Professor Poopy Pants: Improving Your Management Strategies for Neurogenic Bowel Dysfunction-Session Presentation

Video Transcription

Video Summary

This video transcript discusses the management of neurogenic bowel dysfunction, a condition that causes gastrointestinal changes due to neurological injury or disease. The speakers explain the symptoms and causes of neurogenic bowel, such as constipation and abdominal pain, and emphasize the importance of healthcare professionals providing comprehensive care for patients with this condition.<br /><br />The first management strategy discussed is transanal irrigation (TAI), which involves flushing the colon with water to stimulate bowel movements. While TAI is effective for many patients, it may not work for everyone. Other options mentioned include anorectal biofeedback therapy and medications.<br /><br />Surgical interventions for neurogenic bowel dysfunction are then discussed. One option is an antegrade colonic enema (ACE), where the colon is connected to the abdominal wall for regular irrigation. However, ACE can be challenging for adults due to the distance between the cecum and abdominal wall. Another surgical option is the placement of a small tube in the colon for irrigation, known as CHAIT. The benefits and difficulties associated with these interventions are highlighted.<br /><br />The use of neuromodulation to treat neurogenic bowel dysfunction is also mentioned. This involves stimulating the sacral nerve to improve bowel control. Different types of neuromodulation devices, such as sacral nerve stimulators and tibial nerve stimulators, are discussed. While these devices can be effective, they may not be suitable for all patients.<br /><br />Overall, the video emphasizes the importance of individualized treatment plans and highlights various management strategies for neurogenic bowel dysfunction, including TAI, surgical interventions, and neuromodulation.

Keywords

neurogenic bowel dysfunction

gastrointestinal changes

constipation

abdominal pain

comprehensive care

transanal irrigation

anorectal biofeedback therapy

medications

surgical interventions

antegrade colonic enema

CHAIT

neuromodulation