Motnje odvajanja blata pri bolnikih po možganski kapi
Bowel dysfunctions in patients after stroke

slovenian

2017

volume 16, issue 2

constipation   Fecal Incontinence   incotinence   Stroke   therapy   tratment

Univerzitetni rehabilitacijski inštitut RS – Soča
(Obvezni izvod spletne publikacije)

Bowel dysfunctions are common in patients after stroke and are associated with poor quality of life and social isolation of patients and caregivers in the acute and chronic period of stroke. The prevalence of constipation is 30-60%, and of faecal incontinence it is 30-40%. The direct connection between stroke and bowel dysfunction has not been explained yet. There are many primary and secondary causes of obstipation and faecal incontinence, and it is important to pay special attention to modifiable causes. According to the data from the literature, bowel dysfunctions after stroke are more related to poorer mobility, worse functional status, dependence on needing help with toilet use, with drug use and not directly with stroke localisation. In the literature, there are very few randomised controlled trials comparing different therapeutic measures and drugs for treating constipation and faecal incontinence in patients after stroke, and they are mostly of poor quality. A structured, individualized, systematic multidisciplinary approach is recommended, with an emphasis on the bowel re-education program and the use of laxatives. This review article describes the epidemiology, causes, diagnosis and treatment of faecal incontinence and constBowel dysfunctions are common in patients after stroke and are associated with poor quality of life and social isolation of patients and caregivers in the acute and chronic period of stroke. The prevalence of constipation is 30-60%, and of faecal incontinence it is 30-40%. The direct connection between stroke and bowel dysfunction has not been explained yet. There are many primary and secondary causes of obstipation and faecal incontinence, and it is important to pay special attention to modifiable causes. According to the data from the literature, bowel dysfunctions after stroke are more related to poorer mobility, worse functional status, dependence on needing help with toilet use, with drug use and not directly with stroke localisation. In the literature, there are very few randomised controlled trials comparing different therapeutic measures and drugs for treating constipation and faecal incontinence in patients after stroke, and they are mostly of poor quality. A structured, individualized, systematic multidisciplinary approach is recommended, with an emphasis on the bowel re-education program and the use of laxatives. This review article describes the epidemiology, causes, diagnosis and treatment of faecal incontinence and constipation after stroke.ipation after stroke.

14.11.2017