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Fluid regimens for colostomy irrigation: a systematic review
Lucylynn Lizarondo1, Aye Aye Gyi, Tim Schultz
1The Joanna Briggs Institute, Royal Adelaide Hospital, The University of Adelaide, School of Population Health and Clinical Practice, Adelaide, South Australia.
International Journal of Evidence-Based Healthcare
|June 3, 2011
Summary
Colostomy irrigation using polyethylene glycol electrolyte solution or glyceryl trinitrate shows better results than water. Further research is needed to confirm optimal fluid regimens for colostomy management.
Area of Science:
- Gastroenterology
- Surgical Nursing
Background:
- Colostomy irrigation is a preferred method for fecal evacuation due to improved patient outcomes.
- Various fluid regimens exist for colostomy irrigation, with ongoing research into optimal solutions.
Purpose of the Study:
- To review existing evidence on the most effective fluid regimen for colostomy irrigation.
Main Methods:
- Systematic search of multiple databases (CINAHL, PubMed, MEDLINE, etc.) for randomized controlled trials and before-and-after studies.
- Inclusion criteria focused on studies investigating any fluid regimen for colostomy irrigation.
- Outcomes included irrigation time, patient comfort, and quality of life.
Main Results:
- Two cross-over trials were identified, comparing water with other fluid regimens.
- Polyethylene glycol electrolyte solution and glyceryl trinitrate demonstrated significantly better outcomes than water.
- Results were not pooled due to variations in irrigating solutions.
Conclusions:
- Evidence suggests that fluid regimens beyond water, such as polyethylene glycol electrolyte solution and glyceryl trinitrate, may be more effective for colostomy irrigation.
- More high-quality clinical trials are necessary to establish definitive evidence for enhanced colonic irrigation solutions.
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