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KMID : 0356720000160030163
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Journal of the Korean Society of Coloproctology
2000 Volume.16 No. 3 p.163 ~ p.170
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clinical Application of Continent Anal Plug in Bed-Ridden Patient with Intractable Dirrhea
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Kim Jae-Hwang
Shim Min-Chul
Choi Byung-Yearn
Ahn Sang-Ho
Jang Sung-Ho
Shin Hyun-Jin
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Abstract
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Poor control of bowel movement in some bed-ridden patients with various causes such as stroke or spinal cord injury which causes fecal leakage and diarrhea, increases the risk of perianal excoriation, bed sores and os a burden on caregivers.
Purpose: To evaluate the efficacy of fecal evacuation, prevention and treatment of skin complication in intracatable diarrhea patients employing a new device.
Methods: A continent anal plug (CAP: US Patent No. 5,569,216: Join Ent. Seoul, Korea) comprises an inner ballon surrounded by an external ballon both of which are mounted on a silicone tube containing a pair of air passages and an enema fluid inlet. The tube is secured in place in the rectum by the inflatable external ballon and is designed to drain fecal matter through a thin collapsible hose situated in the anal canal. Thirty two patients(21 male, median age 61 years, range; 28∼76) were evaluated after fully informed consent. Median duration (range) was 12 (3∼37) days.
Results: CAP evaluated efficiently in those with loose or watery stools who only required once daily irrigation or not. Skin excoriations improved in 3∼7 days. Minimal leakage was an efficient method of treating patients with loss of bowel control and incontinence because it enabled it enabled controlled fecal evacuation and helped reduction of skin complications without causing anorectal mucosal injury.
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KEYWORD
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Stroke Spinal, cord injury, Incontinence, Diarrhea, Continent anal plug
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