Abubakar K, Goggin N, Gormally S, Durnin M, Drumm B
Department of Paediatrics, University College Dublin, Our Lady's Hospital for Sick Children, Crumlin, Ireland.
Arch Dis Child. 1995 Nov;73(5):459-61. doi: 10.1136/adc.73.5.459.
Bowel preparation methods for total colonoscopy in children generally involve whole gut irrigation with electrolyte lavage solutions, which in most children will require hospitalisation for nasogastric tube administration. The aim of the study was to determine the efficacy of oral bisacodyl combined with a single phosphate enema as a bowel preparation regimen in children. In an open prospective trial, 30 children (aged 18 months-15 years) were given oral bisacodyl on each morning of the two days before colonoscopy. The children were maintained on a normal diet. A phosphate enema was administered on the morning of the procedure. The adequacy of bowel preparation was graded as grade I if no faecal material was encountered, grade II if small amounts of faecal material were present in scattered locations, and grade III if there was poor preparation with faecal material precluding satisfactory visualisation of the bowel mucosa. Eight children (26.6%) had minor abdominal cramps when taking bisacodyl, but all had a previous history of similar pain. Five children (16.6%), all under 5 years of age, cried during the administration of phosphate enema. Bowel preparation was considered excellent (grade I) in 26 (86.6%) and good (grade II) in four (13.3%). In all patients adequate visualisation of the bowel mucosa was obtained. Oral bisacodyl combined with a single phosphate enema provides an ideal method of preparing the bowel for total colonoscopy. This preparation allows colonoscopy to be carried out as a day case procedure in children while maintaining them on a normal diet.
儿童全结肠镜检查的肠道准备方法通常包括使用电解质灌洗溶液进行全肠道灌洗，大多数儿童需要住院通过鼻胃管给药。本研究的目的是确定口服比沙可啶联合单剂量磷酸盐灌肠作为儿童肠道准备方案的疗效。在一项开放性前瞻性试验中，30名儿童（年龄18个月至15岁）在结肠镜检查前两天的每天早晨口服比沙可啶。这些儿童维持正常饮食。在检查当天早晨给予磷酸盐灌肠。肠道准备的充分程度分级如下：若未发现粪便物质为I级；若在散在部位有少量粪便物质为II级；若准备不佳且粪便物质妨碍对肠黏膜的满意观察为III级。8名儿童（26.6%）服用比沙可啶时出现轻微腹痛，但均有类似疼痛的既往史。5名儿童（16.6%），均为5岁以下，在给予磷酸盐灌肠时哭闹。26名儿童（86.6%）的肠道准备被认为优秀（I级），4名儿童（13.3%）为良好（II级）。所有患者均获得了对肠黏膜的充分观察。口服比沙可啶联合单剂量磷酸盐灌肠为全结肠镜检查提供了一种理想的肠道准备方法。这种准备方法使结肠镜检查能够在儿童日间进行，同时让他们维持正常饮食。
