Preparation for colonoscopy (FCS, video colonoscopy)

Colonoscopy (FCS, video colonoscopy)

is a diagnostic examination
of the intestine
using an endoscope.
This method allows you to timely diagnose and visually evaluate ulcers, tumors, polyps, and also take a sample of material for histological examination (biopsy). Today, colonoscopy (FCS, video colonoscopy) is the most accurate and comprehensive type of diagnosis, since the doctor uses the latest endoscopic technology
. Colonoscopy is performed as prescribed by a doctor or for preventive purposes at the request of the patient. For men and women over 40 years of age, colonoscopy is recommended not only to maintain health, but also to prevent oncological diseases (bowel cancer). The endoscope is a flexible tube equipped with a microcamera. It transmits the enlarged image to the monitor. allowing the endoscopist to visually assess the condition of the intestine, as well as take photographs and video recordings for subsequent analysis. The endoscopist inserts a tube into the anus and gradually moves it up the rectum.

Many patients are nervous before the procedure because they have heard about the discomfort it is associated with. However, high-quality preparation for intestinal colonoscopy really allows you to minimize discomfort.

To achieve reliable research results, proper preparation

, and this is
diet
and
intestinal cleansing
.

AS PART OF PREPARING FOR THE FCC, YOU NEED:

On the eve of the examination, do not eat food and take only clear liquids. It is necessary to bring the intestines to complete cleansing, therefore, a few days before the colonoscopy, you should adhere to the special diet indicated below, and also take a special drug (at the patient’s choice or as recommended by the doctor) to cleanse the intestines. Medicinal cleansing involves consuming a large volume of liquid, but this method causes less discomfort than using an Esmarch mug (enema). You should temporarily stop taking medications on the recommendation of a doctor - but vital medications cannot be canceled!

How does Moviprep work?

The product is used immediately before endoscopic examinations of the intestines, as well as before x-rays. In addition, the drug is prescribed before intestinal surgery so that remaining stool fragments do not interfere with surgeons’ ability to detect and remove tumors, polyps and tumors.

Taking Moviprep does not imply the treatment of diseases of the colon. The product does not relieve inflammation, does not relieve pain, and is not aimed at combating pathogens. It acts as a laxative, gently removing food debris from the body. Unlike conventional laxatives, Moviprep acts within clearly defined time intervals and does not cause intestinal spasms, which is very important for patients with severe painful symptoms that accompany the course of the disease.

Gentle cleansing is provided by Macrogol, which, thanks to long polymer bonds, can capture and retain water molecules, thereby increasing the volume of feces. They, in turn, increase pressure on the intestinal walls, triggering reflex cleansing mechanisms through the activation of peristalsis.

Preparation for colonoscopy (FCS)

In 4-5 days

Before the study, you should start following a diet. If you are prone to constipation, then 3 days before the colonoscopy you should take the Duflac laxative, 1 measuring cup 1-3 times a day (depending on the severity of constipation). Or you can use the drug that you usually take.

Remember, in preparation for a colonoscopy (FCS):

• Taking vital medications
  and medications (anticonvulsants, to lower blood pressure, arrhythmias) cannot be ruled out. 2 hours before the FCS test, these tablets should be chewed thoroughly and washed down with a small amount of water (1-2 sips).
• 5 days before the study, you need to stop taking activated carbon and iron supplements.

Comparison of the effectiveness of Fortrans and Moviprep

The effectiveness of Fortrans is quite similar to Moviprep - this means that the ability of the drug substance to provide the maximum possible effect is similar.
For example, if the therapeutic effect of Fortrans is more pronounced, then using Moviprep even in large doses will not achieve this effect.

Also, the speed of therapy - an indicator of the speed of therapeutic action - is approximately the same for Fortrans and Moviprep. And bioavailability, that is, the amount of a drug reaching its site of action in the body, is similar. The higher the bioavailability, the less it will be lost during absorption and use by the body.

Diet before colonoscopy

Before a colonoscopy you can eat:

• Boiled or steamed meat: chicken, fish, lean beef.
• Low-fat broth;
• Eggs;
• Boiled sausage;
• Cheese;
• Fermented milk products without additives (kefir, fermented baked milk);
• Unsweetened cookies;
• White bread.

Before a colonoscopy you should not eat:

• Legumes (beans, peas, soybeans, lentils);
• Vegetables (potatoes, cabbage, radishes, radishes, beets, carrots, turnips, garlic, onions);
• Sorrel and spinach;
• Fruits (apricots, plums, peaches, pears, dates, bananas, oranges, tangerines, raisins, grapes);
• Nuts and berries (currants, gooseberries, raspberries);
• Brown bread (including grain bread);
• Porridges made from pearl barley, millet, buckwheat and oatmeal.

Before a colonoscopy you should not drink:

• Milk;
• Alcohol;
• Carbonated drinks.

