Gastrointestinal complications after ischemic stroke

被引:122
作者
Camara-Lemarroy, Carlos R. [1 ]
Ibarra-Yruegas, Beatriz E. [2 ]
Gongora-Rivera, Fernando [1 ]
机构
[1] Univ Autonoma Nuevo Leon, Hosp Univ Dr Jose E Gonzalez, Dept Neurol, Monterrey 64460, NL, Mexico
[2] Univ Autonoma Nuevo Leon, Hosp Univ Dr Jose E Gonzalez, Dept Psiquiatria, Monterrey 64460, NL, Mexico
关键词
Stroke; Gastrointestinal complications; Dysphagia; Constipation; Gastrointestinal bleeding; Fecal incontinence; Motility; SUBDIAPHRAGMATIC VISCERAL INFARCTION; ONSET FECAL INCONTINENCE; MEDICAL COMPLICATIONS; RISK-FACTORS; BACTERIAL TRANSLOCATION; INTRACTABLE HICCUPS; NATURAL-HISTORY; DYSPHAGIA; PREVALENCE; CONSTIPATION;
D O I
10.1016/j.jns.2014.08.027
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Ischemic stroke is an important cause of morbidity and mortality, and currently the leading cause of adult disability in developed countries. Stroke is associated with various non-neurological medical complications, including infections and thrombosis. Gastrointestinal complications after stroke are also common, with over half of all stroke patients presenting with dysphagia, constipation, fecal incontinence or gastrointestinal bleeding. These complications are associated with increased hospital length of stay, the development of further complications and even increased mortality. In this article we review the epidemiology, pathophysiology, diagnosis, management and prevention of the most common gastrointestinal complications associated with ischemic stroke. (C) 2014 Elsevier B.V. All rights reserved.
引用
收藏
页码:20 / 25
页数:6
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