심한 설사를 동반한 침상가료 환자에 대한 배변조절용 항문기구(Conitinent anal plug)의 임상적 적용
clinical Application of Continent Anal Plug in Bed-Ridden Patient with Intractable Dirrhea
김재황, 심민철, 최병연, 안상호, 장성호, 신현진,
소속 상세정보
김재황 ( Kim Jae-Hwang )
영남대학교 의과대학 외과학교실
심민철 ( Shim Min-Chul )
영남대학교 의과대학 외과학교실
최병연 ( Choi Byung-Yearn )
영남대학교 의과대학 신경외과학교실
안상호 ( Ahn Sang-Ho )
영남대학교 의과대학 재활의학교실
장성호 ( Jang Sung-Ho )
영남대학교 의과대학 재활의학교실
신현진 ( Shin Hyun-Jin )
영남대학교 의과대학 의료공학연구소
KMID : 0356720000160030163
Abstract
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.
키워드
Stroke Spinal;cord injury;Incontinence;Diarrhea;Continent anal plug
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