Indikasi Tindakan Enema

Oleh :

dr. Ghifara Huda SE AAAK

Indikasi tindakan enema biasanya untuk tata laksana konstipasi dan persiapan tindakan kolonoskopi. Selain itu, indikasi lain yang hingga saat ini masih menjadi bahan perdebatan adalah pre-surgery kolorektal atau pre-birth delivery.[1,3,4,14]

Jenis Enema

Beberapa jenis enema yang umum digunakan adalah air hangat (warm water enema), sodium/natrium fosfat, air dengan kontras (water contrast enema), dan campuran air suling/keran dengan sabun (soap suds enema).[4,5]

Referensi

1. Setya A, Mathew G, Cagir B. Fecal Impaction. Treasure Island (FL): StatPearls Publishing; 2021 Jan-.https://www.ncbi.nlm.nih.gov/books/NBK448094/
2. Chumpitazi, C. E., Henkel, E. B., Valdez, K. L., & Chumpitazi, B. P. (2016). Soap Suds Enemas Are Efficacious and Safe for Treating Fecal Impaction in Children With Abdominal Pain. Journal of pediatric gastroenterology and nutrition, 63(1), 15–18. https://doi.org/10.1097/MPG.0000000000001073
3. Mitchell, Aby. (2019). Administering an enema: indications, types, equipment and procedure. British Journal of Nursing. 28. 154-156. 10.12968/bjon.2019.28.3.154.
4. Ori Y, Rozen-Zvi B, Chagnac A, et al. Fatalities and severe metabolic disorders associated with the use of sodium phosphate enemas: a single center's experience. Arch Intern Med 2012; 172:263.
5. Mendoza J, Legido J, Rubio S, Gisbert JP. Systematic review: the adverse effects of sodium phosphate enema. Aliment Pharmacol Ther 2007; 26:9.updated 2021
6. Ertas IE., Ince O., Emirdar V., et al. Influence of preoperative enema application on the return of gastrointestinal function in elective Cesarean sections: a randomized controlled trial. 2021. The Journal of Maternal-Fetal & Neonatal Medicine, 34:11, 1822-1826, DOI: 10.1080/14767058.2019.1651264
7. Lee Seokyoun et al. SAGE Open Medical Case Reports Volume 8: 1–5 © The Author(s) 2020 Article reuse guidelines: sagepub.com/journals-permissions DOI: 10.1177/2050313X20938251 https://journals.sagepub.com/doi/pdf/10.1177/2050313X20938251
8. ROWASA mesalamine Rectal suspension Enema 4.0 grams/unit (60mL). Meda Pharmaceuticals Inc. 2020. https://www.accessdata.fda.gov/drugsatfda_docs/label/2020/019618s026lbl.pdf
9. Dougherty L, Lister S, Oram AW (editors). The Royal Marsden NHS foundation Trust (2021). The Royal Marsden Manual of Clinical Nursing procedures 9th edition. Wiley.London. ISBN: 978-1-118-74667-7
10. Niv, G., Grinberg, T., Dickman, R., Wasserberg, N., & Niv, Y. (2013). Perforation and mortality after cleansing enema for acute constipation are not rare but are preventable. International journal of general medicine, 6, 323–328. https://doi.org/10.2147/IJGM.S44417. Updated 2021
13. Johnson DA, Barkun AN, Cohen LB, et al. Optimizing adequacy of bowel cleansing for colonoscopy: recommendations from the U.S. multi-society task force on colorectal cancer. Gastrointest Endosc 2014; 80:543.updated 2021.
14. Sajid MS, Caswell JF, Abbas MA, et al. Improving the view during flexible sigmoidoscopy: a systematic review of published randomized, controlled trials comparing the use of oral bowel preparation versus enema bowel preparation. Updates Surg 2015; 67:247. Updated 2021.
18. Kim IY. [Role of Mechanical Bowel Preparation for Elective Colorectal Surgery]. Korean J Gastroenterol. 2020 Feb 25;75(2):79-85. Korean. doi: 10.4166/kjg.2020.75.2.79. PMID: 32098461.
19. Reveiz L, Gaitán HG, Cuervo LG. Enemas during labour. Cochrane Database Syst Rev. 2013;2013(7):CD000330. Published 2013 Jul 22. doi:10.1002/14651858.CD000330.pub4

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Indikasi Tindakan Enema

Referensi

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