PREPARATION FOR COLON EXAMINATION (COLONOSCOPY)

Slag-free diet for 3 days

The first stage of standard preparation is changing the nature of your diet. The patient is recommended to eat only easily digestible refined foods. Therefore, 3 days before the study, it is mandatory to follow a slag-free diet.

The evening before the procedure and on the day of the examination itself, you should abstain completely from eating.

If the patient suffers from chronic constipation, then the diet should be started earlier (5-6 days before).

SPECIAL CASES:

• If you have concomitant diseases, you should definitely consult your doctor.
• If you are taking any medications, be sure to tell your doctor before taking MOVIPREP®. 
• Medicines taken orally within one hour before the onset of the laxative effect of the drug (for example, oral contraceptives) may be excreted from the gastrointestinal tract without being absorbed.
• Patients with cardiovascular diseases, increased body weight, and diabetes do not require dose adjustment.

Colon cleansing with drugs

A diet before the study is always required. The next stage of standard preparation is the inclusion of drugs for intestinal lavage, which are a balanced electrolyte solution.

Preparation for colonoscopy with MOVIPREP

Moviprep has 3 convenient methods of application depending on the time of the start of the colonoscopy:

1 If the colonoscopy is scheduled for the morning (08:00 – 10:00) – a one-stage evening regimen.

Day before colonoscopy:

• Breakfast - according to the list of permitted foods and liquids,
• Lunch and dinner - only clear liquids allowed!
• 19:00 – 20:00 - take the first liter of Moviprep solution;
• 20.00 - 20.30 - drink 500 ml of permitted liquid;
• 21:00 – 22:00 - take the second liter of Moviprep solution;
• 22.00-22.30 – drink 500 ml of permitted liquid.

2 If the colonoscopy is scheduled for lunch time (10:00 - 14:00) - a two-stage regimen.

Day before colonoscopy:

• Breakfast and light lunch - according to the list of permitted foods and liquids,
• Dinner - only permitted clear liquids!
• 20:00-21:00 - take the first liter of Moviprep solution;
• 21.00 - 21.30 - drink 500 ml of permitted liquid.

Colonoscopy day:

• 06:00-07:00 – take the second liter of Moviprep solution;
• 07.00-07.30 - drink 500 ml of permitted liquid.

3 If the colonoscopy is scheduled for the afternoon or evening (14:00-19:00) - a one-stage morning regimen.

Day before colonoscopy:

Breakfast, lunch and light dinner - according to the list of permitted foods and liquids.

Colonoscopy day:

• In the morning - only permitted clear liquids.
• 08.00-09.00 - take the first liter of Moviprep solution;
• 09.00-09.30 - drink 500 ml of permitted liquid;
• 10.00-11.00 - take the second liter of Moviprep solution;
• 11.00-11.30 — — drink 500 ml of permitted liquid.

Note:

You should stop taking all liquids no later than 3-4 hours before the test.

How to prepare a solution of Moviprep:

1. To prepare the first liter: dilute the contents of one sachet A and one sachet B in a small amount of drinking non-carbonated water at room temperature until completely dissolved, bring to 1 liter with water, mix.
2. To prepare the second liter: repeat the algorithm from point 1 (above), using the remaining sachet A and sachet B.

The procedure is unpleasant, but practically painless, because... carried out using the latest equipment of the latest generation. The endoscope has an ultra-thin 8 mm insertion tube.

Preparation for colonoscopy with FORTRANS

If the colonoscopy is scheduled for the morning (08:00 – 11:00) - One-stage evening preparation.

Day before colonoscopy:

• Breakfast - according to the list of permitted foods and liquids,
• Lunch - only clear liquids allowed!
• 17:00 – 20:00 - during this period of time the patient needs to drink 4 liters of the prepared Fortrans solution (for a patient less than 70 kg - 3 liters), each sachet is diluted with 1 liter of water, and gradually drunk - about 1 liter over an hour.
• You can squeeze half a lemon or orange into the solution to make it taste more pleasant.

If the colonoscopy is scheduled for (11:00 – 15:00) - Two-stage preparation.

Day before colonoscopy:

• Breakfast - according to the list of permitted foods and liquids,
• Lunch - only clear liquids allowed!
• 17:00 - 20:00 - during this period of time the patient needs to drink 3 liters of the prepared Fortrans solution (for a patient less than 70 kg - 2 liters), each sachet is diluted with 1 liter of water, and gradually drunk - about 1 liter over an hour.

