대한대장항문학회

Preoperative bowel preparations in the colorectal surgery are necessary procedure to<br>prey eat the postoperative infectious complications. The bowel preparations are generally<br>combined with mechanical bowel cleansing and prophylatic antibiotic administration.<br>For the clinical evaluations of bowel cleansing methods, we were compared of three<br>kinds of method; conventional mechanical bowel cleansing, whole gut irrigation by use<br>of saline and oral polyethylene glycol-electrolyte solution lavage. During 5 years, 218<br>patients(224 cases) who had operated elective colorectal surgery were included in this<br>survey.<br>The results were followings;<br>1) The patients received conventional mechanical bowel cleansing complained of<br>hunger and anorectal distress, the patients received saline whole gut irrigation<br>complanined of nasogastric tube discomfort, epigastric fullness, nausea and vomiting, and<br>the complaints of patients received PEG lavage were minimal.<br>2) The worst method of bowel clearance was conventional mechanical bowel cleansing.<br>3) The saline whole gut irrigation group showed more severe weight change compared<br>to the PEG lavage group before and after bowel preparation.<br>4) Conventional mechanical bowel preparation group got high rates of<br>wound<br>infection(13%)<br>5) In the bowel clearance of right colon the conventional bowel cleansing method were<br>worst, and in the left colon all kinds of method got similar results.<br>