INTESTINE Vol.9 No.5(2-3)

Theme Management for the risk of colonoscopy
Title Informed consent for colonoscopy in university hospitals
Publish Date 2005/09
Author Kazuo Ohtsuka Digestive Disease Center, Showa University Northern Yokohama Hospital
Author Hiroshi Kashida Digestive Disease Center, Showa University Northern Yokohama Hospital
Author Tomoko Kawakami Nursing section, Showa University Northern Yokohama Hospital
Author Tsukasa Takeuchi Digestive Disease Center, Showa University Northern Yokohama Hospital
Author Fuyuhiko Yamamura Digestive Disease Center, Showa University Northern Yokohama Hospital
Author Keita Sasajima Digestive Disease Center, Showa University Northern Yokohama Hospital
Author Yoshio Omae Digestive Disease Center, Showa University Northern Yokohama Hospital
Author Junichi Ukegawa Digestive Disease Center, Showa University Northern Yokohama Hospital
Author Ryo Chinzei Digestive Disease Center, Showa University Northern Yokohama Hospital
Author Shin-ei Kudo Digestive Disease Center, Showa University Northern Yokohama Hospital
[ Summary ] Colonoscopy (CS) is a routine examination, and most cases can be indicated for CS except for perforated or toxic megacolons. However, the painful examination associated with restriction of diet and intake of a cleansing solution causes patient discomfort. Adequate informed consent and understanding by patients are mandatory for good examinations. In outpatient clinic, we explain to patients the necessity of the examination and the associated procedures with explanation forms before making a reservation. The patients are told about the one week restriction of drinking and sports, or over night admission in cases of on site treatment of possible polyps. On the day of the examination, after confirming of state of stool and withholding anti-platelet or anti-coagulant medicines, colonoscopy is performed. If any sedatives are used during the examination, the patients may not remember what happened, therefore the explanation should be done on the different day.
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