Whole gut irrigation: a new treatment for constipation.

Smith, R G; Currie, JL; Walls, Angela

doi:10.1136/bmj.2.6134.396-a

Cited by 17 publications

(4 citation statements)

References 3 publications

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“…Continence returned once the rectum was cleared by repeated enemas; five or six were sometimes needed. A faster method of clearing the bowel has been described (5).…”

Section: The Incontinence Clinic—findingsmentioning

confidence: 99%

Experience with an Incontinence Clinic*

Overstall

Rounce

Palmer

1980

J American Geriatrics Society

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In an "incontinence clinic," a study of 309 elderly patients showed the most common causes of incontinence to be: unstable bladder (57 percent), outflow obstruction (13 percent), and atonic bladder (7 percent). Pure stress incontinence was rare (2 percent). One third of the patients improved, one third had to be catheterized, and one third did not improve. An individually designed program of bladder retraining for the patient, coupled with support and instruction for the relatives and for the professional care providers, offered the best chance of success.

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“…Continence returned once the rectum was cleared by repeated enemas; five or six were sometimes needed. A faster method of clearing the bowel has been described (5).…”

Section: The Incontinence Clinic—findingsmentioning

confidence: 99%

Experience with an Incontinence Clinic*

Overstall

Rounce

Palmer

1980

J American Geriatrics Society

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“…Polyethylene glycol (PEG) solution has been used favourably in high daily doses for acute treatment of faecal impaction1 2 and severe constipation 34Low daily doses of PEG solution are also effective for the treatment of chronic constipation.…”

mentioning

confidence: 99%

Long term efficacy, safety, and tolerabilitity of low daily doses of isosmotic polyethylene glycol electrolyte balanced solution (PMF-100) in the treatment of functional chronic constipation

Corazziari

Badiali²,

Bazzocchi³

et al. 2000

Gut

173

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Aims-To assess the long term therapeutic eVectiveness, safety, and tolerability of low daily doses of isosmotic PEG electrolyte solutions (PMF-100) administered for a six month period for the treatment of functional constipation, in a double blind, placebo controlled, parallel group study. Methods-After an initial four week run in period with PMF-100 (250 ml twice daily; PEG 14.6 g twice daily), 70 patients suVering from chronic constipation (58 females, aged 42 (15) years) with normalised bowel frequency (>3 bowel movements (bm)/ week) were randomly allocated to receive either PMF-100 or placebo, contained in sachets (one sachet in 250 ml of water twice daily) for 20 weeks. Patients were assessed at four week intervals, and reported frequency and modality of evacuation, laxative use, and relevant symptoms on a diary card. At weeks 1, 12, and 24, a physical examination and laboratory tests were performed. Low daily doses of PEG solution are also eVective for the treatment of chronic constipation. The therapeutic eVectiveness of PEG solutions has been assessed for only a few days 5 6 and, more recently, over a two month period in chronic non-organic constipation. 7 In the latter study, PEG solution at a mean daily dose of 440 ml (PEG 25.7 g) was eVective in increasing bowel frequency and accelerating colorectal transit time. It also improved diYcult defecation. The treatment appeared to be eVective for the period of administration and was devoid of significant side eVects. It is not known, however, if prolonged administration of PEG solution at a low daily dose is eVective, safe, and well tolerated for the long term treatment of chronic constipation. Results-CompleteThe aims of this multicentre, double blind, placebo controlled, parallel group study were to assess the therapeutic eVectiveness, safety, and tolerability of low daily doses of isosmotic PEG solutions for the long term treatment of chronic non-organic constipation. Materials and methods PATIENTSPatients seeking medical advice for chronic constipation were investigated over a 24 month period in the outpatient clinics of the participating centres.Inclusion criteria were patients aged 18-75 years and presenting with chronic constipation, defined in accordance with the Rome diagnostic criteria (less than two bowel movements (bm) a week for at least 12 months or the presence of two or more of the following complaints when laxatives and/or enemas were not Abbreviations used in this paper: PEG, polyethylene glycol; bm, bowel movements.

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“…Pulse imgation (Puet et al, 1991) Whole-gut irrigation (Alessi & Henderson, 1988;Smith et al, 1978;Wren, 1989) Nonresearch Stool softeners (Cefalu et al, 1981) Oral mineral oil (Cefalu et al, 1981;Klein, 1982) Oral olive oil (Cefalu et al, 1981) Suppository (Cefalu et al, 1981;Wren, 1989; Wright & Staats, Manual removal (Alessi & Henderson, 1988;Cefalu et al, 1981; Tap water enema (Klein, 1982;Wright & Staats, 1986) Saline enema (Cid et al, 1981) Oil enema (Cid et al, 1981;Wright & Staats, 1986) Hypertonic phosphate enema (Cefalu et al, 1981) Dioctyl sodium sulfosuccinate enema (Cid et al, 1981) Break up mass with sigmoidoscope or colonscope (Alessi & 1986) Klein, 1982;Wren, 1989;Wright & Staats, 1986) Henderson, 1988; Cid et al, 1981) Fecal Impaction: A Review Implications Nurses, physicians, families, and individuals must work as a team to prevent fecal impaction and its complications. There is a need for better education of caregivers, and measures to prevent impaction should be a part of every protocol for those known to experience fecal impaction.…”

Section: Table 1 Summary Of Interventions With Sources Researchmentioning

confidence: 99%

Fecal Impaction: A Review

Creason

Sparks²

2000

International Journal of Nursing Terminologies and Classificati

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TOPIC. Fecal impaction, a review of the literature. PURPOSE. To review the definition, diagnosis, causes, signs and symptoms, and treatment of fecal impaction. SOURCES. Published literature. CONCLUSIONS. While a great deal has been published on fecal impaction, there is limited research. Clarification of when constipation changes to impaction is ambiguous. Causes of fecal impaction are multiple, and people can be afected at all ages. Signs and symptoms of and problems associated with fecal impaction are varied. Research-based treatment of fecal impaction is very limited, and nonresearch based treatment varies. There is a need for additional research to clarify terminology, diagnosis, and interventions.

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Whole gut irrigation: a new treatment for constipation.

Abstract: SHORT REPORTS Assessment of severity of paraquat poisoning Gramoxone (20%/ paraquat) causes death in 700' of patients who take it by mouth. In contrast, Weedol (3%/' paraquat) causes death in

Cited by 17 publications

References 3 publications

Experience with an Incontinence Clinic*

Experience with an Incontinence Clinic*

Long term efficacy, safety, and tolerabilitity of low daily doses of isosmotic polyethylene glycol electrolyte balanced solution (PMF-100) in the treatment of functional chronic constipation

Fecal Impaction: A Review

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