Sacral neuromodulation for the management of severe constipation: development of a constipation treatment protocol
Liu, Ben; Sharma, Abhiram; Waudby, Philip; Duthie, Graeme S.
Graeme S. Duthie G.S.Duthie@hull.ac.uk
Constipation is a common multifactorial gastrointestinal symptom with quality of life implications. Sacral neuromodulation has been used in the management of severe constipation with mixed results. The aim of this study was to review our experience of sacral neuromodulation as a treatment for chronic constipation and develop a chronic constipation management protocol.
In patients with severe constipation, failure of conservative management including biofeedback and rectal irrigation were considered for neuromodulation. Temporary stimulation lead was placed in the sacral foramen of eligible patients and pre and post stimulation bowel diaries were compared. Patients with ≥50% improvement in bowel diaries had permanent implant. Patients were followed up at 2 and 4weeks, 3, 6, and 12months, and then yearly with bowel diaries.
Temporary neuromodulation wires were implanted in 21 patients (20 female). Significant bowel diary improvement was seen in 12 (57%) patients (p
Sharma, A., Liu, B., Waudby, P., & Duthie, G. S. (2011). Sacral neuromodulation for the management of severe constipation: development of a constipation treatment protocol. International Journal of Colorectal Disease, 26(12), (1583-1587). doi:10.1007/s00384-011-1257-x. ISSN 0179-1958
|Journal Article Type||Article|
|Acceptance Date||Dec 31, 2011|
|Online Publication Date||Jun 30, 2011|
|Journal||INTERNATIONAL JOURNAL OF COLORECTAL DISEASE|
|Peer Reviewed||Peer Reviewed|
|Keywords||Sacral neuromodulation; Sacral nerve stimulation; Constipation|
This file is under embargo due to copyright reasons.
Contact G.S.Duthie@hull.ac.uk to request a copy for personal use.
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