Comparison of the safety of Fortrans and Moviprep

The safety of a drug includes many factors.

At the same time, it is higher for Moviprep than for Fortrans. It is important where the drug is metabolized: drugs are excreted from the body either unchanged or in the form of products of their biochemical transformations. Metabolism occurs spontaneously, but most often involves major organs such as the liver, kidneys, lungs, skin, brain and others. When assessing the metabolism of Moviprep, as well as Fortrans, we look at which organ is the metabolizing organ and how critical the effect on it is.

The risk-benefit ratio is when the prescription of a drug is undesirable, but justified under certain conditions and circumstances, with the obligatory observance of caution in use. At the same time, Moviprep has fewer risks when used than Fortrans.

Also, when calculating safety, it is taken into account whether only allergic reactions occur or possible dysfunction of the main organs. In other matters, as well as the reversibility of the consequences of using Moviprep and Fortrans.

PURGATION

To cleanse the intestines, you can use drugs such as Fortrans,
Moviprep
. For proper preparation, please read the instructions for use.

While taking medications, you can only eat liquid food!

Preparation for colonoscopy with Moviprep

Preparation for colonoscopy (FCS) with Moviprep is indicated for adults and the elderly. In preparation for colonoscopy, use 2 liters of diluted Moviprep. Additionally, it is recommended to drink 1 liter of clear liquid: water, fruit juice without pulp, soft drinks, tea, coffee without milk, clear soup.

To prepare 1 liter of solution, you need to dissolve the contents of 1 sachet A and 1 sachet B with a small amount of water and add water to 1 liter.
The entire prepared solution should be drunk within 1-2 hours. The drug "Moviprep" is taken only after complete dissolution in water!

Scheme of preparation for colonoscopy with the drug "Moviprep"

1st option:

The course is divided into 2 parts. Take the first liter of the diluted drug in the evening, and the second in the morning on the day of the clinical procedure (at least 1 hour before, like any other clear liquid).

2nd option:

Drink 2 liters of Moviprep the evening before the clinical procedure.

Preparation for colonoscopy with Fortrans

On the day of the start of the cleansing course with Fortrans, the last meal should be no later than 13:00.

Dosage of the drug "Fortrans" depending on the patient’s weight:

• up to 80 kg - 4 packages;
• 80 - 100 kg - 5 packages;
• 100 - 125 kg - 6 packages;
• 125 - 150 kg - 7 packages.

Each packet of Fortrans is diluted with 1 liter of clean water. If the taste is unpleasant, you can add lemon juice without pulp or use a solution of 500 ml water + 500 ml clarified apple juice.

The drug solution should be taken from 14:00 to 22:00 at a rate of 1 liter per 1-1.5 hours with a break of 30 minutes.

Recommended (optional): In parallel with Fortrans, when preparing for a colonoscopy, you can take the drug Espumisan (2 capsules before each liter of solution).

Please note that the examination is carried out on an empty stomach (you can drink at least 1 hour before the colonoscopy), so patients with diabetes are recommended to undergo the procedure early in the morning. Insulin-dependent patients should definitely consult a doctor before a colonoscopy!

If a colonoscopy is performed under anesthesia

On the day of the procedure, the patient comes to the clinic on an empty stomach. You should not drink liquids before the procedure.

If a colonoscopy is performed without anesthesia

On the day of the procedure, the patient comes to the clinic on an empty stomach. You can drink some water or sweet tea.

In technical terms, colonoscopy (FCS, video colonoscopy) is a rather complex procedure, so it is extremely important that the patient follows the rules for preparing for FCS and strictly follows the doctor’s instructions during the process. Unfortunately, you will have to endure the urge to defecate and moderate pain, which changes in intensity during the insertion of the endoscope. You should be patient and understand: the doctor will do everything possible to ensure that the colonoscopy takes place without traumatic sensations and with maximum benefit for further treatment.

The colonoscopy method is one of the most objective in detecting tumors. Using an endoscope, you can stop intestinal bleeding, remove polyps, remove foreign bodies and prevent large-scale operations.

Composition of the drug Moviprep

The action of the drug is based on the interaction of two types of components packaged in sachets. The package contains sachet A and sachet B, which have different compositions and complement each other:

• Sachet A contains the following active ingredients: Macrogol, anhydrous sodium sulfate, sodium chloride, potassium chloride. The following auxiliary elements are used: lemon flavor, aspartame, acesulfame potassium.
• In sachet B, the active ingredients are: ascorbic acid and sodium ascorbate.

The contents of sachet A is a white powder, with a yellowish tint allowed, with a characteristic lemon aroma. And sachet B contains powder, the color of which may be close to brown.

The main purpose of the drug is to provide a moderate laxative effect on the intestines, in order to free it from feces along its entire length, especially the large intestine.

