Practical strategies for treating postsurgical bowel dysfunction

Sloots, Kathryn, and Bartlett, Lynne (2009) Practical strategies for treating postsurgical bowel dysfunction. Journal of Wound Ostomy Continence Nursing, 36 (5). pp. 522-527.

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Abstract

Postsurgical bowel dysfunction is a potential complication for patients undergoing ileoanal anastomosis, restorative proctocolectomy, and low anterior anastomosis. In our setting, these patients are referred to the Anorectal Physiology Clinic at the Townsville Hospital, Queensland, for comprehensive behavioral therapy. The goals of the therapy are as follows: improve stool consistency, improve control over stool elimination, decrease fecal frequency and rectal urgency, fecal continence without excessive restrictions on food and fluid intake, and increase quality of life. This article outlines our holistic approach and specific treatment strategies, including assessment, education, support and assistance with coping, individualized dietary and fluid modifications, medications, and exercise. Biofeedback is used to help patients improve anal sphincter and pelvic floor muscle function and bowel elimination habits. Information on the biofeedback component of the treatment program will be described in a subsequent article.

Item ID: 9661
Item Type: Article (Refereed Research - C1)
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ISSN: 1528-3976
Date Deposited: 26 Apr 2010 23:21
FoR Codes: 11 MEDICAL AND HEALTH SCIENCES > 1117 Public Health and Health Services > 111710 Health Counselling @ 100%
SEO Codes: 92 HEALTH > 9201 Clinical Health (Organs, Diseases and Abnormal Conditions) > 920118 Surgical Methods and Procedures @ 100%
Citation Count from Web of Science Web of Science 6
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