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This article and any supplementary material should be cited as follows: Rabadi MH, Vincent AS. Colonoscopic lesions in veterans with spinal cord injury.

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Presentation on theme: "This article and any supplementary material should be cited as follows: Rabadi MH, Vincent AS. Colonoscopic lesions in veterans with spinal cord injury."— Presentation transcript:

1 This article and any supplementary material should be cited as follows: Rabadi MH, Vincent AS. Colonoscopic lesions in veterans with spinal cord injury. J Rehabil Res Dev. 2012; 49(2):257–64. http://dx.doi.org/10.1682/JRRD.2011.03.0036 Slideshow Project DOI:10.1682/JRRD.2011.03.0036JSP Colonoscopic lesions in veterans with spinal cord injury Meheroz H. Rabadi, MD, MRCPI, FAAN; Andrea S. Vincent, PhD

2 This article and any supplementary material should be cited as follows: Rabadi MH, Vincent AS. Colonoscopic lesions in veterans with spinal cord injury. J Rehabil Res Dev. 2012; 49(2):257–64. http://dx.doi.org/10.1682/JRRD.2011.03.0036 Slideshow Project DOI:10.1682/JRRD.2011.03.0036JSP Aim – Determine type and prevalence of colonoscopic lesions in veterans with traumatic spinal cord injury (SCI). – Examine relationship of these lesions to injury level, completeness, and duration. Relevance – Bowel dysfunction is distressing to SCI patients and demands extensive time and assistance from providers. – Although VHA directive stipulates that veterans 50-75 receive colon cancer screening by colonoscopy, SCI patients receive fewer colonoscopies than general population.

3 This article and any supplementary material should be cited as follows: Rabadi MH, Vincent AS. Colonoscopic lesions in veterans with spinal cord injury. J Rehabil Res Dev. 2012; 49(2):257–64. http://dx.doi.org/10.1682/JRRD.2011.03.0036 Slideshow Project DOI:10.1682/JRRD.2011.03.0036JSP Methods We retrospectively reviewed electronic charts of veterans with SCI regularly followed in our SCI clinic. – Of 87 veterans with SCI, 71 who were 50 or older were included. – Demographic variables (sex, race/ethnicity, age at SCI onset, and SCI duration) were matched for: Veterans with SCI who did vs did not undergo colonoscopies. Veterans with SCI vs veterans without SCI (controls) who underwent colonoscopies.

4 This article and any supplementary material should be cited as follows: Rabadi MH, Vincent AS. Colonoscopic lesions in veterans with spinal cord injury. J Rehabil Res Dev. 2012; 49(2):257–64. http://dx.doi.org/10.1682/JRRD.2011.03.0036 Slideshow Project DOI:10.1682/JRRD.2011.03.0036JSP Results 28 (39%) of 71 veterans with SCI underwent colonoscopies. – 26 (93%) had colonoscopic lesions. Most common: Diverticulae, internal hemorrhoids, polyps. No relationship between colonoscopic lesion type and SCI location/severity. Significant relationship between total colono- scopic lesions and SCI. Controls had significantly more colonoscopic lesions than veterans with SCI who underwent colonoscopies.

5 This article and any supplementary material should be cited as follows: Rabadi MH, Vincent AS. Colonoscopic lesions in veterans with spinal cord injury. J Rehabil Res Dev. 2012; 49(2):257–64. http://dx.doi.org/10.1682/JRRD.2011.03.0036 Slideshow Project DOI:10.1682/JRRD.2011.03.0036JSP Conclusions Our findings: – High prevalence (93%) of colonoscopic lesions in veterans with traumatic SCI. – Lesions were mainly diverticulae, internal hemorrhoids, and polyps. – Increasing incidence of total colonoscopic lesions with age. Clinicians must remind veterans of benefits of adhering to a daily bowel care program, because GI problems negatively affect patients’ quality of life and limit their independence.

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