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Preoperative mechanical preparation of the colon: the patient's experience
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Surgical Sciences.
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2007 (English)In: BMC Surgery, ISSN 1471-2482, E-ISSN 1471-2482, Vol. 7, 5- p.Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: Preoperative mechanical bowel preparation can be questioned as standard procedure in colon surgery, based on the result from several randomised trials. METHODS: As part of a large multicenter trial, 105 patients planned for elective colon surgery for cancer, adenoma, or diverticulitis in three hospitals were asked to complete a questionnaire regarding perceived health including experience with bowel preparation. There were 39 questions, each having 3 - 10 answer alternatives, dealing with food intake, pain, discomfort, nausea/vomiting, gas distension, anxiety, tiredness, need of assistance with bowel preparation, and willingness to undergo the procedure again if necessary. RESULTS: 60 patients received mechanical bowel preparation (MBP) and 45 patients did not (No-MBP). In the MBP group 52% needed assistance with bowel preparation and 30% would consider undergoing the same preoperative procedure again. In the No-MBP group 65 % of the patients were positive to no bowel preparation. There was no significant difference between the two groups with respect to postoperative pain and nausea. On Day 4 (but not on Days 1 and 7 postoperatively) patients in the No-MBP group perceived more discomfort than patients in the MBP group, p = 0.02. Time to intake of fluid and solid food did not differ between the two groups. Bowel emptying occurred significantly earlier in the No-MBP group than in the MBP group, p = 0.03. CONCLUSION: Mechanical bowel preparation is distressing for the patient and associated with a prolonged time to first bowel emptying.

Place, publisher, year, edition, pages
2007. Vol. 7, 5- p.
Keyword [en]
Adenoma/*surgery, Aged, Colonic Neoplasms/*surgery, Defecation, Diverticulitis; Colonic/*diagnosis/*surgery, Enema, Female, Humans, Irrigation, Male, Patient Acceptance of Health Care, Patient Satisfaction, Preoperative Care, Recovery of Function, Surgical Procedures; Elective
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Medical and Health Sciences
Identifiers
URN: urn:nbn:se:uu:diva-11841DOI: 10.1186/1471-2482-7-5PubMedID: 17480223OAI: oai:DiVA.org:uu-11841DiVA: diva2:39610
Available from: 2007-10-26 Created: 2007-10-26 Last updated: 2017-12-11Bibliographically approved

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Påhlman, Lars

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