Bowel Preparation
Bowel Preparation
Bowel Preparation
INDICATIONS
IDEAL BOWEL PREPARATION
TYPES OF BOWEL PREPARATION
ADJUNCTS
SPECIAL SITUATIONS
COMPLICATIONS
CONCLUSION
Colonoscopy
Contrast studies
Colonic surgery
Bowel manipulation
Plain radiographs (lumbosacral x-rays)
Encourage postoperative intestinal motility
Efficient
Not time consuming
Should not alter colonic anatomy or
physiology
Comfortable
Not alter body fluid & electrolytes
Safe
Cheap
Dietary
restriction
3-5 days of low residue diet/ clear fluids.
Use of cathartics e.g. senna, castor oil,
bisacodyl.
Repeated enemas.
Safe & effective.
Time consuming, uncomfortable for pt,
electrolyte disturbances, depletes pt, poor
compliance.
Diet alone is ineffective.
Whole
gut lavage
Using high volumes (7-12L) of saline
solution or balanced electrolyte solutions.
Mannitol was used (1-2L)
Effective in bowel preparation
Uncomfortable for pt, electrolyte shift,
poorly tolerated
Flavoring
Nasogastric/Orogastric Tube
Carbohydrate-Electrolyte Solution
Enemas e. g tap water ,Soap Suds
Bisacodyl (dulcolax)
Laxatives: Magnesium citrate, Picolax
(sodium picosulfate/magnesium citrate),
senna
Simethicone ; antiflatulent, antigas
Inadequate
Bowel obstruction
Perforated bowel
Inflammatory bowel disease