We reported bowel preparation of colonoscopy and barium enema for inflammatory bowel disease in our department. In order to assess the stage and evaluate the therapeutic effect of steroid hormone or salazopyrin for ulcerative colitis, sigmoidoscopy is always performed without bowel preparation. Endoscopic activity in the proximal colon is usually possible to predict by observing the rest coated with blood. For clinical severe cases in spite of mildness in sigmoidoscopic findings, barium enema is carried out using low concentration barium containing prednisolone solution with no bowel preparation. It is considered to be possible that severity of whole large intestine and indication of operation are evaluated by these techniques. Surveillance colonoscopy is performed after bowel preparation by oral lavage solution. In cases of Crohn's disease without stricture, bowel preparation for barium enema consists of the modified Brown's methods and for total colonoscopy they are prepared by the same methods or oral lavage solution. In some cases with stricture, water enema are performed as bowel preparation. Conclusions: After their accurate diagnosis, it is considered that bowel preparation which may not be burdening for the patients, should be selected.
|出版ステータス||Published - 1996|
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