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Konservativ behandling vid neurogen tarmfunktionsstörning - BLF

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Nationella medicinska riktlinjer <strong>vid</strong> ryggmärgsbråckockså god åtkomlighet i samband med tarmsköljning för barnet och/ellerföräldern, inte minst ur ergonomisk synvinkel, så att den som assisterarbarnet har utrymme och bra ”arbetsställning”, förslagsvis använda rull-pallatt sitta på.ReferenserAntonovsky A. Hälsans mysterium. Natur och Kultur 1991Churchill BM, Abrahamsson RP, Wahl EF. Dysfunction of the lower urinary and distalgastrointestinal tracts in pediatric patients with known spinal cord problems. Pediatr ClinNorth Am 2001;48:1587-630Eire PF, Cives RV, Gago MC. Fecal incontinence in children with spina bifida: the bestconservative treatment. Spinal Cord 1998; 36:774-6Krogh K, Lie HR, Bilenberg N, Laurberg S.Bowelfunction in Danish children withmyelomeningocele. APMIS Suppl. 2003;109:81-5Lie HR, Lagergren J, Rasmunssen F, et al. Bowel and bladder control of children withmyelomeningocele. A Nordic study. Dev Med Child Neurol.1991; 33:1053-61Lie H. Is incontinence of importance for the participation of mainstreamed schoolchildrenwith myelomeningocele. Dev Med Child Neurol 2003; 45; Suppl 97:12Lindberg T. Barnets normala uppfödning. Studentlitteratur 1996Mattsson S, Gladh G. Tap-water enema for children with myelomeningocele and<strong>neurogen</strong>ic bladder and bowel dysfunction. Acta Paediatr, 2006; 95:369-74Merenda L, Brown JP. Bladder and bowel management for the child with spinal corddysfunction. Spinal Cord Med. 2004; 27 Suppl 1:16-23Norton C, Kamm MA. Analplug for faecal incontinence. Colorectal Dis 2001; 3:323-7Olsson I, Dahl M, Mattsson S, Wendelius M, Åström E, Westbom L. Medical problems inadolescents with myelomeningocele (MMC): an inventory of the Swedish MMC populationborn during 1986-1989. Acta Paediatr 2007; 96:446-9Sanchez MR, Barrientos FG, Arrojo VF, Vazques EJJ. The anal plug in the treatment offaecal incontinence in myelomeningocele patients; results of the first clinical trial. An EspPediatr 1992; 51:489-92Willis R. A nurse´s invention teaches bowel control. The Australian Journal 1992; 21:16-17Skicka gärna synpunkter och förbättringsförslag till redaktörerna/ingrid.b.olsson@vgregion.se inför kommande re<strong>vid</strong>eringar<strong>Konservativ</strong> <strong>behandling</strong> <strong>vid</strong> <strong>neurogen</strong> tarmfunktionsstörning 2011-12-01sidan 7(7)

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