Preoperative Bowel Preparation with Colonlyte

Lee, Hyun Moo; Ryu, Chang Ou; Kim, Wun Jae

Abstract

A study was carried out to demonstrate that Colonlyte(polyethylene glycol electrolyte lavage solution; PEG-ELS), a colonic lavage solution presently used for gut cleansing in preparation for colonic procedures, can be an effective agent in the preoperative bowel preparation for urologic surgery. Eighteen patients received 1-day preparation with 4,000ml of Colonlyte. Patient tolerance evaluated by a questionnaire showed overall comfortness in 77.8% of the patients. There was no electrolyte changes between pre- and post-preparation. Bowel cleansing was adequate(""good"" to ""excellent"" cleansing) in 89 % of the patients. Gas passage was identified 3 days and 9 hours postoperatively(mean) after termination of general anesthesia. One patient (5.6%) developed postoperative superficial wound infection but there was no serious complications such as intra-abdominal abscess, anastomotic disruption, or sepsis. Colonlyte is a safe, effective, and economic method of preoperative bowel preparation in urologic surgery.