J Korean Acad Rehabil Med Search


Journal of the Korean Academy of Rehabilitation Medicine 2001;25(2):249-255.
Evaluation of the Neurogenic Bowel by Colon Transit Time and Anorectal Manometry in the Spinal Cord Injured Patients.
Lim, Seung Su , Choi, Kyoung Hyo , Myung, Seung Jae , Sung, In Young
1Department of Rehabilitation Medicine, Asan Medical Center, University of Ulsan College of Medicine.
2Division of Gastroenterology, Asan Medical Center, University of Ulsan College of Medicine.
대장 통과 시간과 항문 괄약근압 측정에 의한 신경인성 장의 평가
임승수, 최경효, 명승재1, 성인영
울산의대 서울중앙병원 재활의학과, 1소화기내과

To evaluate changes of colon transit time according to prokinetic medication and characteristics of the anorectal manometry in patients with neurogenic bowel due to spinal cord injury.

Twelve patients with cervical and thoracic cord injury were enrolled, and classified into complete and incomplete spinal cord injury according to the severity of injury. The colon transit time before and after prokinetic medications were measured. The anorectal manometry was performed after the first study of colon transit time.

The colon transit time of pre-prokinetic medications were 17.1⁑12.6 hours for the right colon, 26.9⁑13.2 for the left colon, 21.5⁑14.0 for the rectosigmoid colon, and the total transit time was 65.5⁑5.3 hours. The time of post-prokinetic medications was 14.3⁑7.6 hours for the right colon, 25.8⁑10.3 for the left colon, 7.4⁑5.3 for the rectosigmoid colon, and the total transit time was 33.1⁑11.5 hours. The rectosigmoid colon transit time and total colon transit time were significantly different between pre- and post-prokinetic medications (p<0.05). In the anorectal manometry, mean resting anal pressure was 33.3⁑10.7 mmHg and maximal resting anal pressure was 99.0⁑43.4 mmHg. There were no difference in the colon transit time and anorectal manometry between complete and incomplete injured patients.

The difficulties of defecation in spinal cord injured patients were not only due to uncontrolled anal sphincter but also due to dysfunction of colon motility. The prokinetic medications were effective in reducting the rectosigmoid and total colon transit time.

Key Words: Prokinetic medication, Spinal cord injury, Prokinetic medication, Colon transit time, Anal manometry


Browse all articles >

Terms of Use   |   Privacy Polity
Editorial Office
Department of Rehabilitation Medicine, Seoul National University Hospital
101 Daehak-ro, Jongno-gu, Seoul, Korea
Tel: +82-10-8678-2671    Fax: +82-2-6072-5244    E-mail: edit@e-arm.org; edit.karm@gmail.com
Business Registration: 110-82-07460                

Copyright © 2023 by Korean Academy of Rehabilitation Medicine.

Developed in M2PI

Close layer