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계획 대장절제술에서 수술 전 대장 전 처치 방법의 효과에 대한 전향적 비교 연구

Mechanical Bowel Preparation for Elective Colorectal Surgery: A Prospective Randomized Study Comparing Two Liters and Four Liters of Polyethylene Glycol-Based Oral Lavage Solutions

대한대장항문학회지 2000년 16권 6호 p.383 ~ 387
조신일 ( Jo Shin-Il ) - 연세대학교 의과대학 외과학교실

윤성현 ( Yun Seong-Hyeun ) - 연세대학교 의과대학 외과학교실
박재균 ( Park Jea-Kun ) - 연세대학교 의과대학 외과학교실
김남규 ( Kim Nam-Kyu ) - 연세대학교 의과대학 외과학교실
손승국 ( Sohn Seung-Kook ) - 연세대학교 의과대학 외과학교실
민진식 ( Min Jin-Sik ) - 연세대학교 의과대학 외과학교실

Abstract


Purpose: This study was undertaken to determine whether a mechanical bowel preparation with 2 liters polyethylene glycol solution combined with a Bisacodyl 20 mg (Group II) increases the acceptability of bowel preparation and reduces discomfort compared with 4 liters of polyethylene glycol solution (Group I).

Methods: We conducted a prospective randomized single-blinded study. Eighty patients undergoing an elective colorectal surgery in Severance hospital from April 1999 to September 1999 were included in this study. The patients’ tolerance, cleansing ability and surgeon’s satisfaction were assessed by a structured questionnaire. Postoperative complications were also evaluated.

Results: The patients’ tolerance of the group II (2 liters polyethylene glycol solution combined with a Bisacodyl 20 mg) was better than that of the groups I (4 liters of polyethylene glycol solution). The cleaning ability and surgeon’s satisfaction were not different between two groups (p=0.225, p=0.322). The incidence of postoperative complications was 2.3 percent in Group I and 2.7 percent in Group II.

Conclusion: The mechanical bowel preparation with two liters of polyethylene glycol solution with a Bisacodyl 20 mg was more comfortable to patients and equally efficient compared with the mechanical bowel preparation with the 4 liters of polyethylene glycol solution regimen before elective colorectal surgery.

키워드

기계적 장세척;대장­직장 절제술
Mechanical bowel preparation;Colorectal surgery
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