord injury and multiple sclerosis an updated and simplified treatment algorithm |
| topic | neurogenic bowel dysfunction multiple sclerosis spinal cord injury treatment algorithm treatment pyramid |
| url | https://www.mdpi.com/2077-0383/12/22/6971 |
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