Ministry of Health
NZ Government

©Copyright
Published:
24/11/2011
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| Colonic
Stent |
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| What is a
colonic stent? |
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| Your doctor has recommended the placement of a
colonic stent to improve your symptoms of a blockage in the bowel. A
colonic stent is a self-expanding wire mesh tube that is designed to
hold open a blockage in the bowel. A medical specialist trained in
the technique implants the stent via the rectum.
Once implanted the stent will expand into a 20mm wide support
structure, which is intended to stay in place permanently. The
symptoms of blockage - bloating, nausea, constipation and pain -
should be relieved by the treatment. Most people cannot feel the
stent once it is in. It will not rust, nor interfere with daily
activities. |
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| Is colonic
stent insertion safe? |
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| Complications of colonoscopy are uncommon. Most
surveys report complications in 1 in 1000 examinations or less.
Perforation (making a hole in the bowel) or major bleeding from the
bowel is extremely rare. In the unlikely event of these complaints
occurring, a blood transfusion or operation may be necessary.
On occasions colonic stents may fall out and be passed in a
bowel motion. If this occurs your blockage symptoms may return
and the stent may need to be replaced.
If you wish to have full details of rare complications, you
should indicate to your nurse before the procedure that you wish
for all possible complications to be fully discussed with the
doctor. |
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| How should
I prepare? |
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| Before a stent can be inserted, your bowel must be
flushed free of waste. If your bowel is completely blocked you will
be admitted into hospital so nurses can help you. If your bowel is
partially blocked you may be able to prepare at home, with help from
friends or family.
Please follow the instructions to ensure a complete bowel
washout with Glycoprep. Glycoprep is a safe preparation that
will induce diarrhoea and thoroughly cleanse the lining of the
bowel.
- Three days before your
appointment follow a low residue diet (see
diet sheet) and discontinue iron.
- Two days before your
appointment
continue a
low residue diet.
- One day before you
appointment
| 1. |
Have a
normal sized breakfast from the selection on your
diet sheet.
You have been sent two Bisocodyl laxative tablets. Take
these after your breakfast. |
| 2. |
Eat a
light lunch. Do not eat after 12 midday. You may drink
clear
fluids. |
| 3. |
Reconstitute Glycoprep at midday. Dissolve the contents
of the sachet in three litres of tap water and
refrigerate. |
| 4. |
Start
drinking Glycoprep at 3-5 p.m. You should drink 1 glass
every 5-10 minutes, aiming to complete 3 litres over 3
hours. |
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4.1. |
Once you start
drinking Glycoprep you must not eat until after your
colonoscopy. |
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4.2. |
Feelings of bloating
or nausea may occur after the first few glasses of
Glycoprep. Slowing the rate of drinking can decrease
nausea. Nausea should resolve after the bowel motions
begin. |
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4.3. |
Keep warm while you
are drinking Glycoprep. |
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4.5. |
Drink unsweetened
clear drinks during or after drinking Glycoprep to
prevent dehydration. Drinks should be warm or hot if you
are feeling cold. |
| 5. |
When the
Glycoprep is completed, you should be passing colourless
or clear yellow fluid from your back passage. If you are
passing solids or dark fluid, you must come to the
gastroenterology department by 7.30 am the next day. |
- Day of your appointment
| 1. |
If you are passing
solids or dark fluid, you must come to the
gastroenterology department by 7.30 am. |
| 2. |
If you are passing
clear or pale yellow fluid from your back passage you
may drink sweetened clear fluids. |
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What happens after the stent
is inserted?
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| You will be required to stay in hospital for one or two nights
so that the medical team can monitor you and treat any problems, if
these occur. If your recovery is uncomplicated, you will be able to
drink clear fluids four hours after the procedure, and eat soft food
the following day.
You may be able to return to a full diet, but this will depend
on your symptoms. A dietician will see you while you are in
hospital to advise you the foods you should eat and how best to
prepare them. |
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Colonic Stent Insertion
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Prior to your procedure nurse would like to have a 10 minute phone
conversation with you to assess your health / special needs. This is
a good opportunity to discuss any concerns.
Telephone (09) 307 4949 and enter 7357 when you are asked to key
in the extension number... Nurses are available Mon-Fri, 0800 -
1600. Diabetics, or people using blood-thinning medication
(warfarin, aspirin) should phone six days before their procedure for
instructions about taking medication.
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