DOI: http://dx.doi.org/10.18203/2349-2902.isj20184624

Comparison of surgical outcome of patients in whom bowel is prepared with intravenous fluid replacement with those who are not given intravenous fluid replacement

Bhushankumar A. Thakur, S. Bhalerao, Parnika Ravindra Shinde

Abstract


Background: Adequate cleansing is essential for reliable diagnostic and surgical colon procedures. Accuracy and safety depend on good preparation. Patient compliance is enhanced by simplicity and well-tolerated method. About mechanical bowel preparation with PEG and Nap, it is noted that PEG is more effective and better tolerated than the diet combined with cathartic regimens that were used before 1980. PEG also is safer and more effective than high-volume balanced electrolyte solutions. The aim of this prospective study is to assess whether perioperative outcome is affected by administrating a calculated amount of intravenous fluid during bowel preparation as compared to subjects who do not get I V fluids during bowel preparation.

Methods: This is randomized prospective case control study, carried out government general hospital and teaching tertiary care institute located in Mumbai. Total 86 patients were included in this and randomly allocated to case or control group after applying inclusion and exclusion criteria.

Results: More and more studies then compared the quality of preparation of bowel during colonoscopy with PEG and NaP and superiority of one over other was discovered. Also, this led to development of low dose 2 lit regimen of PEG and flavoring agents. Studies then were more inquisitive regarding the side effect of bowel preparation in regard to healing of anastomosis, chances of leak and effects of dehydration postoperatively. Present study is for same purpose

Conclusions: In present study it is observed that there is increase in I V fluid requirement in the patients in whom mechanical bowel preparation is given without I V fluid rehydration and the post-operative outcome in view of returning of bowel activity was unaltered.


Keywords


Bowel preparation, Polyethylene glycol, Colonoscopy

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