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Sicherheitsaspekte der Darmreinigung vor Koloskopien und chirurgischen Eingriffen am Dickdarm

Safety aspects of colonic cleansing prior to colonoscopies and surgical interventions of the colon

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coloproctology Aims and scope

Zusammenfassung

Mit der 1980 eingeführten Darmreinigungslösung auf Polyäthylen-Basis (Golytely) wurde ein Konzept etabliert, das physiologische Mechanismen des intestinalen Elektrolyt- und Wassertransfers in der Weise berücksichtigt, daß diese Form der Darmreinigung in keiner Weise die systemische Homöostase von Elektrolyten und Wasser beeinflußt. Versuche, durch Modifikation der Elektrolytzusammensetzung (Einsatz von Phosphaten) oder durch Reduktion der Trinkmenge eine Verbesserung der Einahme und damit der Compliance des Patienten zu erreichen, können bei Risikopatienten zu ernsthaften Komplikationen führen.

Abstract

The introduction of polyethylene glycol 3350-based electrolyte solution (Golytely) in 1980 for cleansing of the colonic lumen prior to endoscopy or surgery was an improvement because this solution does not influence systemic electrolyte and water homeostasis. Trials to modify the elctrolyte composition (for example phosphate) or to reduce the intake of water in order to improve the compliance of the patient are a potential risk for serious complications.

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Authors and Affiliations

  1. I. Medizinische Klinik und Poliklinik der Universität, Langenbeckstraße 1, D-55131, Mainz

    Roland Wanitschke

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  1. Roland Wanitschke
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Correspondence to Roland Wanitschke.

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Wanitschke, R. Sicherheitsaspekte der Darmreinigung vor Koloskopien und chirurgischen Eingriffen am Dickdarm. Coloproctol 21, 178–181 (1999). https://doi.org/10.1007/BF03044499

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