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Colonoscopic Lesions in Patients With Spinal Cord Injury

Title
Colonoscopic Lesions in Patients With Spinal Cord Injury
Authors
Han, Soo JeongKim, Chung MiLee, Jeong EunLee, Tae Hoon
Ewha Authors
한수정
SCOPUS Author ID
한수정scopus
Issue Date
2009
Journal Title
JOURNAL OF SPINAL CORD MEDICINE
ISSN
1079-0268JCR Link
Citation
vol. 32, no. 4, pp. 404 - 407
Keywords
Spinal cord injuriesBowel managementNeurogenic bowelColonoscopyScreening, colon cancerPreventionInflammatory bowel disease
Publisher
MANEY PUBLISHING
Indexed
SCIE; SCOPUS WOS scopus
Abstract
Background/Objective: In spinal cord injury (SCI), loss of central or peripheral neural control causes neurogenic bowel. Patients may not exhibit the typical signs and symptoms of gastrointestinal disease. Few studies have looked at the risk of gastrointestinal disease in this group and the indications for preventive screening. The objective of this study was to study colonoscopic lesions in patients with SCI and determine whether there are any differences in the prevalence of lesions between SCI and control patients. Design: Case control study. Methods: Twenty-five patients with SCI were compared with 41 control patients who received colonoscopy at the same time. Mann-Whitney test for continuous variable, and Fisher exact test for frequency variables were used. Outcome Measures: Demographic information, duration of SCI, and colonoscopy findings were gathered. Results: Colonic lesions were observed in 52% of patients with SCI and in 41.5% of control patients. Most frequent lesions in SCI group were inflammatory bowel disease (16%) and polyp (16%), followed by proctitis (12%) and hemorrhoid (12%). In the control group, hemorrhoid (17.1%) was most common, followed by polyp (12.2%) and melanosis coli (9.8%). No significant differences were found between the 2 groups. In the SCI group, no significant differences in lesions were found among the patients with cervical, thoracic, and lumbar SCI in the SCI group. Duration of SCI did not affect the pattern of colonoscopic lesions. Conclusion: Patients with SCI had the same incidence of colonoscopic lesions as control patients. Inflammatory bowel disease, which is a risk factor for cancer, was the most common findings in the SCI group, although there was no significant difference from the control group. In patients with SCI, colonoscopy screening is warranted at the same frequency as for the general population.
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의학전문대학원 > 의학과 > Journal papers
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