Comparison of an orally administered gastrointestinal lavage solution with traditional enema administration as preparation for colonoscopy in dogs.
Forty dogs were randomly assigned to be given either multiple enemas (group A) or orally administered lavage solution (group B) before colonoscopy. Dogs of group A (n = 20) were given 3 large-volume warm-water enemas 6 hours apart, with the last enema given 9 to 15 hours before colonoscopy. Dogs of group B (n = 20) were given a total dose of 50 ml of the lavage solution/kg of body weight through an orogastric tube. The lavage solution was administered in 2 doses of 25 ml/kg given 1 hour apart, 12 to 18 hours before colonoscopy. Dogs were monitored for changes in body weight and in serum sodium, potassium, chloride, calcium, phosphate, urea nitrogen, creatinine, and total CO2 concentrations. Colonoscopy was performed on dogs under general anesthesia by an investigator blinded as to the method of preparation, and the quality of preparation was subjectively evaluated. The quality of colon preparation was significantly (P less than 0.005) better after administration of oral lavage solution, compared with that after multiple enemas. There were minimal changes in laboratory values, side-effects were minimal, and biopsy specimen artifacts were not seen. Because proper patient preparation is necessary for complete colonoscopic examination, results suggested that an orally administered polyethylene glycol-containing electrolyte solution is preferable to administration of multiple enemas in preparing dogs for colonoscopy.
Richter
K P
KP
Helen Woodward Specialty Referral Hospital, Rancho Santa Fe, CA 92067.
Cleveland
M B
MB
D000284:Administration, Oral; D000818:Animals; D001004:Anus Diseases / Q000209:etiology / Q000662:veterinary; D001835:Body Weight; D003113:Colonoscopy / Q000662:veterinary*; D004283:Dog Diseases / Q000175:diagnosis*; D004285:Dogs; D004733:Enema / Q000009:adverse effects / Q000662:veterinary*; D006471:Gastrointestinal Hemorrhage / Q000209:etiology / Q000662:veterinary; D007410:Intestinal Diseases / Q000175:diagnosis / Q000662:veterinary*; D011446:Prospective Studies; D011897:Random Allocation; D007507:Therapeutic Irrigation / Q000009:adverse effects / Q000662:veterinary*; D014839:Vomiting / Q000209:etiology / Q000662:veterinary