A modern approach to the treatment of constipation and preparation of the intestine for instrumental examination in outpatient coloproctology

Introduction. In outpatient coloproctology, when preparing the intestine for instrumental examination, great importance is attached to the effective treatment of constipation and elimination of coprostasis. Aim. To evaluate the clinical efficacy of the rectal laxative to eliminate coprostasis caused by constipation and prepare the distal intestine for instrumental examination in coloproctological patients on an outpatient basis. Materials and methods. The study included 135 patients with manifestations of functional constipation and coprostasis, who were divided into three groups. Oral laxatives were used empirically in 41 patients (group I). Standard cleansing enemas were performed in 49 patients (group II). The combined rectal laxative (group III) was used in 45 patients. The quality of training was assessed based on the unified Boston scale. Subsequently, within the study groups, in 60 patients with various proctological diseases of benign genesis, identified during the examination, complex treatment of constipation was continued using the above methods. Results and discussion. The best results were obtained when preparing the intestines with the rectal laxative (group III patients). In this case, the number of patients with excellent and good training was 95.5%. At the stage of subsequent treatment of chronic constipation in coloproctological patients with laxative Lax Canon, 82.8% of patients showed the formation of softened feces (type 3 and 4) or mushy stools (type 5 and 6). This exceeded similar results obtained in the treatment of constipation with oral laxatives (39.3%) or through cleansing enemas (74.7%). Conclusion. The use of the rectal laxative in outpatient coloproctology makes it possible to eliminate coprostasis as quickly as possible and in 95.5% of cases to qualitatively prepare the distal parts of the intestine for instrumental examination. The use of the studied agent in the complex treatment of chronic constipation in proctological patients helps restore regular bowel movements in 90% of cases.