Potentially Explosive Colonic Gas Is Not Eliminated by Successful Mechanical Bowel Preparation
作者:
H. Takada,
K. Hioki,
N.S. Ambrose,
J. Alexander-Williams,
M.R.B. Keighley,
期刊:
Digestive Surgery
(Karger Available online 1993)
卷期:
Volume 10,
issue 1
页码: 20-23
ISSN:0253-4886
年代: 1993
DOI:10.1159/000172133
出版商: S. Karger AG
关键词: Colonic gas;Explosive hazard;Bowel preparation
数据来源: Karger
摘要:
The influence of Picolax bowel preparation on the risk of explosive colonic gas was studied in 35 patients. The mean concentration of explosive hydrogen was 1% (0-8%) and methane was 3% (0-17.3%). Three samples contained > 4% potentially combustible hydrogen concentrations whilst 13 samples showed potentially combustible methane levels ( > 5%). Fifteen of 35 patients (43%) had potentially or actually explosive gas mixtures: 12 of 19 (63%) patients with an unsatisfactory bowel preparation compared with 3 of 16 (19%) with a satisfactory preparation (p < 0.01). The risk of explosive colonic gas is determined largely by the quality of bowel preparation. Picolax alone does not eliminate the risk of explosion during colonoscopic polypectomy or surgical diathermy at laparotomy or laparoscopy if the bowel is opened.
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