Fluid regimens for colostomy irrigation: a systematic review

Lucylynn Lizarondo, Aye Aye Gyi, Tim Schultz

Research output: Contribution to journalReview articlepeer-review

4 Citations (Scopus)

Abstract

Background: Various techniques for managing faecal evacuation have been proposed; however, colostomy irrigation is favoured as it leads to better patient outcomes. Alternative fluid regimens for colostomy irrigation have been suggested to achieve effective evacuation. Aim: The objective of this review was to summarise the best available evidence on the most effective fluid regimen for colostomy irrigation. Search strategy: Trials were identified by electronic searches of CINAHL, PubMed, MEDLINE, Current Contents, the Cochrane Library and EMBASE. Unpublished articles and references lists from included studies were also searched. Selection criteria: Randomised controlled trials and before-and-after studies investigating any fluid regimen for colostomy irrigation were eligible for inclusion. Outcomes measured included fluid inflow time, total wash-out time, haemodynamic changes during irrigation, cramps, leakage episodes, quality of life and level of satisfaction. Data collection and analysis: Trial selection, quality appraisal and data extraction were carried out independently by two reviewers. Differences in opinion were resolved by discussion. Main results: The systematic literature search strategy identified two cross-over trials that compared water with another fluid regimen. Owing to the differences in irrigating solutions used, the results were not pooled for analysis. Both the polyethylene glycol electrolyte solution and glyceryl trinitrate performed significantly better than water. Conclusion: There is some evidence to support the effectiveness of fluid regimens other than water, such as polyethylene glycol electrolyte and glyceryl trinitrate, for colostomy irrigation. Further well-designed clinical trials are required to establish solid evidence on the effectiveness of other irrigating solutions that might enhance colonic irrigation.

Original languageEnglish
Pages (from-to)303-310
Number of pages8
JournalInternational Journal of Evidence-Based Healthcare
Volume6
Issue number3
DOIs
Publication statusPublished - Sep 2008
Externally publishedYes

Keywords

  • Colostomy irrigation
  • Fluid regimens
  • Irrigating solutions
  • Surgical stoma
  • Systematic review

Fingerprint

Dive into the research topics of 'Fluid regimens for colostomy irrigation: a systematic review'. Together they form a unique fingerprint.

Cite this