I. A. Matveev, S. V. Lipovoy, M. P. Kozlov, N. N. Povarnin
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The article highlights the literature data, and the authors also present their own experience – a clinical case report of the treatment of a 30-year-old patient diagnosed with grade I external and internal hemorrhoids. Laser ablation of internal and excision of external hemorrhoids was performed under local anesthesia. Regulax® Picosulfate was included in the therapy in the postoperative period, along with topical and pain relief drugs. As a result, the patient had a comfortable, not very painful bowel movement on the following day after the surgery. The laxative was used to manage stool for a week. In conclusion, the authors draw attention to the fact that increased patient compliance in preparing the colon for examination leads to better cleaning and more informative results during colonoscopy. Therefore, Regulax® Picosulfate combined with other laxatives to prepare a patient for examination, in particular colorectal cancer screening, where it is used most often, applies to a huge number of patients, so the problem of further study of its use is socially significant.","PeriodicalId":398195,"journal":{"name":"Ambulatornaya khirurgiya = Ambulatory Surgery (Russia)","volume":"100 1","pages":""},"PeriodicalIF":0.0000,"publicationDate":"2023-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Sodium picosulfate in the clinical practice of a surgeon\",\"authors\":\"I. A. Matveev, S. V. Lipovoy, M. P. Kozlov, N. N. Povarnin\",\"doi\":\"10.21518/akh2023-016\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Picosulfate, a diphenylmethane derivative, belongs to a group of drugs called stimulant laxatives. 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Regulax® Picosulfate was included in the therapy in the postoperative period, along with topical and pain relief drugs. As a result, the patient had a comfortable, not very painful bowel movement on the following day after the surgery. The laxative was used to manage stool for a week. In conclusion, the authors draw attention to the fact that increased patient compliance in preparing the colon for examination leads to better cleaning and more informative results during colonoscopy. 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引用次数: 0
摘要
硫酸吡考是一种二苯基甲烷衍生物,属于刺激性泻药。由于其疗效好、使用安全、剂量选择方便,还可与其他泻药联合使用,因此被广泛用于外科手术,治疗各种结肠排空障碍。在结肠直肠癌筛查中,皮下硫酸钠与其他渗透性泻药(最常见的是聚乙二醇)混合使用,可以使用较少的溶液量,因此结肠癌筛查中使用皮下硫酸钠的频率更高。根据文献记载,这种方法最常用于清洗结肠,这与患者更好地坚持摄入少量液体有关,我们的观察结果也证明了这一点。文章重点介绍了文献数据,作者还介绍了自己的经验--治疗一名被诊断为 I 级外痔和内痔的 30 岁患者的临床病例报告。在局部麻醉下进行了内痔激光消融和外痔切除术。术后治疗中使用了 Regulax® Picosulfate,同时还使用了外用药和止痛药。因此,患者在术后第二天就能舒适地排便,没有太大痛苦。患者在一周内一直使用泻药控制大便。总之,作者提请人们注意,在结肠镜检查前准备结肠时,如果患者能更好地遵从医嘱,结肠镜检查的清洁效果就会更好,检查结果也更有参考价值。因此,将 Regulax® Picosulfate 与其他泻药结合使用,让患者做好检查前的准备,尤其是结肠直肠癌筛查,这种泻药最常用于结肠直肠癌筛查,适用于大量患者,因此进一步研究其使用问题具有重要的社会意义。
Sodium picosulfate in the clinical practice of a surgeon
Picosulfate, a diphenylmethane derivative, belongs to a group of drugs called stimulant laxatives. It is widely used in surgery to treat various colon evacuation disorders due to its effectiveness, safety of use and ease of dosage selection, as well as the option to combine with other laxatives. It is administered much more frequently for colorectal cancer screening, when the colon is prepared using sodium picosulfate combined with other osmotic laxatives, most often polyethylene glycol, which allows to use smaller volumes of solution. According to the literature, this method for cleaning the colon is used most often, which is associated with better adherence of patients to the intake of small volumes of liquid, as shown by our observations. The article highlights the literature data, and the authors also present their own experience – a clinical case report of the treatment of a 30-year-old patient diagnosed with grade I external and internal hemorrhoids. Laser ablation of internal and excision of external hemorrhoids was performed under local anesthesia. Regulax® Picosulfate was included in the therapy in the postoperative period, along with topical and pain relief drugs. As a result, the patient had a comfortable, not very painful bowel movement on the following day after the surgery. The laxative was used to manage stool for a week. In conclusion, the authors draw attention to the fact that increased patient compliance in preparing the colon for examination leads to better cleaning and more informative results during colonoscopy. Therefore, Regulax® Picosulfate combined with other laxatives to prepare a patient for examination, in particular colorectal cancer screening, where it is used most often, applies to a huge number of patients, so the problem of further study of its use is socially significant.