Is colonoscopy safe in the early postcolectomy period?
Colonoscopy was performed preoperatively and 1, 2, 3 and 7 days following a left hemicolectomy with a primary anastomosis in 11 dogs. The remaining colon and anastomosis were adequately visualized. Maximal intraluminal pressures achieved were from 15 to 35 mmHg. No leakage of air or intra-abdominal abscesses were present. In ten patients undergoing colonoscopy for lower gastrointestinal symptoms, the pressures were similarly measured. Although pressures were slightly higher in patients, averaging 30 mmHg, the results suggest that colonoscopy can be safely performed during the early postcolectomy period.
Chardavoyne
R
R
Department of Surgery, Long Island Jewish Medical Center, New Hyde Park, New York 11042.
Stein
T A
TA
Ratner
L E
LE
Bank
S
S
Wise
L
L
D000388:Air; D000714:Anastomosis, Surgical; D000818:Animals; D003082:Colectomy; D003106:Colon / Q000473:pathology / Q000503:physiopathology; D003113:Colonoscopy; D004285:Dogs; D006801:Humans; D007327:Insufflation; D011182:Postoperative Care; D011312:Pressure; D012449:Safety