Tolerance to colonoscopy preparation with Fortrans and predictors of negative effects

Matveev, I. A.; Gibert, B. K.; Матвеев, А. И.; Kozlov, M.

doi:10.20538/1682-0363-2021-1-83-89

Bûll. sib. med.

2021

DOI: 10.20538/1682-0363-2021-1-83-89

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Tolerance to colonoscopy preparation with Fortrans and predictors of negative effects

I. A. Matveev

B. K. Gibert²,

А. И. Матвеев³

et al.

Abstract: Введение. Переносимость очищения толстой кишки фортрансом связана с рядом факторов, которые недостаточно исследованы в рамках рассматриваемой проблемы. Она определяет комплаентность пациента и в итоге качество очистки толстой кишки. Значение переносимости подготовки к колоноскопии возрастает из-за распространенности этого метода в диагностике и лечении патологии толстой кишки.Цель. Изучить переносимость фортранса при подготовке толстой кишки к колоноскопии и факторы, влияющие на ее характер.Материалы и методы.… Show more

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Cited by 3 publications

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Sodium picosulfate in the clinical practice of a surgeon

Matveev,

Lipovoy,

Kozlov

et al. 2023

Ambulatornaya khirurgiya

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Picosulfate, a diphenylmethane derivative, belongs to a group of drugs called stimulant laxatives. It is widely used in surgery to treat various colon evacuation disorders due to its effectiveness, safety of use and ease of dosage selection, as well as the option to combine with other laxatives. It is administered much more frequently for colorectal cancer screening, when the colon is prepared using sodium picosulfate combined with other osmotic laxatives, most often polyethylene glycol, which allows to use smaller volumes of solution. According to the literature, this method for cleaning the colon is used most often, which is associated with better adherence of patients to the intake of small volumes of liquid, as shown by our observations. The article highlights the literature data, and the authors also present their own experience – a clinical case report of the treatment of a 30-year-old patient diagnosed with grade I external and internal hemorrhoids. Laser ablation of internal and excision of external hemorrhoids was performed under local anesthesia. Regulax® Picosulfate was included in the therapy in the postoperative period, along with topical and pain relief drugs. As a result, the patient had a comfortable, not very painful bowel movement on the following day after the surgery. The laxative was used to manage stool for a week. In conclusion, the authors draw attention to the fact that increased patient compliance in preparing the colon for examination leads to better cleaning and more informative results during colonoscopy. Therefore, Regulax® Picosulfate combined with other laxatives to prepare a patient for examination, in particular colorectal cancer screening, where it is used most often, applies to a huge number of patients, so the problem of further study of its use is socially significant.

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Sodium picosulfate in the clinical practice of a surgeon

Matveev,

Lipovoy,

Kozlov

et al. 2023

Ambulatornaya khirurgiya

Self Cite

View full text Add to dashboard Cite

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Features of preparation for colonoscopy of patients with chronic constipation

Seliverstov

2024

Vrach

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Chronic constipation is characterized by a constant violation of the act of defecation lasting at least 3 months. According to various epidemiological studies, the problem affects a significant proportion of the world's population, while its exact prevalence is not known and depends on the geographical region, age group and diagnostic criteria used. Violation of the rhythm of defecation can cause a number of negative consequences for human health. Ensuring a regular bowel movement rhythm should be a priority in the prevention of digestive disorders, including chronic constipation. The latter can significantly reduce the quality of life, causing physical and psychological discomfort. In addition, it can be a symptom of serious diseases. The importance of diagnosis and effective treatment of chronic constipation cannot be overestimated, especially in the context of preparation for procedures such as colonoscopy, which is the gold standard for the diagnosis of many diseases of the colon. Colonoscopy plays a particularly important role in the early detection and prevention of colorectal cancer, which significantly increases the chances of successful treatment. The problem of preparing for colonoscopy in patients with chronic constipation is due not only to the high prevalence of this condition, but also to the need for a specialized approach to its implementation to ensure sufficient visualization and minimize risks.

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Problems of bowel preparation for colonoscopy (review)

Voskanyan,

Vaganov,

Galyaev

et al. 2023

Surgeon

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Inadequate bowel preparation leads to wasting work time and losing clinic and patients money. it puts patients at additional risk which is associated with repeat colonoscopy and potential complications. А critical review of the current literature has been performed to develop an individual preparation algorithms for high risk patients. The search was done in PubMed and E-library databases using the keywords: «Colonoscopy», «Colon cleaning», «Bowel», «Quality of colonoscopy», «colonoscopy», «preparation». CONCLUSION: an individualised scheme of preparation for colonoscopy looks to be promising. An additional improving result of the colonoscopy can be achieved with the patients training — information brochure, videos or text messages.

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Tolerance to colonoscopy preparation with Fortrans and predictors of negative effects

Cited by 3 publications

References 12 publications

Sodium picosulfate in the clinical practice of a surgeon

Sodium picosulfate in the clinical practice of a surgeon

Features of preparation for colonoscopy of patients with chronic constipation

Problems of bowel preparation for colonoscopy (review)

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