scholarly journals The efficacy of cleaning in the stomach with oral intestinal lavage solution

2015 ◽  
Vol 86 (1) ◽  
pp. 49-52
Author(s):  
Shuhei Tazaki
Keyword(s):  
1996 ◽  
Vol 43 (1) ◽  
pp. 42-48 ◽  
Author(s):  
Wendell K. Clarkston ◽  
Tony N. Tsen ◽  
David F. Dies ◽  
C.Lynn Schratz ◽  
Surender K. Vaswani ◽  
...  

2006 ◽  
Vol 72 (10) ◽  
pp. 909-911 ◽  
Author(s):  
Tim S. Ker

In an attempt to improve patient tolerance for colon cleaning, a reduced-volume regimen with a 2-liter electrolyte lavage solution plus 20 mg of oral bisacodyl was compared with the standard 4-liter lavage for efficacy and safety. Three hundred patients were prospectively randomized into two study groups. One group of 150 patients was given four tablets of 5 mg bisacodyl at 12:00 PM the day before their colonoscopy, followed by 2 liters of electrolyte lavage by mouth at 6:00 PM the evening before their colonoscopy. Another group of 150 patients were given 4 liters of electrolyte lavage at 6:00 PM the evening before their colonoscopy. All patients were on a clear liquid diet the day before their colonoscopy. No enema was given in either groups. The bowel cleanliness was accessed by one colonoscopist. One registered nurse accessed the comfort of patient. In the 2-liter group, only one (0.6%) patient could not finish the laxative. Colon cleanliness was 80 per cent to 100 per cent, with an average of 95.9 per cent. In the 4-liter group, 11 (7.3%) patients could not finish the laxative preparation. Colon cleanliness was 78 per cent to 100 per cent, with an average of 95.3 per cent. The study that found the 2-liter electrolyte lavage solution with four tablets of bisacodyl can achieve equally good results in bowel preparation and favorable acceptance by patients compared with the 4-liter lavage.


2002 ◽  
Vol 30 (5) ◽  
pp. 667-673 ◽  
Author(s):  
Yan Lu ◽  
Ryland B. Edwards ◽  
Shane Nho ◽  
Brian J. Cole ◽  
Mark D. Markel

Background: Although radiofrequency energy can smooth and contour cartilage surface, it has deleterious effects on chondrocyte viability. Hypothesis: Monopolar thermal chondroplasty in a 37°C lavage solution, as compared with a 22° lavage solution, will reduce chondrocyte death and result in greater smoothing of the articular cartilage surface. Study Design: Controlled laboratory study. Methods: Sixteen chondromalacic samples from patients undergoing total knee arthroplasty were divided into two groups: 22°C and 37°C lavage solution. Each sample was divided into two equal parts and half of each group was treated for 10 seconds and the other half for 15 seconds. Results: Confocal laser microscopy demonstrated that the depth of chondrocyte death in the 37°C lavage solution group was significantly less (range, 200 to 340 μm) than that in the 22°C solution group for both 10- and 15-second treatment times. Scanning electron microscopy demonstrated that the cartilage surface in the 37°C lavage solution group was smoother than that in the 22°C solution group for the 10-second treatment time. Energy delivery power in the 37°C lavage solution group was significantly lower than in the 22°C solution group for both treatment times. Conclusions: Thermal chondroplasty with 37°C lavage solution resulted in less depth of chondrocyte death and produced smoother surfaces than with 22°C solution for 10 seconds of treatment. Clinical Relevance: Less chondrocyte death would permit increased use of thermal chondroplasty.


1985 ◽  
Vol 42 (2) ◽  
pp. 276-276
Author(s):  
Carla B. Frye ◽  
Keith M. Olsen

Endoscopy ◽  
1996 ◽  
Vol 28 (07) ◽  
pp. 555-558 ◽  
Author(s):  
J.-M. Raymond ◽  
R. Beyssac ◽  
E. Capdenat ◽  
C.-H. Pineau ◽  
A. Kerjean ◽  
...  

1992 ◽  
Vol 77 (Supplement) ◽  
pp. A1237
Author(s):  
K. Momoeda ◽  
Y. Takahashi ◽  
K. Hirayama ◽  
K. Suwa ◽  
K. Hanaoka ◽  
...  

1985 ◽  
Vol 78 (12) ◽  
pp. 1414-1416 ◽  
Author(s):  
DAVID E. BECK ◽  
FRANCIS J. HARFORD ◽  
JACK A. DiPALMA ◽  
CHARLES E. BRADY

2017 ◽  
Vol 05 (06) ◽  
pp. E416-E423 ◽  
Author(s):  
Masahiro Tajika ◽  
Tsutomu Tanaka ◽  
Makoto Ishihara ◽  
Yutaka Hirayama ◽  
Sachiyo Oonishi ◽  
...  

Abstract Background and study aims The standard colonoscopy preparation regimen in Japan for afternoon procedures is sequential intake of 1 L of polyethylene glycol electrolyte lavage solution containing ascorbic acid (PEG-ASC), 0.5 L of clear liquid, 0.5 L of PEG-ASC, and finally 0.25 L of clear fluids (all at a rate of 0.25 L every 15 min). However, this regimen seems poorly tolerated and complicated for many patients compared to previous regimen of polyethylene glycol electrolyte lavage solution. The aim of this study was to evaluate an alternate regimen of 0.5 L of PEG-ASC followed by 0.25 L clear liquids, repeated 3 times. Patients and methods This was a single-blinded, non-inferiority, randomized controlled study. Subjects were randomized to the standard regimen or the alternate regimen using a web-based registry system. All patients were instructed to eat a pre-packaged, low residue diet and to take sodium picosulfate hydrate the day before colonoscopy. The Boston Bowel Preparation Scale was used to evaluate bowel cleansing, and a 3-point scale was used to assess mucosal visibility. The primary endpoint was successful bowel cleansing. The acceptability, tolerability, safety, and endoscopic findings of these two regimens were secondary endpoints. Results A total of 409 patients were randomized to either the standard regimen (n = 204, males 54.0 %, mean age 65.5 years) or the alternate regimen (n = 205, 54.6 %, 65.0 years). The rates of successful bowel cleansing were 71.1 % (64.3 – 77.2 %) with the standard regimen vs. 75.1 % (68.6 – 80.9 %) with the alternate regimen (95 % lower confidence limit, for the difference = – 4.6, non-inferiority P < 0.05). No significant differences were found in tolerability, safety, and endoscopic findings. Conclusion The alternate regimen and standard regimen are clinically equivalent with respect to cleansing efficacy and acceptability, tolerability, safety, and endoscopic findings. These results are good news for patients with difficulty drinking the first liter of PEG-ASC.


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