This is an automatically translated article.
The article is professionally consulted by Master, Doctor Nguyen Thai Binh - Gastroenterologist - Department of General Surgery - Vinmec Ha Long International General Hospital. The doctor has more than 20 years of experience working in the specialty of abdominal surgery.Endoscopy or gastrointestinal ultrasound are both methods of surveying the internal organs of the digestive tract such as the colon and stomach, so gastric enema or colon enema is very necessary to remove these diseases. Obstacles (food, feces,...) are favorable for the observer's observation.
1. What is a colon enema?
Colon enema is a procedure that puts water into the colon through the anus to soften hard stools as well as help the intestinal wall expand, then the intestinal wall will contract and push the stool out to help clean the colon. colon to be investigated. Enema of the colon will usually be indicated in the following cases:Patients with long-term constipation Preparation before abdominal surgery, especially colon surgery Preparation before taking a colonoscopy with pump Contrast or in prepared laparoscopy Before gastrointestinal endoscopy such as laparoscopy, rectal examination, colonoscopy Women before giving birth Anti-constipation for patients Besides, this procedure is contraindicated in other patients. The following cases:
Appendicitis Inflammation of the intestine with risk of intestinal perforation (typhoid, necrotizing enterocolitis) Intestinal volvulus.
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2. How to perform colon enema?
The implementation of enema to clean the colon will be done in the operating room with full tools and following these steps:Lining a plastic sheet under the patient's buttocks The patient's position is placed on the left side, the lower leg is stretched, the leg is stretched. above co Insert the cannula or catheter into the rubber tube of the enemas, clamp the tube again Pour water into the injector and hang it on the post 60-80 cm from the bed Lubricate the cannula or catheter oil Open the candy and let the water flow into the fruit tray perch to expel air and cold water in the tube and check the ventilation of the rubber hose, cannula or catheter. Clamp the tube, check the temperature of the enemas by running a few drops on the back of the hand, adjust the temperature to the appropriate temperature Remove the cloth to expose the patient's buttocks, one hand slit the buttock to expose the anus, the other light hand Gently insert the catheter or catheter into the anus until 2/3 of the cannula is reached or the tube is 12-15 cm deep, then stop While inserting the tube, allow the patient to breathe evenly, at first point the cannula in the direction of the anus. about 2-3 cm and then towards the spine Open the clamp to let the water flow slowly, hold the cannula or catheter in one hand to prevent the cannula or catheter from being ejected After the clear water has drained almost completely, clamp Close the tube, gently pull out the cannula or catheter, wrap the cannula with toilet paper and put it in the bean tray or wipe it and put it in the container of antiseptic solution Next, have the patient lie on his back, try to restrain himself to prevent infection. keep water in the intestines for 10-15 minutes Finally help the patient defecate and observe the waste after defecation: properties of stool, mucus, blood Handle clean up according to the correct procedure n.
3. What should be monitored during and after the enema?
After enema, the patient should record the amount of enema solution, evaluate the results of enema as well as stool characteristics. In addition, during enema, attention should be paid to:When water enters the colon, if the patient complains of abdominal pain or wants to defecate, they must immediately stop allowing water to flow in. abnormal changes during and after the enema (abdominal pain). If you notice any unusual problems, you should visit and consult with a specialist.
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