Colonoscopy day:

• 06.00-07.00 - drink 1 liter of the prepared Fortrans solution.
• You can squeeze half a lemon or orange into the solution to make it taste more pleasant.

Preparation for colonoscopy with EZICLEN

To properly cleanse the intestines, you need to take two bottles of Esiclene. Before taking, the contents of each bottle must be diluted with water. The patient should drink the resulting diluted solution and two more cups filled to the mark with water or an approved clear liquid (i.e., approximately 1 L) over the next two hours, as described below in the sections

Mode of application

If the time of the prescribed procedure allows, then the split-dose regimen is preferable to the one-time regimen on the eve of the procedure. A single dose regimen on the eve of the procedure is potentially suitable as an alternative regimen.

1 Two-step application mode

Day before the procedure:

The evening before the procedure (for example, at 18.00) you must follow the following instructions:

• The contents of one bottle of Esiclene should be poured into the supplied measuring cup and diluted with water to the mark (i.e. to a volume of 0.5 l).
• Over the next two hours, the patient should drink the resulting solution and an additional two measuring glasses of water or clear liquid (i.e., about 1 liter).

Day of procedure:

On the morning of the procedure, between 05.00-06.00, you must repeat the steps according to the instructions for the evening before:

• The contents of the second bottle of Esiclene should be poured into the supplied measuring cup and diluted with water to the mark (i.e. to a volume of 0.5 l).
• Over the next two hours, the patient should drink the resulting solution and an additional two measuring glasses of water or clear liquid (i.e., about 1 liter).

The full volume of the diluted Esiclene solution and an additional amount of water or clear liquid should be completed at least 2 hours and no later than 4 hours before the start of the procedure.

2 One-step application mode

(application mode for use depending on the individual needs of the patient)

Day before the procedure:

The evening before the procedure (for example, at 18:00):

• The contents of one bottle of Esiclene should be poured into the supplied measuring cup and diluted with water to the mark (i.e. to a volume of 0.5 l).
• Over the next two hours, the patient should drink the resulting solution and an additional two measuring glasses of water or clear liquid (i.e., about 1 liter).

Approximately 2 hours after starting the first dose:

• The contents of the second bottle of Esiclene should be poured into the supplied measuring cup and diluted with water to the mark (i.e. to a volume of 0.5 l).
• Over the next two hours, the patient should drink the resulting solution and an additional two measuring glasses of water or clear liquid (i.e., about 1 liter).

CONTRAINDICATIONS:

Hypersensitivity to any of the components of the drug; impaired gastric emptying (gastroparesis); intestinal obstruction; perforation or risk of perforation of the gastrointestinal tract; phenylketonuria (due to the content of aspartame); deficiency of glucose-6-phosphate dehydrogenase (due to the content of ascorbic acid); toxic megacolon, which is a complication of severe inflammatory bowel diseases, including Crohn's disease and ulcerative colitis; age under 18 years; unconscious state. Be sure to consult your doctor before using the drug

During colonoscopy under sedation (intravenous anesthesia)

It is necessary to maintain a fasting period of at least 8 hours and at least 4 hours without water. On this day it is not recommended to drive a car, operate any machinery, or make important decisions. It is advisable to be met and escorted home.

When making an appointment for gastro + colonoscopy, two-stage preparation is not suitable, since the patient must come to gastroscopy on an empty stomach, not eat or DRINK!

IMPORTANT: In case of concomitant pathology of the cardiovascular system, diabetes mellitus, renal failure, preparation with MOVIPREP is more justified.

After completing the examination and receiving the results of a colonoscopy, it is recommended to consult a gastroenterologist.

III. PREPARATION SCHEME FOR COLONOSCOPY WITH LAVACOL

1. Preparation for a colonoscopy, carried out before 12-00 o'clock with LAVACOL (without enemas): The day before - do not eat, you can drink any liquids except dairy products without restrictions. LAVACOL (15 sachets): dilute each sachet with 200 ml of water. Water at room temperature, boiled or mineral, but without gases. On the eve of the test, take all 3 liters from 15:00 to 21:00 (after 1 liter, take a break until stool appears). Have a sheet and an ECG with you.

