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Article: Whole-Gut Irrigation In Infants And Young Children

TitleWhole-Gut Irrigation In Infants And Young Children
Authors
KeywordsPediatric colonoscopy
Pediatric whole-gut irrigation
Issue Date1986
PublisherSpringer New York LLC. The Journal's web site is located at http://www.discolrect.com/
Citation
Diseases Of The Colon And Rectum, 1986, v. 29 n. 4, p. 252-254 How to Cite?
AbstractIn The Search For A Superior Alternative To Conventional Bowel Preparation Which Often Gives Unsatisfactory Results In Children, We Have Introduced Whole-Gut Irrigation For Pediatric Use. After A Pilot Study On 15 Children During Which Adjustments On The Technique Were Made, We Settled On An Intensive Regimen With Some Notable Modifications From Conventional Adult Practice: The Use Of Warm Hartmann's Solution, A Relatively Large Fluid Load (Mean Volume 5.3 L/Kg Body Weight, Range 3.0 - 12.0 L/Kg) And A Rapid Infusion Rate (1.5 Ml/Kg/Min). We Then Evaluated Its Safety, Effectiveness, And Acceptability Prospectively On 45 Patients Undergoing Colonoscopy Or Colorectal Surgery, Age Ranging From 4 Months To 11 Years, With A Mean Of 3.9 Years. Subjective Complaints Were Mild And Included Nausea/Vomiting, 12 Cases (26.7 Percent); Abdominal Colic, Two (4.4 Percent); And Distending Discomfort, Three (6.7 Percent). There Was A Mean Weight Gain Of 4.0 Percent But No Gross Electrolyte Disturbances. Results Of Bowel Preparation Were Satisfactory In 33 (73.3 Percent), Adequate In Ten (22.2 Percent) And Poor In Two (4.4 Percent). Compared With Our Previous Method, In Which Inadequate Preparation Occurred In 4/20 Patients, (20 Percent) By Conventional Measures, Whole-Gut Irrigation Represents A Statistically Significant Improvement (P < 0.05). In Addition, Whole-Gut Irrigation Shortened Hospital Stay And Obviated The Traditional Need Of Two To Three Days' Dietary Restrictions.
Persistent Identifierhttp://hdl.handle.net/10722/220838
ISSN
2023 Impact Factor: 3.2
2023 SCImago Journal Rankings: 0.865
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorLee, JMHen_US
dc.contributor.authorTam, PKHen_US
dc.contributor.authorSaing, Hen_US
dc.date.accessioned2015-10-19T07:30:30Z-
dc.date.available2015-10-19T07:30:30Z-
dc.date.issued1986-
dc.identifier.citationDiseases Of The Colon And Rectum, 1986, v. 29 n. 4, p. 252-254en_US
dc.identifier.issn0012-3706-
dc.identifier.urihttp://hdl.handle.net/10722/220838-
dc.description.abstractIn The Search For A Superior Alternative To Conventional Bowel Preparation Which Often Gives Unsatisfactory Results In Children, We Have Introduced Whole-Gut Irrigation For Pediatric Use. After A Pilot Study On 15 Children During Which Adjustments On The Technique Were Made, We Settled On An Intensive Regimen With Some Notable Modifications From Conventional Adult Practice: The Use Of Warm Hartmann's Solution, A Relatively Large Fluid Load (Mean Volume 5.3 L/Kg Body Weight, Range 3.0 - 12.0 L/Kg) And A Rapid Infusion Rate (1.5 Ml/Kg/Min). We Then Evaluated Its Safety, Effectiveness, And Acceptability Prospectively On 45 Patients Undergoing Colonoscopy Or Colorectal Surgery, Age Ranging From 4 Months To 11 Years, With A Mean Of 3.9 Years. Subjective Complaints Were Mild And Included Nausea/Vomiting, 12 Cases (26.7 Percent); Abdominal Colic, Two (4.4 Percent); And Distending Discomfort, Three (6.7 Percent). There Was A Mean Weight Gain Of 4.0 Percent But No Gross Electrolyte Disturbances. Results Of Bowel Preparation Were Satisfactory In 33 (73.3 Percent), Adequate In Ten (22.2 Percent) And Poor In Two (4.4 Percent). Compared With Our Previous Method, In Which Inadequate Preparation Occurred In 4/20 Patients, (20 Percent) By Conventional Measures, Whole-Gut Irrigation Represents A Statistically Significant Improvement (P < 0.05). In Addition, Whole-Gut Irrigation Shortened Hospital Stay And Obviated The Traditional Need Of Two To Three Days' Dietary Restrictions.en_US
dc.languageengen_US
dc.publisherSpringer New York LLC. The Journal's web site is located at http://www.discolrect.com/en_US
dc.relation.ispartofDiseases Of The Colon And Rectumen_US
dc.subjectPediatric colonoscopy-
dc.subjectPediatric whole-gut irrigation-
dc.titleWhole-Gut Irrigation In Infants And Young Childrenen_US
dc.typeArticleen_US
dc.identifier.emailTam, PKH:paultam@hkucc.hku.hk-
dc.identifier.authorityTam, PKH=rp00060-
dc.description.naturelink_to_subscribed_fulltexten_US
dc.identifier.doi10.1007/BF02553030-
dc.identifier.pmid3948616-
dc.identifier.scopuseid_2-s2.0-0022620222-
dc.identifier.volume29-
dc.identifier.issue4-
dc.identifier.spage252-
dc.identifier.epage254-
dc.identifier.isiWOS:A1986A641900006-
dc.identifier.issnl0012-3706-

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