SPINA BIFIDA-BOWEL MANAGEMENT
From NeuroRehab.wiki
SUMMARY
1. Aperients, diet, fluid management.
2. Enemas with bowel routine.
3. Transanal irrigation: bowl washout (e.g Peristeen).
4. Antegrade continence enema: 85% success rate in achieving continence; typically second daily & can take 2 hours.
5. Colostomy.
Reference(s)
Cifu, D.X. (2020). Braddom’s physical medicine and rehabilitation. Elsevier. Get it on Amazon.
Cuccurullo, S. (2019). Physical medicine and rehabilitation board review. New York: Demosmedical. Get it on Amazon.
O’Young, B., Young, M.A. and Stiens, S.A. (2008). Physical Medicine and Rehabilitation Secrets. Mosby. Get it on Amazon.