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J Neurol Sci. 2014 Nov 15;346(1-2):20-5. doi: 10.1016/j.jns.2014.08.027. Epub 2014 Aug 28.

Gastrointestinal complications after ischemic stroke.

Author information

1
Departamento de Neurología, Hospital Universitario "Dr. José E. González", Universidad Autónoma de Nuevo León, Madero y Gonzalitos S/N, Monterrey, NL 64460, Mexico. Electronic address: crcamara83@hotmail.com.
2
Departamento de Psiquiatria, Hospital Universitario "Dr. José E. González", Universidad Autónoma de Nuevo León, Madero y Gonzalitos S/N, Monterrey, NL 64460, Mexico.
3
Departamento de Neurología, Hospital Universitario "Dr. José E. González", Universidad Autónoma de Nuevo León, Madero y Gonzalitos S/N, Monterrey, NL 64460, Mexico.

Abstract

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.

KEYWORDS:

Constipation; Dysphagia; Fecal incontinence; Gastrointestinal bleeding; Gastrointestinal complications; Motility; Stroke

PMID:
25214444
DOI:
10.1016/j.jns.2014.08.027
[Indexed for MEDLINE]

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