Routine office use of the 60-cm flexible fiberoptic colonoscope.
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Biomedical subjects
Publications and source records attributed to H G Carter.
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The standard preparation for cleansing the colon usually involves dietary restrictions, purgatives, and enemas. This is time-consuming, often uncomfortable, and at times unsuccessful. This study of 37 patients examines the efficacy of saline lavage as an alternative method for cleansing the bowel. Isotonic sodium chloride solution is passed into the gut via a small nasogastric tube. The flush is continued for about four hours, until clear effluent is passed per anus. There were no significant complications or variations in weight or serum electrolyte values. Patient acceptance was generally excellent. In our opinion, this rapid bowel preparation consistently provided a clean bowel so that both bowel preparation and colonscopy were accomplished the same day.
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In the head and neck examination portion of the ADA health screening program approximately 6% of the examinees were found to have at least one abnormality. Three patients had lesions that were highly suspected of being malignant. Most of the examinees were unaware of their condition, but a small percentage were aware and had chosen to have no diagnostic or curative procedures initiated. Three patients had manifestations of systemic disease of which they were unaware. A method of doing a head and neck examination was demonstrated to the dentists, and the finding of 6% of the dentists with some abnormality indicates the significance of the head and neck examination.
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