ABSTRACT
BACKGROUND/AIM: Even though polyethylene glycol-electrolyte lavage (PEG-EL)-based regimes have become the gold standard in recent years, to finish drinking 4 L of PEG-EL solution can be difficult. The quality of sennoside-based bowel-cleansing regimes used in Turkey has been known for some time. Therefore, we aimed to investigate the efficacy of both bowel-cleansing regimes. MATERIALS AND METHODS: Patients over 18 years old undergoing elective colonoscopic procedures between January and March 2011 were included in the study. The patients were divided into 2 groups; in Group 1, 91 patients were given sennoside a + b calcium 500 mg/250 mL (X-M solution, Yenisehir Laboratuari, Ankara, Turkey), and in Group 2, 94 patients were given 4 L of PEG-EL (Golytely, Boston, MA, USA). RESULTS: The mean age of the patients and the male distribution were similar in the 2 groups. Both inadequate bowel cleansing and the best cleansed bowels were seen in Group 1. The number of inadequate colonoscopies declined when using a whole bowel-cleansing regime from 24.5% to 19.3% in Group 2, but it did not decline in Group 1. CONCLUSION: The best bowel cleansing can be achieved with sennoside-based regimes, whereas a greater proportion of adequate results via colonoscopy were reached with the PEG-EL-based regimes.
Subject(s)
Colonic Diseases/diagnosis , Colonoscopy , Electrolytes/therapeutic use , Polyethylene Glycols/therapeutic use , Senna Extract/therapeutic use , Therapeutic Irrigation/methods , Adult , Cathartics/therapeutic use , Colonoscopy/methods , Colonoscopy/standards , Female , Humans , Male , Pharmaceutical Solutions/therapeutic use , Reproducibility of Results , Sennosides , Treatment OutcomeSubject(s)
Ananas , Beverages , Bezoars/prevention & control , Phytotherapy , Stomach , Aged , Bezoars/diet therapy , Bezoars/etiology , Drinking , Female , Gastrectomy/adverse effects , Humans , Male , Middle AgedSubject(s)
Chemical and Drug Induced Liver Injury/etiology , Complementary Therapies , Fish Oils/adverse effects , Liver/chemistry , Sharks/metabolism , Acute Disease , Adult , Animals , Biomarkers/blood , Chemical and Drug Induced Liver Injury/blood , Chemical and Drug Induced Liver Injury/diagnosis , Female , Fish Oils/isolation & purification , Humans , Liver Function Tests , Predictive Value of Tests , Severity of Illness IndexSubject(s)
Ananas , Diabetes Mellitus, Type 2/diet therapy , Digestion/drug effects , Plant Extracts/therapeutic use , Stomach/drug effects , Beverages , Bezoars/diet therapy , Bezoars/prevention & control , Diabetes Mellitus, Type 2/complications , Diabetes Mellitus, Type 2/physiopathology , Digestion/physiology , Digestive System Diseases/diet therapy , Digestive System Diseases/etiology , Drinking/physiology , Endoscopy, Gastrointestinal , Female , Food , Humans , Middle Aged , Plant Extracts/pharmacology , Stomach/physiologyABSTRACT
Hirschsprung disease (HD) is characterized by aganglionosis, which mainly occurs in the rectum and distal sigmoid colon. Typical HD is seldom diagnosed in adulthood, and segmental involvement is very rare. A 37-year-old man suffered from refractory constipation for 20 years. He could only defecate once a week and frequently needed an enema for defecation. A barium enema showed an annular stenotic segment of the rectosigmoid colon of 8 cm in length, which started 10 cm above anal circulation and showed dilated colon above the stenotic segment. The distal rectum was normal. The narrowed segment of the rectum was resected. At one-year follow up, the patient had normal defecation without laxatives.