Specific issues of endoscopic aids in neurological practice
M.L. SHTEINER1, 2, YU.I. BIKTAGIROV2, E.A. KORYMASOV2, E.P. KRIVOSHCHEKOV2, M.YU. KHOROSHILOV2
1Samara City Hospital No. 4, Samara, Russia
2Samara State Medical University, Samara, Russia
Contact details:
Shteyner M.L. — MD, Associate Professor of the Department of Surgery with the course of endoscopy, physician-endoscopist
Address: 125 Michurina St., Samara, Russian Federation, 443056, tel.: +7 (846) 260-33-61, e-mail: gb4@mail.ru
The experience is analyzed of conducting 12 procedures of transanal lavage of distal colon sections in the author’s version in patients with strokes. Rectoromanoscopy was performed until the tube was inserted into the distal parts of the sigmoid colon. Then the light guide and the air blower were turned off, the protective window was disconnected. Further, the rectoscope tube was used as a conductor, through which a rubber tube was inserted to supply lavage fluid directly into the sigmoid colon. Next, a siphon enema was performed with a volume of no more than 7 liters. The advantages of this modified version of the siphon enema were visual control of the procedure, minimizing intestinal traumatization, improved conditions for the discharge of feces, sparing volumes of lavage medium, limiting the absorption of lavage fluid in the rectum. In all cases of observation, the patients tolerated the procedure quite satisfactorily. This variant of the modified siphon enema is the method of choice in neurological practice.
Key words: modified version of a siphon enema, transanal lavage of the distal colon, neurological practice.
REFERENCES
- Emel’yanov A.Yu., Flud V.V., Trofimova S.V., Bukhmiller E.M. Developmental factors and clinical outcomes of strokes in elderly and senile patients. Uspekhi gerontologii, 2008, vol. 21, no. 4, pp. 606–609 (in Russ.).
- Kumar S., Selim M.H., Caplan L.R. Medical complications after stroke. Lancet Neurol, 2010, vol. 9, pp. 105–118.
- Volik S.A., Rumyantseva S.A., Stupin V.A. et al. Influence of complications from the gastrointestinal tract on the dynamics of recovery and rehabilitation prognosis of acute stroke. Fizioterapiya, bal’neologiya i reabilitatsiya, 2013, no. 5, pp. 44–45 (in Russ.).
- Kutlubaev M.A. Infectious and inflammatory complications of cerebral stroke. Klinicheskaya meditsina, 2014, no. 10, pp. 66–72 (in Russ.).
- Li J., Yuan M., Y. Liu Y., Zhao Y. et al. Incidence of constipation in stroke patients: A systematic review and meta-analysis. Medicine (Baltimore), 2017, vol. 96 (25), p. e 7225.
- Shin J.E., Park K.S., Nam K. Chronic Functional Constipation. Korean J. Gastroenterol, 2019, vol. 73 (2), rr. 92–98.
- Camilleri M.J. Gastrointestinal motility disorders in neurologic disease. Clin. Invest, 2021, vol. 131 (4), p. e 143771.
- Coggrave M., Norton C., Cody J.D. Management of faecal incontinence and constipation in adults with central neurological diseases. Cochrane Database Syst. Rev, 2014, vol. 13 (1), CD002115.
- Du J., Liu H., Xu J. et al. Post-stroke constipation treated with acupoint embedding therapy: a multi-center randomized controlled trial. Zhongguo Zhen. Jiu, 2020, vol. 40 (5), rr. 493–497.
- Pasin N.H., Borges R.A. Visceral Mobilization and Functional Constipation in Stroke Survivors: A Randomized, Controlled, Double-Blind, Clinical Trial. Cureus, 2020, vol. 12 (5), e 8058.
- Bakumov P.A. Constipation: clinic, diagnostics, non-drug treatment. Vestnik VolGMU, 2006, vol. 18, no. 2, pp. 13–19 (in Russ.).
- Perlovskaya V.V., Stepanova N.M., Stal’makhovich V.N., Novozhilov V.A. Klizmy: prakticheskoe posobie [Enemas: a practical guide]. Irkutsk: RIO GBOU DPO IGMAPO, 2016. 52 p.
- Brevdo Yu.V., Kubyshkina I.A., Shlapakov V.A. Colorectal irrigation: success and safety. Verkhnevolzhskiy meditsinskiy zhurnal, 2018, vol. 17, no. 4, pp. 37–40 (in Russ.).
- Algoritm vypolneniya prakticheskikh navykov pri neotlozhnykh sostoyaniyakh (uchebno-metodicheskoe posobie dlya studentov starshikh kursov meditsinskikh vuzov) [Algorithm for the implementation of practical skills in emergency conditions (a teaching aid for senior students of medical universities)]. Krasnodar: FGBOU VO KubGMU MZ RF, 2021. 110 p.
- Kadrić N., Mesić D., Bazardzanović M. Anatomy of the colon, rectum and anus. Med. Arh, 2003, vol. 57 (3 Suppl. 1), rr. 29–31.
- Ye H., Huang S., Zhou Q. et al. Migration of a foreign body to the rectum: A case report and literature review. Medicine (Baltimore), 2018, vol. 97 (28), e 11512.
- Bhasin S., Williams J.G. Rectal foreign body removal: increasing incidence and cost to the NHS. Ann. R. Coll. Surg. Engl, 2021, vol. 103 (10), rr. 734–737.
- Oslopov V.N., Bogoyavlenskaya O.V., Khazova E.V. Obshchiy ukhod za bol’nymi v terapevticheskoy klinike: uchebnoe posobie [General nursing in a therapeutic clinic: a textbook]. Moscow: GEOTAR-Media, 2023. 576 p.