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The Capital Region of Denmark - a part of Copenhagen University Hospital
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Bowel function and quality of life after colostomy in individuals with spinal cord injury

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  2. An international study of the quality of life of adult patients treated with home parenteral nutrition

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  3. Pelvic organ prolapse and urogynecological assessment in women with spinal cord injury

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  4. Disease course of inflammatory bowel disease unclassified in a European population-based inception cohort - an Epi-IBD study

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Objective To evaluate the effect of colostomy on bowel function and quality of life (QoL) in individuals with spinal cord injury (SCI). Design Cross-sectional descriptive study. Setting Department for Spinal Cord Injuries and Departments of Gastroenterology and Radiology, Rigshospitalet. Participants Eighteen individuals with SCI and a colostomy performed post injury, 12 males, 6 females, 8 with tetraplegia and 10 with paraplegia. Median age at time of study was 49.9 years, years since lesion was 3-56 years, and time since colostomy was performed 0.5 to 20 years. Interventions Questionnaires and measurement of gastrointestinal transit time (GITT). Outcome measures Retrospective data collection from patient records, a questionnaire on bowel management pre and post colostomy, Quality of life (QoL) by SF-36, and GITT. Results Seventy-two percent significantly reduced their use of time on bowel emptying after the colostomy. All but one reported being content with the colostomy. Thirty-nine percent reported one or more problems related to the colostomy. Seventy-five percent had a GITT within normal range for able-bodied populations. When disregarding the physical component, QoL was not significantly lower in the total study group compared to a Danish norm group, but significantly lower when compared the subgroup of persons with tetraplegia. Conclusion A colostomy reduces the time necessary for bowel management. The majority of individuals with SCI and a colostomy did not perceive bowel management as being a problem. The results indicate that colostomy is a favourable option for individuals with SCI, who spend long hours on bowel management and for whom non-invasive procedures did not improve the situation enough.

Original languageEnglish
JournalJournal of Spinal Cord Medicine
Volume39
Issue number3
Pages (from-to)281-9
ISSN1079-0268
DOIs
Publication statusPublished - 2016

ID: 45955218