小児の大腸内視鏡検査のための前処置法の検討

DOI 被引用文献1件

書誌事項

タイトル別名
  • Evaluation of the bowel preparation regimens for pediatric colonoscopy.

この論文をさがす

抄録

During the last five and a half years, total colonoscopy and/or endoscopic polypectomy was carried out to 90 children in our clinic. The bowel preparations employed were as follows; (1) For children under one year of age, enema using 60ml of glycerin or 200-400ml of saline was repeated three or four times before the examination, without dietry control or oral administration of laxative. (2) For children aged 1-6, low residue diet and lactulose was given on the previous day of colonoscopy, supplemented by enema repeated several times two or three hours before the examination, using saline or glycerin. (3) For children aged 7-10, low residue diet, 100-200ml magnesium citrate and 24mg contact laxative (sennoside) were given on the previous day of colonoscopy. (4) For children aged 11-14, the same preparation as in adults (so called Brown's regimen) was employed. By means of the protocols listed above, cleansing of the bowel was satisfactory for colonoscopic observation, insertion and manipulation in children under one year, and above seven years of age. While, in some of the children aged 1-6 satisfactory cleansing could not be obtained ; poor preparation of the rectosigmoid in 22%, of the middle colon in 9%, and of the right colon in 12% of cases. Children, especially aged 1-6, cannot understand the importance of the examination, and do not follow the strict dietry control or administration of laxative, resulting in unsatsfactory bowel preparation. Further effective regi-men should be used in younger children.

収録刊行物

被引用文献 (1)*注記

もっと見る

詳細情報 詳細情報について

問題の指摘

ページトップへ