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One-day bowel preparation in children with colostomy using normal saline

Emmanuel A Ameh1, Christopher S Lukong, Philip M Mshelbwala

  • 1Division of Paediatric Surgery, Department of Surgery, Ahmadu Bello University Teaching Hospital, Zaria, Nigeria. eaameh@yahoo.co.uk

African Journal of Paediatric Surgery : AJPS
|January 18, 2012
PubMed

Insights

Normal saline is a safe and effective method for one-day bowel preparation in pediatric patients with a colostomy. This approach ensures adequate bowel cleanliness for colonic and colorectal surgeries.

Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Surgical Preparation

Background:

  • Colonic and colorectal surgeries often necessitate thorough bowel preparation.
  • Evaluating normal saline for a one-day bowel preparation regimen in pediatric patients with colostomy.

Purpose of the Study:

  • To assess the efficacy and safety of a one-day normal saline bowel preparation in children undergoing colonic and colorectal surgery.

Main Methods:

  • A prospective study involving 55 children with colostomy who underwent one-day bowel preparation over three years.
  • Data collection included clinical information recorded on a structured proforma.
  • Statistical analysis was performed using SPSS version 11.0.

Main Results:

  • The study included 33 boys and 22 girls, with a median age of 4 years.
  • Common diagnoses included Anorectal malformation and Hirschsprung's disease (44% each).
  • Intraoperative bowel luminal fluid was clear in 62% and contaminated in 38% of cases, with superficial surgical site infection in 10.9% of patients.

Conclusions:

  • One-day bowel preparation with normal saline is demonstrated to be both effective and safe for pediatric patients with colostomy.
  • This method supports successful outcomes in colonic and colorectal surgical procedures.
Abstract

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