Specific issues of endoscopic aids in neurological practice

Abstract

The experience is analyzed of conducting 12 procedures of transanal lavage of distal colon sections in the author’s version in patients with strokes. Rectoromanoscopy was performed until the tube was inserted into the distal parts of the sigmoid colon. Then the light guide and the air blower were turned off, the protective window was disconnected. Further, the rectoscope tube was used as a conductor, through which a rubber tube was inserted to supply lavage fluid directly into the sigmoid colon. Next, a siphon enema was performed with a volume of no more than 7 liters. The advantages of this modified version of the siphon enema were visual control of the procedure, minimizing intestinal traumatization, improved conditions for the discharge of feces, sparing volumes of lavage medium, limiting the absorption of lavage fluid in the rectum. In all cases of observation, the patients tolerated the procedure quite satisfactorily. This variant of the modified siphon enema is the method of choice in neurological practice.