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Whole bowel irrigation is sometimes used prior to colonoscopy, bowel surgery, other abdominal/pelvic surgery, or a barium enema examination, to cleanse the intestines, enhancing visibility of the intestines' inner surfaces, preventing complications from occurring as a result of spillage of bowel contents into the abdominal cavity, and potentially providing other benefits depending on the type ...
In standard medicine, the most frequent uses of enemas are to relieve constipation and for bowel cleansing before a medical examination or procedure; [5] also, they are employed as a lower gastrointestinal series (also called a barium enema), [6] to treat traveler's diarrhea, [7] as a vehicle for the administration of food, water or medicine ...
The day before the colonoscopy (or colorectal surgery), the patient is either given a laxative preparation (such as bisacodyl, phospho soda, sodium picosulfate, or sodium phosphate and/or magnesium citrate) and large quantities of fluid, or whole bowel irrigation is performed using a solution of polyethylene glycol and electrolytes.
A 2015 guideline issued by The Standards of Practice Committee of the American Society for Gastrointestinal Endoscopy recommends using a low-residue diet instead, also accompanied by laxatives, [13] because of evidence that it performs at least as well for bowel cleansing and is associated with better patient satisfaction. [14] [15]
Finally, abnormal connections between the bacteria-rich colon and the small bowel can increase the bacterial load in the small bowel. Patients with Crohn's disease or other diseases of the ileum may require surgery that removes the ileocecal valve connecting the small and large bowel; this leads to an increased reflux of bacteria into the small ...
As the colon normally expels waste, colon cleansing is generally unneeded. [12] [13] Colonic irrigation can disrupt the bowel's normal flora, and, if done frequently, can result in electrolyte depletion with dehydration. [13] Rare but severe adverse events have been rectal perforation, [14] as well as amoebic infection, from poorly sterilised ...
2. The article "Colon cleansing" should be changed so that it includes information about clearing the bowel using laxatives etc. Examples of such would be pre-surgery colon cleansing. Why is colon cleansing done etc? What type exist? Most notably colon cleanse is undertaken prior to colonosccopy and thats a common treatment.
The practice of colon cleansing experienced a renaissance in the 1990s, and at this time, coffee enemas were used as alternative cancer treatments. [7] Their frequent use is a feature of Gerson therapy and Kelley therapy , ineffective alternative cancer therapies. [ 8 ]