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Abstracts
Authors:Imran Amir  Rajesh Sharma  William A Bauman  Mark A Korsten
Institution:Gastroenterology Section, Spinal Cord Damage Research Center and SCI Service Bronx VA Medical Center, Bronx , NY
Abstract:Abstract

The efficacies of four bowel care regimens (bisacodyl suppositories, glycerin suppositories, mineral oil enemas and docusate sodium mini-enemas) were compared in seven subjects with traumatic spinal cord injury. Efficacy was assessed in terms of colonic transit time, bowel evacuation time and subjective responses to a questionnaire. Both docusate sodium mini-enemas and mineral oil enemas decreased total and left-sided colonic transit time. However, docusate sodium mini-enemas were superior to mineral oil enemas in terms of the decrease in bowel evacuation time and symptom reduction. Results in this small group of subjects suggest that docusate sodium mini-enemas may have advantages in the management of bowel evacuation in individuals with spinal cord injury. (J Spinal Cord Med 1998;21 -24)
Keywords:bowel care  colonic transit time  difficult evacuation  paraplegia  quadriplegia
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