Article

A 6-month follow-up study. OBJECTIVES: To investigate the outcome
of transanal irrigation (TAI) in patients with spinal cord injury (SCI) and to
identify factors significantly related to clinical success. SETTING: Survey for
community-dwelling patients with SCI in South Korea. METHODS: Between December
2010 and March 2012, TAI was initiated with 52 patients (41 men; age: 44.5+/-11.0
years) with neurogenic bowel dysfunction (NBD). At 1, 3 and 6 months after
initiation, a telephone interview was conducted. Data were collected on
patient-specific bowel management and TAI performance as a new procedure.
RESULTS: Only 18 patients (34%) used TAI for at least 6 months, which was a lower
compliance rate than similar studies in some European countries. Relative to the
compliant group, the noncompliant group contained a higher proportion of
tetraplegia than paraplegia (P=0.031), and a higher proportion dependent on
physical help (P=0.034). In all, 33 of the 52 patients (63.5%) complained of
practical problems with the TAI procedure such as expulsion of the rectal
catheter. Fifteen patients (28.8%) presented with adverse effects. The incidence
of practical problems or adverse effects did not alter the frequency of
patient-reported successful outcome. CONCLUSION: Korean participants showed a
relatively lower compliance rate with TAI. We conclude that TAI, combined with
adequate patient instruction and physical assistance, has potential as a
management tool for NBD in Korea.

Langue : ANGLAIS