A new oral lavage solution vs cathartics and enema method for preoperative colonic cleansing

Beck, David E. and DiPalma, Jack A. (1991) A new oral lavage solution vs cathartics and enema method for preoperative colonic cleansing. Archives of Surgery, 126 5: 552-555. doi:10.1001/archsurg.1991.01410290024003

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Author Beck, David E.
DiPalma, Jack A.
Title A new oral lavage solution vs cathartics and enema method for preoperative colonic cleansing
Journal name Archives of Surgery   Check publisher's open access policy
ISSN 0004-0010
1538-3644
Publication date 1991-05-01
Sub-type Article (original research)
DOI 10.1001/archsurg.1991.01410290024003
Open Access Status File (Publisher version)
Volume 126
Issue 5
Start page 552
End page 555
Total pages 4
Place of publication Chicago, IL, United States
Publisher American Medical Association
Language eng
Abstract Sulfate free-electrolyte lavage solution is a new osmotically balanced electrolyte gut lavage solution for colon surgery that has been formulated for improved taste and reduced water and electrolyte changes. Sixty patients were prospectively randomized to receive a 1-day preparation with sulfate free-electrolyte lavage solution or a 3-day preparation using a clear liquid diet, cathartics, and enemas. The patient groups were similar in age, race, male-female ratio, and the types of colonic resections performed. Colonic cleansing was better with sulfate free-electrolyte lavage solution (100% vs 63% ''good'' to ''excellent'' cleansing). Patient tolerance evaluated by a questionnaire showed more overall discomfort with sulfate free-electrolyte lavage solution but no difference between the preparations in individual symptoms of fullness, cramping, nausea, or vomiting. One patient developed a low level of serum potassium after a cathartic and enema preparation, while there were no complications with sulfate free-electrolyte lavage solution. Patient taste questionnaires showed a slight preference for sulfate free-electrolyte lavage solution (53%) over a polyethylene glycol electrolyte lavage solution (47%). This study confirms that sulfate free-electrolyte lavage solution is a safe and effective method of preoperative colonic cleansing.
Keyword Mechinical bowel preparation
Whole gut lavage
Clinical trial
Surgery
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Non-UQ

Document type: Journal Article
Sub-type: Article (original research)
Collection: School of Medicine Publications
 
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Created: Mon, 14 Mar 2011, 08:45:19 EST