African Journal of Paediatric Surgery

Log in or Register to get access to full text downloads.

Remember me or Register

DOWNLOAD FULL TEXT Open Access  DOWNLOAD FULL TEXT Subscription or Fee Access

One-day bowel preparation in children with colostomy using normal saline

EA Ameh, CS Lukong, PM Mshelbwala, MA Anumah, A Gomna


Background: Colonic and colorectal surgery frequently requires bowel preparation. This is an evaluation of the use of normal saline for one-day
bowel preparation in children with colostomy.

Patients and Methods: A prospective study of 55 children with colostomy who had one-day bowel preparation for colonic and colorectal surgical procedures in a 3-year period. The information, along with clinical data was recorded on a structured proforma. Data were analysed using SPSS version 11.0.

Results: There were 33 boys and 22 girls. The median age was 4 years (range, one month - 13 years). The primary diagnosis were as follows: Anorectal malformation, 24 (44%); Hirschsprung`s disease, 24 (44%); Faecal incontinence- post-abdominoperineal pull-through, 2 (4%);  Penetrating rectal injury, 1 (2%); others, 4(8%). Intraoperative bowel luminal fluid cleanliness was assessed as clear in 36 (62%) and  contaminated in 21 (38%). Overall, postoperatively, superficial surgical site
infection occurred in 6 (10.9%) patients (2 had clean intraoperative colonic fluid, 5.9%.

Conclusion: Oneday bowel preparation using normal saline is effective and safe in children with colostomy.
AJOL African Journals Online