MODERN LAVAGE OF THE GASTROINTESTINAL TRACT FROM THE PERSPECTIVE OF THE QUALITY OF DIAGNOSIS AND TREATMENT IN ENDOSCOPIC, BARIATRIC SURGERY (LITERATURE REVIEW)
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Introduction. The issue of quality lavage for the gastrointestinal tract before an abdominal surgery and endoscopic examination is of paramount significance, especially in patients with visceral obesity. The aim of the study is to study historical aspects of intestinal cleansing, identify optimal ways to lavage and define its tolerability by patients. Research methods. The review examines the effectiveness of different lavage techniques and patients’ preparation before surgeries and endoscopic examinations. The analysis of 77 sources relevant to the results of the study is also included. Results. A systematic review and meta-analysis of various research groups showed that the best bowel preparation is achieved by the techniques based on the polyethyleneglycol use along with the combination with preceding stimulation of intestines. Conclusions. Obesity hinders good bowel preparation according to the retrospective studies. The relevant data in prospective studies are insufficient. Scientists have yet to assess the correlation between body mass index and good quality preparation for bariatric surgery.
Roman A. Fursov 1, Oral B. Ospanov 1, Alexandr B. Fursov 2 http://orcid.org/0000-0002-6992-8646 JSC “Astana Medical University”, Astana, Kazakhstan, 1 Department of Endosurgery, 2 Department of General Surgery
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