References: Laxative
Kekkaku. 1995 Nov;70(11):629-34.
[Isolation of nontuberculous mycobacteria during colonoscopy]
[Article in Japanese]
Kobayashi Y, Takano T, Hirayama N, Sato N, Shimoide H.
Ohta Hospital, 4-4-14, Tokyo, Japan.
We conducted a survey on nontuberculous mycobacteria (NTM) isolated in association with colonscopy at two hospitals. NTM was isolated from the fluid-phase of colonic contents in 17.6% of the specimens obtained at hospital A and in 46.3% at hospital B. The rate of isolation from the preexamination suction fluid was 9.5% and 43.3% at hospital A and B, respectively. Tap water samples from both hospitals were examined and proved to be free from contamination with NTM. The mycobacterial species isolated at hospital A were M. chelonae subsp. abscessus, M. chelonae subsp. chelonae, M. fortuitum, and M. gordonae. M. chelonae subsp. abscessus was the only mycobacterial species isolated at hospital B. M. avium complex was not isolated at either hospital. By an additional procedure to cleans and decontaminate the endoscopes by suction with Maskin ethanol solution, the incidence of isolation of NTM from the fluid-phase of colonic contents was significantly reduced. None of the patients from whom NTM was isolated exhibited positive signs of colonic NTM infection by the endoscopic examination and non had any underlying diseases which might induce immune suppression. We suspect that most of the NTM isolates have originated from the contaminated endoscope. In conclusion, when a colonscopic examination is carried out in suspicion of NTM disease in intestine, it is essential to reassess the possibility of mycobacterial contamination of the colonscopes and implement appropriate steps for cleansing and sterilization of them.
Laxative online source: www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=8656587&dopt=Abstract constipation laxative colon cleansing
Tidsskr Nor Laegeforen. 1996 Feb 20;116(5):606-9.
[Diverticulitis of the colon. Diagnosis and treatment illustrated by a patient material]
[Article in Norwegian]
Jacobsen T, Nygaard K.
Kirurgisk avdeling, Aker sykehus, Oslo.
During the period 1985-92, 181 patients were treated at Aker Hospital for diverticulitis of the colon. 106 patients (59%) were treated conservatively, and 75 (41%) were operated on for complications. The mortality among the patients treated conservatively was 4.7%. 47 patients underwent operation in the acute stage, most often for perforation or intestinal obstruction, and the most frequent operation was the Hartmann procedure. 28 patients had an elective operation, the most common indication being a fistula from the colon. In this group the operation was usually resection with anastomosis. After acute operation, 17 patients (36%) experienced surgical complications, and the mortality was 12.8% (six patients). After elective operation the morbidity was low (2/28), and the mortality was nil. Our preferred principle for acute surgery for diverticulitis is colonic resection. This eliminates the source of contamination, and allows debridation and cleansing of the peritoneum.
Laxative online source: www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=8658452&dopt=Abstract constipation laxative colon cleansing
Br J Radiol. 1995 Dec;68(816):1364-6.
Technical note: an evaluation of the routine use of rectal air in computed tomography of the pelvis.
Walkden SB, Ward SC, Metreweli C.
Department of Radiology, Poole Hospital NHS Trust, Dorset, UK.
We have performed computed tomographic examinations of the pelvis in 50 patients, using rectally administered air to outline the rectosigmoid colon. Bowel cleansing was not performed and smooth muscle relaxants were not used. The procedure was well tolerated by all patients, and diagnostic images were obtained in all cases. There were no complications. This is a safe, low cost and easily administered form of bowel contrast. We recommend it as the technique of choice in routine pelvic computed tomography.
Laxative online source: www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=8777599&dopt=Abstract constipation laxative colon cleansing
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