2. Preparation for colonoscopy, performed after 12-00 hours with LAVACOL (without enemas): The day before - do not eat, you can drink any liquids except dairy products without restrictions. LAVACOL (15 sachets): dilute each sachet with 200 ml of water. Water at room temperature, boiled or mineral, but without gases. Take 2 liters on the eve of the test from 17:00 to 20:00 (after 1 liter, take a break until stool appears). On the day of the test, take the remaining 1 liter between 7 a.m. and 8 a.m. Have a sheet and an ECG with you.

Successful colonoscopy with a detailed examination of the mucous membrane of the colon throughout its entire length depends on the QUALITY OF PREPARATION for the examination.

Pharmacological effects

Moviprep differs from other drugs with a laxative effect by completely cleansing the gastrointestinal tract. If they remove only feces, then this remedy evacuates all the products of the digestive process that have not had time to be absorbed. This allows you to avoid interference during endoscopic and instrumental examinations and difficulties during surgical operations. The active substance of Moviprep is macrogol from the clinical and pharmacological group of osmotic laxatives. The chemical compound has many advantages:

• is not absorbed into the mucous membranes of the gastrointestinal tract, exhibiting therapeutic effects directly in its cavity;
• does not penetrate the bloodstream, which eliminates the occurrence of significant side effects;
• does not upset the work of other internal organs, does not disrupt the digestive processes.

After taking the solution, macrogol passes through the stomach without hindrance and without loss, quickly reaching its destination - the cavity of the large intestine.

Macrogol is a high molecular weight polymer compound, its chemical structure is identical to polyethylene glycol. It attracts water to its surface, which is located in the intestinal lumen, which causes its rapid increase in size, swelling, and, consequently, an increase in the volume of feces.

Even after a single use of a laxative, the load on the intestinal walls increases. This leads to their wave-like contraction, pushing feces towards the anorectal area. To ensure that such a process is not too intense, Moviprep is taken in portions. This dosage regimen avoids excessively strong effects on the intestines and damage to the mucous membranes. After the manifestation of its therapeutic effects, macrogol is evacuated unchanged along with the feces.

How long does it take for Moviprep to work?

It is worth immediately clarifying that the laxative effect of the drug cannot be called mild. Most people experience mild diarrhea with complete bowel clearance after about two hours. The speed at which Moviprep manifests its therapeutic effects is influenced by the following factors:

• quantity and quality of food that is in the stomach;
• body mass;
• age;
• individual metabolic characteristics.

For example, if a middle-aged person with normal weight drinks a freshly prepared solution on an empty stomach, then with a high degree of probability the first urge to have a bowel movement will occur within 40-60 minutes. In contrast, taking Moviprep on a full stomach in an elderly obese patient will delay bowel movements by 2.5-3 hours.

Are there any side effects?

The instructions for Moviprep contain a warning about the possibility of local allergic manifestations with swelling and redness of the skin, rash, itching, and pain. Despite the fact that the active substance of the drug does not penetrate into the blood, systemic negative reactions of the body are observed. They appear this way:

• anaphylactic shock;
• sleep disorders;
• headache, dizziness, convulsions caused by acute sodium deficiency;
• short-term surges in blood pressure;
• bloating and abdominal pain, nausea, irritation in the anorectal area, vomiting, digestive disorders, difficulty swallowing, flatulence;
• malaise, chills, thirst, hunger.

Laboratory tests may reveal potassium and sodium levels that are insufficient compared to normal. If this happens, you should stop using the laxative and consult a doctor. He will cancel Moviprep and recommend a product with a similar effect, but with a different active ingredient.

Interesting facts about Moviprep

Moviprep is one of the few laxative drugs that immediately after administration provide complete cleansing of the intestines.
Its undoubted advantage is the ability to carry out such a high-quality procedure independently, without using an enema or an Esmarch mug. The use of Moviprep promotes painless bowel movements. The manufacturer included substances in the laxative to improve the taste of the finished solution. However, it is still quite specific, and it must be consumed in large quantities. Therefore, Moviprep is not used to combat chronic constipation - for this there are laxatives with a milder, gradual effect on the gastrointestinal tract. The same drug quickly evacuates all feces, simultaneously clearing accumulated deposits from the intestinal walls.