Some components of the drug have a laxative effect, while others increase the volume of feces, due to which the intestinal walls more actively push lumps towards the exit, and natural peristalsis is enhanced. Additionally, the composition includes electrolytes that do not disrupt the water-salt balance in the body - the main side effect of any diarrhea.

Macrogol, as the main laxative, is not absorbed into the bloodstream from the intestine, cannot be metabolized and is excreted unchanged in the feces. A small part of macrogol absorbed into the blood is excreted by the kidneys.

Ascorbic acid, unlike Macrogol, can be absorbed in large quantities. Its removal from the body is ensured by the kidneys and urine.

Comparison of ease of use of Fortrans and Moviprep

This includes dose selection taking into account various conditions and frequency of doses. At the same time, it is important not to forget about the release form of the drug; it is also important to take it into account when making an assessment.

The ease of use of Fortrans is approximately the same as Moviprep. At the same time, they are quite convenient to use.

The drug ratings were compiled by experienced pharmacists who studied international research. The report is generated automatically.

Last update date: 2020-12-04 13:43:53

Contraindications and possible side effects

The drugs have a number of contraindications that contribute to the choice in favor of one or another drug. Limitations are related to the characteristics of the compositions.

In what cases is taking Endofalk contraindicated:

1. perforation of the digestive tract, intestinal obstruction;
2. severe disruption of gastric function, including paresis of the organ;
3. complicated inflammatory diseases - nonspecific colitis, Crohn's disease;
4. deficiency of glucose-6-phosphate dehydrogenase.

The drug is not used in pediatrics, and is prescribed to pregnant women with extreme caution. During lactation, breastfeeding should be suspended during treatment.

Contraindications to the use of Fortrans:

1. severe cardiovascular failure;
2. dehydration of the body;
3. intestinal carcinoma;
4. Crohn's disease, ulcerative colitis;
5. diseases that are accompanied by damage to the intestinal walls.

The drug can be used from the age of 15 under the strict supervision of a physician. There is no data on safety for pregnant women, so it is used only for health reasons.

Possible side effects of Endofalk include:

1. anaphylactic shock, hypersensitivity reaction;
2. allergic manifestations, dermatitis, urticaria, skin irritation;
3. severe diarrhea, bloating, vomiting, abdominal pain, dysphagia;
4. headache, cramps, dizziness;
5. insomnia, temporary increase in blood pressure;
6. electrolyte imbalance, hyponatremia, hypokalemia;
7. severe thirst, increased hunger, general discomfort.

Usually the drug is well tolerated, and side symptoms are the result of non-compliance with the dosage and rules of use.

Taking Fortrans can lead to dyspeptic symptoms. Allergy symptoms such as swelling, rash, and itching are rarely observed. Nausea is often observed after taking it, but without gagging.

Moviprep or Fortrans? On GW. My tricks

It so happened that I had two colonoscopies in a row, one week apart (of course, as necessary and as prescribed by the doctor). The procedure is, of course, unpleasant, but for me, preparing for it is even worse. Moreover, I am a nursing mother. My daughter is only six months old, she has just started complementary feeding, so breastfeeding is very active.

The first time I prepared for a colonoscopy with Fortrans. It was some kind of nightmare. I don't even want to write a review on it. As soon as I remember, I immediately have a gag reflex. Let me say briefly that I had to drink 4 liters of Fortrans the evening before the procedure. I could only drink two. Then I started vomiting. The body simply did not accept this crap. I honestly drank, I tried, but everything came back. Neither lemon nor grapefruit helped. And I felt just terrible. There was also severe weakness and nausea the next day. Add here another child on the chest. Since my daughter categorically does not take a bottle/expressed milk/formula. That's why I also fed at the same time. Of course, there was very little milk, and I myself was severely dehydrated (diarrhea, vomiting, nausea, starvation), I was simply unsteady. And since I drank too little Fortrans, they also gave me an enema at the clinic.

So when they told me that I needed to do the colonoscopy again, I was horrified. How?! Fortrans again?? OH NO. To which the nurse advised me to try Moviprep . “It’s not very pleasant either, but you only need to drink two liters of it,” she said.

I have never heard of such a drug. The great Google said that the drug was relatively new, there were few reviews.

The use of Moviprep for breastfeeding is not explicitly permitted, but is not prohibited either:

Use during pregnancy and breastfeeding

Experience with the use of MOVIPREP® during pregnancy and breastfeeding is limited. MOVIPREP® should only be used if the expected benefit to the mother outweighs the potential risk to the fetus or child (consultation with a physician is required).

But I didn’t even consider the option with Fortrans, so I bought Moviprep. It costs a little more than Fortrans. About 750 rub.

Preparation : the Moviprep box contains 4 sachets (2 sachets type A and 2 sachets type B).

