References: Laxative
J Neurosci Nurs. 1994 Oct;26(5):265-9.
Ventriculoperitoneal shunt dysfunction and constipation: a chart review.
Bragg CL, Edwards-Beckett J, Eckle N, Principe K, Terry D.
Children's Hospital, Columbus, Ohio 43205.
Children treated for hydrocephalus frequently experience chronic constipation. A retrospective chart review was conducted to determine if there is a population of children with ventriculoperitoneal (VP) shunt dysfunction in whom constipation might be a factor in the shunt dysfunction. Of 51 cases reviewed, 19 had documented constipation, such as no bowel movement for 2 or more days, small hard ball-like stools or fullness of the colon noted on physical examination or abdominal radiographs. In 6 cases, a bowel cleansing was performed and signs and symptoms of shunt dysfunction resolved without shunt revision. This review suggests that constipation may affect the fluid or pressure dynamics of the VP shunt and contribute to shunt dysfunction.
Laxative online source: www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=7829916&dopt=Abstract constipation laxative colon cleansing
Rev Gastroenterol Peru. 1994 May-Aug;14(2):115-22.
[Colonoscopic diagnosis]
[Article in Spanish]
Celestino A, Castillo T, Contardo C, Frisancho O, Osorio M, Huaroto M, Vidal P, Ruiz E, Gomez A, Mantilla L, et al.
Servicio de Gastroenterologia del Hospital Nacional Edgardo Rebagliati Martins IPSS, Facultad de Medicina de la Universidad Mayor de San Marcos, Lima-Peru.
Between 1974 and 1992, we perform 3,054 colonoscopies for diagnosis in 2,770 patients, both of sexes, between the ages of 1 and 101 yr, most of them over the fifth decade of life. In 300 procedures the bowel cleansing was made with the standard method of liquid diet and enemas, and in the other 2,754 with the oral administration of saline solution 9% with optimal results. We get the sedation of patients with the intravenous administration of diazepam 10mg, or pethidine 50 mg, or midazolam 2.5 to 5 mg, and in children with ketamine and the anesthesiologist assistance. In 95% of the procedures we can see the cecum and the ileum; the diagnosis was abnormal in 52.78% of cases, normal in 45.20%, and insufficient in 02.02% specially for a bad cleansing of the bowel. In the abnormal group, the most frequent diseases we diagnose were: polyps, cancer, diverticular disease, and specific inflammatory disease of the bowel like TBC, radiation proctosigmoiditis, amebiasis, and non-specific bowel disease: "colitis", ulcerative proctocolitis, erosive colitis, and Crohn's disease. Colonoscopy is a very important method for diagnosis of colon diseases, alone or complementary of double contrast X-ray of the colon.
Laxative online source: www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=7948939&dopt=Abstract constipation laxative colon cleansing
Minerva Chir. 1993 Dec;48(23-24):1411-4.
[The Knight-Griffen technique in colorectal surgery]
[Article in Italian]
Celoria G, Falco E, Nardini A, Stefani R, Gadducci G, Di Alesio L.
II Divisione di Chirurgia Generale, Ospedale Civile Sant'Andrea, La Spezia.
The use of stapling devices has changed the practice of colorectal surgery. The authors report their experience with the "double stapling" technique introduced by Knight and Griffen in 1980 for the performance of low colorectal anastomosis. They treated 42 patients, with a mean age of 63.2 years. In 34 surgery was performed for rectal adenocarcinoma, while 8 patients were being reoperated on for closure of a colostomy after Hartmann's operation. In one patient a diverting colostomy was fashioned because of poor bowel cleansing, secondary to a stenosing rectal carcinoma. Mortality was nil. There were no clinical anastomotic leaks. There were 2 cases of late postoperative anastomotic stenosis that responded to endoscopic pneumatic dilatation.
Laxative online source: www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=8177444&dopt=Abstract constipation laxative colon cleansing
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