title: A pilot study assessing the effectiveness of a glycerin suppository in controlled colostomy emptying.
abstract: The focus of this research was to explore another way for the patient to manage their colostomy. It was hoped that by inserting a glycerin suppository into the colostomy one would be able to evacuate the lower large intestine more effectively and efficiently.
  
  
  OBJECTIVE
  To determine if persons with a sigmoid colostomy could obtain fecal continence by instituting a daily self-administered bowel-stimulating suppository.
  
  
  METHODS
  Randomized crossover comparative study comparing usual ostomy emptying practice with emptying with a glycerine suppository to stimulate controlled emptying.
  
  
  METHODS
  Adult males and females with a sigmoid colostomy were studied in their homes.
  
  
  METHODS
  The instruments included a profile questionnaire, a take-home diary, crossover and end-of-study questionnaires, and an exit questionnaire.
  
  
  METHODS
  Subjects were randomized to their usual pouching method or to the experimental suppository method for 14 days each.
  
  
  RESULTS
  There was no difference in fecal output, fecal volume, or flatus between the 2 groups. The action of the suppository was affected by its failure to remain in the bowel for an adequate amount of time.
  
  
  CONCLUSIONS
  Further research is needed to determine if an adjunct device/method to hold the suppository in place would produce successful results.
authors.affiliation: ConvaTec, A Bristol-Myers Squibb Company, Westerville, Ohio 43082, USA. nancy.mcclees@bms.com
authors.forename: Nancy
authors.initials: N
authors.lastname: McClees
authors.forename: Eda L
authors.initials: EL
authors.lastname: Mikolaj
authors.forename: Sharon L
authors.initials: SL
authors.lastname: Carlson
authors.forename: Joan
authors.initials: J
authors.lastname: Pryor-McCann
mesh_terms: D000328:Adult; D001294:Attitude to Health; D012809:Colon, Sigmoid; D003125:Colostomy / Q000009:adverse effects / Q000523:psychology; D018592:Cross-Over Studies; D005242:Fecal Incontinence / Q000209:etiology / Q000517:prevention & control* / Q000523:psychology; D005243:Feces; D005260:Female; D005414:Flatulence / Q000209:etiology / Q000517:prevention & control; D005990:Glycerol / Q000494:pharmacology / Q000627:therapeutic use*; D006801:Humans; D008297:Male; D015404:Nursing Methodology Research; D010528:Peristalsis / Q000187:drug effects; D010865:Pilot Projects; D012648:Self Care / Q000379:methods / Q000523:psychology; D013488:Suppositories; D011795:Surveys and Questionnaires; D007507:Therapeutic Irrigation / Q000379:methods / Q000523:psychology; D013997:Time Factors; D017211:Treatment Failure
chemical_list: D013488:Suppositories; D005990:Glycerol