GIT-CHANGES AFTER SCI

SUMMARY

GIT changes after spinal cord injury (SCI):

1. Some ganglionic cell loss within the colon. There is general reduction in colonic motility.

2. Dysphagia is common after anterior cervical procedures, halo brace application and hard collars.

3. Dissociation of the antral and duododenal motility, gastric pacemaker potentials no longer originate from the antrum: in tetraplegia.

4. Decreased gallbladder motility: in injuries above T10.

5. Decreased mouth-to-caecum transit time: injuries above T1.

Reference(s)

Barrett, K.E., Barman, S.M., Boitano, S., Brooks, H.L., Weitz, M., Brian Patrick Kearns, Ganong, W.F. and Mcgraw-Hill Education (Firm (2016). Ganong’s review of medical physiology. 25th ed. New York: Mcgraw Hill Education.
Hall, J.E. and Hall, M.E. (2020). Guyton And Hall Textbook Of Medical Physiology. 14th ed. S.L.: Elsevier - Health Science.
West, J.B. and Luks, A.M. (2021). West’s Pulmonary Pathophysiology. Lippincott Williams & Wilkins.