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Colonoscopic enema as rescue for inadequate bowel preparation before colonoscopy: a prospective, observational study.
MedLine Citation:
PMID:  22630138     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Aim:  Colonoscopy may need to be rescheduled for inadequate bowel preparation. We evaluated the effectiveness of colonoscopic enema as rescue for an inadequate 1-day bowel preparation before colonoscopy. Method:  Patients referred for afternoon colonoscopy were prospectively enrolled in the study during a one-year period. Patients took bowel preparation (polyethylene glycol, PEG) solution on the morning of the endoscopy. If during colonoscopy the bowel preparation was poor, an enema of PEG solution (500ml) was instilled into the colon at the level of the hepatic flexure via biopsy channel of the colonoscope which was then removed. The patient was allowed to recover from the propofol sedation and used the bathroom to evacuate the enema. The colonoscopy was then introduced and the examination continued. Results:  Of 504 patients undergoing colonoscopy, 26 (4.9%) received an enema . The median age was 59 (29-79) years and 19 (73%) were female. A subsequent successful colonoscopy was achieved in 25/26 (96%). There were no complications. The mean time spent for the entire colonoscopy from the initial preparation to the end of the examination including the enema was 7.6 ±1.1 h (5.4 h preparation, 0.2 h first colonoscopy + enema, 0.66h waiting in the lavatory, 0.33 h second colonoscopy and 1 h for recovery. Conclusion:  Colonoscopic enema was a highly successful as rescue for patients with inadequate bowel preparation and avoided postponement of the procedure. © 2012 The Authors Colorectal Disease © 2012 The Association of Coloproctology of Great Britain and Ireland.
Authors:
Akira Horiuchi; Yoshiko Nakayama; Masashi Kajiyama; Naoyuki Kato; Tetsuya Kamijima; Yasuyuki Ichise; Naoki Tanaka
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-5-26
Journal Detail:
Title:  Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland     Volume:  -     ISSN:  1463-1318     ISO Abbreviation:  -     Publication Date:  2012 May 
Date Detail:
Created Date:  2012-5-28     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100883611     Medline TA:  Colorectal Dis     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
© 2012 The Authors Colorectal Disease © 2012 The Association of Coloproctology of Great Britain and Ireland.
Affiliation:
Digestive Disease Center, Showa Inan General Hospital, Komagane Department of Pediatrics, Shinshu University School of Medicine Department of Metabolic Regulation, Shinshu University Graduate School of Medicine, Matsumoto, Japan.
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