DIAGNOSTIC STUDIES
All
patients with suspected colonic or rectal disorders
should
have
a complete history of their bowel complaints and
physical
examination including
pelvic anal rectal examination
with the
finger and visualisation with a
proctascope.
Stool
examination for occult blood
is essential in
suspected
cases of carcinoma.
In
chronic diarrhea cases, blood level of
gastic vasoactive
intestinal peptides
(VIF) and other enterohormones
may be of
diagnostic help.
BARIUM ENEMA
The
small lesions may escape
detection. A dialogue
with the
radiologist will help him define his
use of the correct modality
(double contrast) and focus on the
site of the lesion.
ENDOSCOPY
The use of this instrument for
diagnosis and treatment has become
routine in most equiped medical centres. It requires a
trained
endososcopist to
retrieve diagnostic data.
It enables a
visualisation of the entire colon from
anus to cecum. the bowel
needs
to be cleaned
by enema and
bowel irrigation with
commercially available polyethyle
glycal (PEG).
PRE-OPERATIVE PREPARATION
The
fecal bacterial content has a high colony count nearly
one
third
of the dry weight of feacus is
because of bacteria thus
cleaning using
PEG has become a safe and
effective to ensure
success in preparing the bowel for
surgery.
ORAL
Oral use of neomysin, erythromycin or
metronidazole are the most
commonly used
drugs for limiting post-operative infection
in
colonic surgery these agents are administered at 1
pm, 2 pm and
11 pm on the day prior to surgery.
Any questions be sent to drmmkapur@gmail.com
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