ISSN 2398-2950      

Enema

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Introduction

  • Introduction of fluid into rectum and colon distends the bowel and stimulates normal expulsive reflexes.

Uses

  • Evacuation of feces for:
    • Treatment of constipation Constipation.
    • Management of some poisonings, ie binding of toxin in bowel lumen and removal from body.
    • Treatment of hepatic encephalopathy Hepatic encephalopathy, ie removal of toxins from large bowel to prevent absorption and binding of ammonia in gut.
  • Preparation for:
    • Surgical procedures.
    • Colonoscopy Colonoscopy.
    • Radiographic studies, eg intravenous urethrography Radiography: intravenous urography.
    • Drug administration.
    • Administration of radiographic contrast agents.
    • Nutrient administration.
  • As part of lower gastrointestinal contrast study Radiography: large intestine contrast.

Advantages

  • Simple.
  • Equipment readily available in practice.
  • Rapid procedure.
  • Non-invasive.
  • Effective if performed well.

Disadvantages

  • Very messy.
  • If poorly done can be worse than not performing at all.

Requirements

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Preparation

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Procedure

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Aftercare

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Outcomes

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Further Reading

Publications

Refereed papers

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