title: Use of pulsed irrigation evacuation in the management of the neuropathic bowel.
abstract: Management of the neuropathic bowel is one of the major issues in the treatment of patients with severe spinal cord injury (SCI). Pulsed irrigation evacuation (PIE) has been evaluated in several small studies for the clearing of fecal impactions in patients with a neuropathic bowel. We evaluated our experience with 398 PIE procedures performed on inpatients and outpatients at our facility. It has proven to be both safe and effective in a wide variety of patients with this disorder, and is a useful addition to traditional methods in the management of the neuropathic bowel.
authors.affiliation: Hillside Rehabilitation Hospital, NE Warren, Ohio 44484, USA.
authors.forename: T A
authors.initials: TA
authors.lastname: Puet
authors.forename: H
authors.initials: H
authors.lastname: Jackson
authors.forename: S
authors.initials: S
authors.lastname: Amy
mesh_terms: D000328:Adult; D000368:Aged; D003248:Constipation / Q000209:etiology / Q000534:rehabilitation*; D004867:Equipment Design; D004869:Equipment Safety; D005242:Fecal Incontinence / Q000209:etiology / Q000534:rehabilitation*; D005260:Female; D006801:Humans; D008297:Male; D012007:Rectum / Q000294:innervation*; D013119:Spinal Cord Injuries / Q000150:complications / Q000534:rehabilitation*; D007507:Therapeutic Irrigation / Q000295:instrumentation* / Q000379:methods; D016896:Treatment Outcome