Problems of the Whole Gut Lavage in Pediatric Patinets Using Polyethylene Glycol-Electrolyte Lavage Solution

Abstract

Whole gut lavage was applied in 19 pediatric patients using polyethylene glycol-electrolyte solution, The indications for use of this procedure were the following- ;preoperative bowel prepartion for colonic surgery : 12, preoperative emptying of the bowel contents for abdominal wall closure in a patient with an omphalocele : 1, bowel preparation for colonofiberoscopy : 3, bowel prepartion before intensive chemotherapy in patients with malignant diseases : 2, whole gut lavage in a patient in hepatic coma : 1. There were two patients who could not tolerate this procedure, but no severe complication was observed during or after its use. Older patients had some difficulties in the use of this procedure because they could not take enough lavage solution by mouth or they could not tolerate the unpleasantness of inserting the nasogastric tube. We emphasize the effectiveness and safety of whole gut lavage using a polyethylene glycol-electrolyte solution in pediatric patients.