Evaluation of 12 colon-cleansing regimens with single-contrast barium enema

Present, AJ; Jansson, Bjarne; Burhenne, H J; Dodd, G.; Goldberg, H I; Goldstein, HM; Miller, RE; Ja, Nelson; Stewart, Edward T.

doi:10.2214/ajr.139.5.855

Cited by 11 publications

(3 citation statements)

References 2 publications

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“…Nevertheless, sterile water enemas provoke ischemic changes in the colonic mucosa of male Fischer rats (3). Treatment by the rectal route must be done very carefully, because the insertion of any foreign object, even an examining finger, may provoke injury(4).…”

Section: Discussionmentioning

confidence: 99%

Colonic Ulcerations Caused by an Enema Containing Hydrogen Peroxide

Bollen,

Goossens,

Hauser

et al. 1998

J. pediatr. gastroenterol. nutr.

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Section: Discussionmentioning

confidence: 99%

Colonic Ulcerations Caused by an Enema Containing Hydrogen Peroxide

Bollen,

Goossens,

Hauser

et al. 1998

J. pediatr. gastroenterol. nutr.

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“…These methods were empirically modified for colonoscopy and colon surgery. Diet is restricted to 1–4 days of liquids or foods that provide a minimal colonic faecal residue 8 , . 9 Laxatives and enemas are used and adequate cleansing is usually achieved.…”

Section: Diet and Catharticsmentioning

confidence: 99%

Colon cleansing preparation for gastrointestinal procedures

Toledo

DiPalma

2001

Aliment Pharmacol Ther

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Adequate cleansing is essential for reliable diagnostic and surgical colon procedures. Accuracy and safety depend on good preparation. Patient compliance is enhanced by simplicity and well‐tolerated methods. Several methods are available. Diet and cathartic regimens utilize clear liquids or diets designed to leave a minimal colonic residue. Laxatives, cathartics and enemas are employed. Gut lavage solutions are osmotically balanced electrolyte lavage products. Oral sodium phosphate solutions and tablets are available and are attractive because of good efficacy with a small volume of administration. For colonoscopy and colon surgery preparation, these methods have been proven safe and effective. For barium enema X‐ray, lavage requires an adjunctive agent such as bisacodyl to enhance barium coating. Overall, all regimens are well‐tolerated. This review discusses the development and clinical experience with various colon cleansing regimens.

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“…Difficulty in finding the optimal scheme for bowel preparation is reflected in the large number of different preparation schemes that have been suggested. These include combinations of food intake restrictions, various recommendations on fluid intake, various oral and rectal laxatives, as well as tap water enemas [1][2][3]. Common to most schemes is the recommendation of a low-residue diet and the exclusion of any dietary fiber medication for I or several days before the examination.…”

mentioning

confidence: 99%

Dietary fibers in the preparation of the bowel for diagnostic barium enema

Hellström

Brolin

1987

Gastrointest Radiol

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The effect on colon cleanness of adding dietary fiber or placebo to a standard bowel preparation scheme before diagnostic barium enemas was tested in a randomized, double-blind study including 120 consecutive outpatients admitted for diagnostic barium enemas. Colon cleanness was scored as satisfactory, intermediate, or unsatisfactory. No case of unsatisfactory cleansing appeared in the group given fiber. Mean score was slightly better in the fiber group but the difference was not statistically significant. Dietary fiber does not have a negative effect on colon cleansing but may instead have a beneficial effect, which is possibly more pronounced in patients with constipation.

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Evaluation of 12 colon-cleansing regimens with single-contrast barium enema

Cited by 11 publications

References 2 publications

Colonic Ulcerations Caused by an Enema Containing Hydrogen Peroxide

Colonic Ulcerations Caused by an Enema Containing Hydrogen Peroxide

Colon cleansing preparation for gastrointestinal procedures

Dietary fibers in the preparation of the bowel for diagnostic barium enema

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