| Title |
Good results with transcutaneous tibial nerve stimulation for advanced chronic constipation treatment / |
| Translation of Title |
Transkutaninė blauzdinio nervo stimuliacija – efektyvus lėtinio vidurių užkietėjimo gydymo metodas. |
| Authors |
Stundienė, Ieva ; Žeromskas, Paulius ; Pfeifer, Johann ; Valantinas, Jonas |
| DOI |
10.15388/LietChirur.2014.3893 |
| Full Text |
|
| Is Part of |
Lietuvos chirurgija.. Vilnius : Vilniaus universiteto leidykla. 2014, t. 13, Nr. 3, p. 192-199.. ISSN 1392-0995. eISSN 1648-9942 |
| Keywords [eng] |
transcutaneous electric nerve stimulation ; constipation ; tibial nerve |
| Abstract [eng] |
Background Chronic constipation is a common complaint with a big impact on the quality of life, which may be difficult to treat. The aim of this prospective pilot study was to assess the efficiency of transcutaneous posterior tibial nerve stimulation in the treatment of constipation in the medium term and to investigate the potential predictors of treatment success. Materials and methods Forty nine patients with constipation resistant to maximal conservative therapy were treated by transcutaneous posterior tibial nerve stimulation twice a week for six weeks. If the treatment was successful, patients were proposed to continue the treatment for six months. The Knowles–Eccersley–Scott Symptom Score, the number of the bowel movements per two weeks and the Gastrointestinal Quality of Life index were evaluated pre- and post-treatment. The evaluation of constipation was performed at the baseline and after six weeks. Results The effect was seen in 53.1% of patients. The mean Knowles–Eccersley–Scott Symptom Score improved significantly (from 20.88 ± 5.19 to 15.61 ± 7.19, p < 0.001) after six weeks. The two-week stool frequency increased from the mean of 4.65 ± 2.48 pre-treatment to 7.47 ± 3.51 post-treatment (p < 0.001). The use of laxatives decreased (p < 0.001). The Gastrointestinal Quality of Life index improved in all subscales (p < 0.05). The therapy was well tolerated, and no participant experienced any adverse event. No potential predictors of treatment success were found Conclusions Transcutaneous posterior tibial nerve stimulation may be a new safe therapeutic option in patients with constipation, who have failed to respond to the maximal conservative treatment. |
| Published |
Vilnius : Vilniaus universiteto leidykla |
| Type |
Journal article |
| Language |
English |
| Publication date |
2014 |
| CC license |
|
