title: Bowel dysfunction in spinal cord injury: current perspectives.
abstract: Permanent disruptions of gastrointestinal function are very common sequel of spinal cord injury (SCI). When motor and sensory nervous integrity are severely affected, neurogenic gastrointestinal dysfunction is an inevitable consequence. Autonomic nervous system miss function has significantly diminished or lost sensory sensations followed with incomplete evacuation of stool from the rectal vault, immobility, and reduced anal sphincter tone all of those predisposing to increased risk of fecal incontinence (FI). The FI is, beside paralysis of extremities, one of the symptoms most profoundly affecting quality of life (QOL) in patients with SCI. We are reviewing current perspectives in management of SCI, discussing some pathophysiology mechanisms which could be addressed and pointing toward actual practical concepts in use for evaluation and improvements necessary to sustain SCI patients QOL.
authors.affiliation: Department of Hand Surgery, The First Hospital of Jilin University, 1 Xinmin Street, Changchun, 130021, People's Republic of China.
authors.forename: Yuehai
authors.initials: Y
authors.lastname: Pan
authors.forename: Bin
authors.initials: B
authors.lastname: Liu
authors.forename: Ruijun
authors.initials: R
authors.lastname: Li
authors.forename: Zhixin
authors.initials: Z
authors.lastname: Zhang
authors.forename: Laijin
authors.initials: L
authors.lastname: Lu
mesh_terms: D005242:Fecal Incontinence / Q000150:complications / Q000175:diagnosis / Q000628:therapy; D006801:Humans; D007422:Intestines / Q000503:physiopathology*; D011788:Quality of Life; D013119:Spinal Cord Injuries / Q000150:complications / Q000503:physiopathology*