Modern and promising ways of bowel preparation for instrumental research
https://doi.org/10.21518/1995-1477-2021-18-1-91-102
Abstract
A review is presented to summarize data on intestinal preparation approaches and methods for research. The historical background and main stages in the development of the intestinal lavage method are highlighted, and traditional and modern methods of evaluating its effectiveness are characterized. Dietary recommendations and information about the basic drugs used nowadays in preparation of the intestine for instrumental research are adduced. Clinical aspects of different types of osmotic action of drugs are considered. The composition of laxatives for salt and electrolyte components in terms of potential benefit and risk in patients is analyzed. The main positions of the current recommendations of domestic, European and American expert communities concerning the discussed topic are taken into account. Demonstrated “no less efficacy” of sulfate solution compared with macrogol in adult patients. Clinical case is presented: patient A., 22 years old, admitted to the clinic with complaints of recurrent pain in the left abdomen, frequent stools, sometimes with blood, loss of hair, flaky spots on the skin of the upper extremities. The patient was prepared for the examination – colon cleansing with a sulfate drug, endoscopic examination of the colon - colonoscopy was performed. Diagnosis: nonspecific ulcerative colitis. The treatment scheme is presented, clinical remission of the disease is achieved.
About the Authors
E. V. Kanner
Central Research Institute of Epidemiology of Rospotrebnadzor
Russian Federation
Russian Federation
Ekaterina V. Kanner, Cand. Sci. (Med.), Senior Researcher of the Clinical Department of Infectious Pathology
3а, Novogireevskaya St., Moscow, 111123
M. L. Maximov
Kazan State Medical Academy;
Pirogov Russian National Research Medical University
Russian Federation
Russian Federation
Maxim L. Maximov, Dr. Sci. (Med.), Chief Freelance Specialist Clinical Pharmacologist of the Ministry of health of the Republic of Tatarstan, head of the Department of Clinical Pharmacology and Pharmacotherapy
36, Butlerov St., Kazan, 420012;
Professor of the Department of Pharmacology, Paediatric Faculty
1, Ostrovityanov St., Moscow, 117997
A. S. Ermolaeva
Sechenov First Moscow State Medical university (Sechenov university)
Russian Federation
Russian Federation
Anna S. Ermolaeva, Cand. Sci. (Med.), Associate Professor of the Department of Clinical Pharmacology and Propaedeutics of Internal Diseases
8, Bldg. 2, Trubetskaya St., Moscow, 119991
I. D. Kanner
Lomonosov Moscow State University
Russian Federation
Russian Federation
Ilya D. Kanner, a third-year student
1, Leninskie Gory, Moscow, 119991
N. M. Lapkin
Yaroslavl State Medical University
Russian Federation
Russian Federation
Nikita M. Lapkin, a fifth-year student
5, Revolutsionnaya St., Yaroslavl, 150000
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For citations:
Kanner E.V., Maximov M.L., Ermolaeva A.S., Kanner I.D., Lapkin N.M. Modern and promising ways of bowel preparation for instrumental research. Ambulatornaya khirurgiya = Ambulatory Surgery (Russia). 2021;18(1):91-102. (In Russ.) https://doi.org/10.21518/1995-1477-2021-18-1-91-102
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