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2nd DEPARTMENT OF PHYSICAL & REHABILITATION medicine, NATIONAL REHABILITATION CENTRE

DEPARTMENT OF PHYSICAL & REHABILITATION MEDICINE KAT HOSPITAL

1ST DEPARTMENT OF PHYSICAL & REHABILITATION MEDICINE, NATIONAL REHABILITATION CENTRE

Educational Symposium Program Spinal cord injury (SCI) and neurogenic bowel

Saturday, 9th of November 2013 CONGRESS HALL OF THE NATIONAL REHABILITATION CENTRE ATHENS, GREECE

Anatomical drawing of the stomach and the intestine, LEONARDO da Vinci

Dear colleagues, With great pleasure we invite you on the 9th November 2013 in the Congress Hall of the National Rehabilitation Centre, where the symposium on the: Spinal cord injury (SCI) and Neurogenic Bowel Dysfunction will take place. As you already know, SCI not only causes motor disability but also affects other systems of the body depending on the level and completeness of the lesion. A major problem that affects both the overall medical condition and the everyday life of a paraplegic person is bowel dysfunction, called neurogenic bowel. In clinical symptomatology, bowel dysfunction could lead to serious constipation or fecal incontinence or even a combination of the two. Apart from the pathophysiological change at the lower digestive tract, there is an indirect effect at the bladder function, the sexual activity or the actual triggering of the autonomic nervous system and, as a result, the appearance of the autonomic dysreflexia syndrome. During the last couple of years, there has been a genuine scientific interest in researching and management of the neurogenic bowel, which led to numerous medical publications and clinical practice guidelines. Our main purpose at this educational symposium is to highlight the main problems of the lower digestive tract dysfunction in SCI patients, from the acute phase, during Rehabilitation and the process of reintegration. Moreover, it is highly important to convey our concerns and experiences of assessment and therapeutic intervention to achieve regular bowel evacuation without fecal incontinence, and flatulence, and at a desired time. Training the patient to actually manage their own bowel evacuation at a desired time without any accident , is essential so, as to gain their independence and leading to full professional and social reintegration. Your participation will contribute to deeply understand the neurogenic bowel as a new pathological element, which has previously been underestimated or conceived as a taboo topic. We look forward to seeing you!
Konstantina Petropoulou Head of 2nd PRM Department, National Rehabilitation Centre, Athens, Greece Eleftherios Bakas Head of PRM Department, KAT Hospital Nikolaos Groumas Head of 1st PRM Department, National Rehabilitation Centre, Athens, Greece

Session Chairs: Eleftherios Bakas atasa Bilili 10.00 -10.10 Introduction: The necessity of special care of the bowel in patients with SCI Konstantina Petropoulou 10.10 -10.30 Normal function of the gastrointestinal (GI) tract Stergios Stergiopoulos 10.30 -10.50 Pathophysiological changes of Neurogenic Bowel Dysfunction Theodoros Loizidis 10.50 -11.10 Discussion Session Chairs: Nikolaos Groumas Chrisi Labiri 11.10 -11.30 Clinical aspects of Neurogenic Bowel Dysfunction Matina Kaligerou

11.30 -11.50 Guidelines for Management of Neurogenic Bowel Dysfunctionin Individuals with Central Neurological Conditions (2012) Vasilios ragoulias 11.50 -12.00 12.00 -12.30 Discussion Short Break - Brunch

Session C Chairs: Konstantina Petropoulou atalia Lykoudi 12.30 -12.50 Method of total hydration of the bowel, using a hydrofillic transanal catheter and use of Peristeen. The role of Nursing. atalia Lykoudi

12.50 -13.10 Practical Aspects of method with Peristeen arinia zani 13.10 -13.30 Video 13.30 -13.50 Neurogenic Bowel dysfuction Questionnaire. Results on bowel function in patients with SCI Georgios Siamos 13.50 -14.10 Results after the use of Peristeen in patients with SCI and MS Athanasios sivgoulis 14.10 -14.30 Discussion Session D Chairs: nastasia-Christina Rapidi Aikaterini otroni 14.30 -14.50 Autonomic dysreflexia and Neurogenic Bowel Dysfunction Precautions in order to avoid anal irritation Eleftherios Bakas 14.50 -15.10 Comparing the management of NBD at SCI patients. Suprasacral spinal cord lessions vs Cauda equina syndrome Konstantina Petropoulou 15.10 -15.30 Self-care. Testimonials from 2 patients using transanal self- catheterisation 15.30 -15.50 Discussion 15.50 -16.00 Conclusion Konstantina Petropoulou Eleftherios Bakas Nikolaos Groumas

Participants

Nikolaos Groumas, Theodoros Loizidis

MD, PhD. Head of 1st Dept of Physical & Rehabilitation Medicine National Rehabilitation Center Physiatrist - Dr., ristotelio University of Thessaloniki, Senior fellow of European Board of European Society of Physical Medicine and Rehabilitation Medicine (ESPRM), Scientific Director of physical medicine & rehabilitation, Arogi Rehabilitation Doctor MD Consultant , Clinic of physical medicine & rehabilitation G.H. KAT Nurse, Responsible of 1st Dept of Physical & Rehabilitation Medicine National Rehabilitation Center Nurse, Responsible of Dept of Physical & Rehabilitation Medicine KAT Hospital Nurse, Responsible of 2nd Dept of Physical & Rehabilitation Medicine National Rehabilitation Center MD, PhD. Head of Physical and Rehabilitation Medicine Dept - KAT Hospital MD, PhD. Head of 2nd Dept of Physical & Rehabilitation Medicine National Rehabilitation Center MD, PhD, Director Scientific Responsible of Neurogenic bladder dysfunction. 2nd Dept of Physical & Rehabilitation Medicine National Rehabilitation Center Rehabilitation Doctor MD Gastroenterologist, Director of Gastroenterology department at KAT Hospital Nurse, Nursing Graduate of Athens Rehabilitation physician, Director of pokatastasi rehabilitation center certified by PRM Board Consultant , 1st Dept of Physical & Rehabilitation Medicine National Rehabilitation Center

Matina Kaligerou Aikaterini Kotroni Chrissi Labiri

Natasa Bilili

Natalia Lykoudi

Eleftherios Bakas

Konstantina Petropoulou

Anastasia - Christina Rapidi

Georgios Siamos Stergios Stergiopoulos

Marinia Tzani Athanasios Tsivgoulis Vasilios Tragoulias

The printed version of this scientific program is a courtesy of: