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Management of lower gastrointestinal bleeding
Published in David Westaby, Martin Lombard, Therapeutic Gastrointestinal Endoscopy A problem-oriented approach, 2019
Bowel preparation for elective colonoscopy or barium enema may be performed using one of a number of available preparations. An older preparation, sodium picosulphate (Picolax, Nordic) produces results as acceptable as one of the polyethylene glycol preparations (Klean-Prep, Norgine) [19]. Concerns about the volume of preparation necessary for bowel cleansing with the polyethylene glycol-based preparations have been addressed by other recent studies comparing these with sodium phosphate (Phospho-soda, Fleet). These suggest that sodium phosphate is at least as effective in cleansing the bowel, with better patient tolerance [20]. Sodium phosphate is, however, associated with transient hyperphosphataemia.
Urinary diversion
Published in Jacques Corcos, David Ginsberg, Gilles Karsenty, Textbook of the Neurogenic Bladder, 2015
Sender Herschorn, Greg G. Bailly
When compared with PEG, phospho-soda has been shown to be better tolerated and equally effective as judged by the surgeon, with similar wound infection rates.23 Patients appear to prefer phospho-soda to PEG, as well.24,25 It is, however, absolutely contraindicated in patients with renal insufficiency, symptomatic congestive heart failure, or liver failure with ascites.26 Most clinical studies also exclude patients with a creatinine greater than 2 mg/dL.23,24
Malignant Neoplasms of the Colon
Published in Philip H. Gordon, Santhat Nivatvongs, Lee E. Smith, Scott Thorn Barrows, Carla Gunn, Gregory Blew, David Ehlert, Craig Kiefer, Kim Martens, Neoplasms of the Colon, Rectum, and Anus, 2007
Preoperative bowel preparation has been the subject of considerable controversy. It has long been believed that adequate mechanical preparation and antibiotic preparation are necessary. This has recently been brought into question (see Chapter 4). How each of these is accomplished has also been debated. Mechanical cleansing may be accomplished by the use of vigorous laxatives along with repeated enemas until clearing. For a number of years, an oral lavage with a polyethylene glycol hypertonic electrolyte solution, such as GoLytely, was used extensively and still is by some colorectal surgeons. Oral Phospho-soda preparations have become increasingly popular but certain precautions regarding their use are discussed in Chapter 4.
CC-CLEAR (Colon Capsule Cleansing Assessment and Report): the novel scale to evaluate the clinical impact of bowel preparation in capsule colonoscopy – a multicentric validation study
Published in Scandinavian Journal of Gastroenterology, 2022
Rui de Sousa Magalhães, Carolina Chálim Rebelo, Bernardo Sousa-Pinto, José Pereira, Pedro Boal Carvalho, Bruno Rosa, Maria J. Moreira, Maria A. Duarte, José Cotter
Bowel preparation was performed according to our center’s protocol [8–10]. Patients were instructed to have a low-fiber diet and ingest at least 10 glasses of water 2 days before the procedure. On the day before the procedure, a clear liquid diet was prescribed, as well as 1 L of polyethylene glycol solution plus ascorbate followed by 1 L of water between 7 and 9 pm. On the day of the procedure, another 1 L of this solution followed by 1 L of water was ingested (between 6:30 and 8:30 am), and fasting was warranted afterward. Thirty minutes before capsule ingestion, patients were given 100 mg of simethicone and 10 mg of domperidone. At 9 am, patients were instructed to ingest the capsule. One hour later, using the real-time viewing system, capsule progression to the small bowel was confirmed, and 10 mg of domperidone was administered if the capsule was still in the stomach. Thirty minutes later, capsule progression was assessed, and in the case of delayed stomach emptying, endoscopic capsule placement in the small bowel was performed. When the small bowel was reached, a booster of 30 mL of sodium phosphate solution (Fleet Phospho Soda; Casen-Fleet Laboratories, Madrid, Spain) was administered, followed by ingestion of 1 L of water; 3 h later, the second booster of sodium phosphate (15 mL) was administered, plus 500 mL of water. After another 3 h, if the capsule was not excreted, a bisacodyl suppository was given.
CECDAIic – a new useful tool in pan-intestinal evaluation of Crohn’s disease patients in the era of mucosal healing
Published in Scandinavian Journal of Gastroenterology, 2019
Cátia Arieira, Rui Magalhães, Francisca Dias de Castro, Pedro Boal Carvalho, Bruno Rosa, Maria João Moreira, José Cotter
Bowel preparation was performed according to our center protocol [8]. Patients were instructed to have a low-fiber diet and ingest at least 10 glasses of water 2 d before the procedure; on the day before the procedure, a clear liquid diet was prescribed, as well as 1 L of polyethylene glycol solution plus 500 mL of water between 7 and 9 pm; on the day of the procedure, another liter of this solution plus 500 mL of water was ingested (between 6:30 and 8:30 am), and fasting was warranted afterwards. At 9 am patients were instructed to ingest the capsule. One hour later, using the real-time viewing system, capsule progression to the small-bowel was confirmed, and 10 mg of domperidone was administered if the capsule was still in the stomach. Thirty minutes later, capsule progression was assessed, and, in the case of delayed stomach emptying, endoscopic capsule placement in the small bowel was performed. When the small bowel was reached, a booster of 30 mL of sodium phosphate solution (Fleet Phospho Soda; Casen-Fleet Laboratories©, Madrid, Spain) was administered, followed by ingestion of 1 L of water; 3 h later the second booster of sodium phosphate (15 mL) was administered (plus 500 mL of water). After another 3 h if the capsule was not excreted a bisacodyl suppository was given.
Management of Neurogenic Bowel Dysfunction in Adults after Spinal Cord Injury
Published in The Journal of Spinal Cord Medicine, 2021
Jeffery Johns, Klaus Krogh, Gianna M. Rodriguez, Janice Eng, Emily Haller, Malorie Heinen, Rafferty Laredo, Walter Longo, Wilda Montero-Colon, Catherine S. Wilson, Mark Korsten
Only one study on the use of oral Fleet Phospho-Soda for colonoscopy preparation was extracted. The evidence from this study is potentially indirect because the intervention was not an enema, not given more than once, and not used for bowel care treatment. Subsequently, the evidence described below may not reflect the efficacy or complications of repeated use in an appropriate clinical setting or bowel care program.