DIET:

I would like to remind you that before a colonoscopy, it is recommended to follow a diet to better cleanse the intestines. I’m on a relatively strict diet during breastfeeding, so there were no drastic changes in nutrition. I have seen several diet options, what is possible in the end, what is not, I still don’t understand, so I’m just writing what I did:

• 5 days before the colonoscopy, I excluded vegetables/fruits/berries/nuts/seeds.
• In 3 days I switched to light food - breast broth + cereals/noodles. Semolina. Cheese. Eggs. Rice cakes. Cottage cheese. Marmalade.
• The day before the colonoscopy, for breakfast I drank broth, a couple of pieces of cheese, soft cottage cheese, and two quail eggs. Although my doctor’s memo said not to eat at all for 36 hours before the procedure. But again I didn’t want vacillation and weakness, so again I feed her. So I had breakfast. I didn't eat any more solid food.

WHAT TIME TO DRINK:

My instructions say to drink 1 liter of Moviprep at 20:00 and the second at 21:00. I started drinking much earlier, at 15:00. So that I have time to recover if something goes wrong. By the way, I recommend everyone to do this. What's the point of not eating anything all day and drinking two liters in a row in the evening? It is better to distribute the drug intake throughout the day. This way you have a better chance of drinking successfully. After all, the manufacturer also allows for separate evening and morning intake. So a separate intake day + day is also possible, I thought.

• 15-16.30 - first liter. I drank 500 ml of apple juice.
• 17.30 - I drank a large mug of hot tea (what a pleasure it is at such a moment!).
• 19 - started drinking the second liter. I finished around 21. It was more difficult. Again 500 ml apple juice.

Well, plus I also drank regular water, I didn’t count how much.

I was alone at home with two children and was afraid of how I would feel. With Fortrans, I just lay there and didn’t move, I felt so bad. It’s good that our mother-in-law was with us and looked after the children.

But I felt great. I was preparing to eat. Breastfed my youngest daughter. Played with the eldest. When my husband came home from work, we had a disco with the girls, and he was a little shocked. He asked what I drank? ) In this mode, everything was fine with milk. Because I drank a lot of liquid.

Overall, I took the drug quite well. Of course, the second liter was more difficult to drink and I didn’t want to go through it, but I drank it. I didn’t feel sick, I felt a little nauseous, but it went away quickly. The intestines were also cleansed well, there were no complaints from the medical staff.

Taking the drug had no effect on my daughter. Diarrhea, abdominal upset, anxiety - there was nothing like that, my daughter felt as usual! Therefore, I think Moviprep on breastfeeding is safe for a child. Breastfeeding moms, don't be afraid!

My little tips to make drinking easier:

1. Drink through a large straw.
2. Immediately drink apple juice/citrus snack. I prepared grapefruit, but it wasn't needed. I liked it better with juice.

Be healthy!

UPD 08/2018: I took Moviprep again as preparation before the operation. The second time I ran to the toilet more often for some reason. Even for one person, Moviprep acts differently, depending on the condition of the intestines, apparently.

Patient reviews

Based on feedback from people who have undergone colonoscopy, medications played a significant role in preparing for the study.

Larisa: “I took a few hours off from work in the afternoon for a colonoscopy, followed a diet, and I was staggering from hunger. I talked to the doctor about the medications. It is simply unrealistic to drink such a volume of liquid the day before. I don't have constipation, quite the opposite. In the evening I drank Duphalac and didn’t get off the toilet all night. But the procedure was successful.”

Galina: “My mother was scheduled for a colonoscopy. She is hypertensive. How to drink so much water? The doctor ordered me to strictly follow a slag-free diet for a week, not 3 days. In the evening and in the morning I gave her enemas. It worked out.”

Marina: “And I immediately realized that I couldn’t work. I took 3 days off. Fortrans can be endured if you drink and lie down, doing nothing.”

You should not try to choose the best laxative for yourself. In order not to disrupt the necessary procedure, you should carefully consider all preparation options. A combination of drugs and actions that are convenient in time and mode of operation will help to correctly complete the cleansing regimen.

Moviprep : 9 doctor reviews, 2 patient reviews, instructions for use, analogues, infographics, 1 release form, prices from 273 to 1157 rubles.

Taking a laxative - Fortrans (4 liters)

• Fortrans solution is prepared at the rate of 1 sachet per 1 liter of water.
• Take 250 ml every 15 minutes or in separate sips. Nausea may occur if taken quickly. To make it easier to take, drink the solution chilled, through a straw, dissolve candy caramel, you can wash it down with tea with honey and lemon, clear apple juice, you can add lemon juice to the solution.
• While taking the solution, you need to move, squat, and massage the abdomen.
• The laxative effect begins within the first hour and stops after 1.5-2 hours, the last stool should look like a clear yellow liquid.

Preparation schemes for Fortrans solution

Study tomorrow until 11:00 - one-stage evening preparation scheme. On the evening before the study, 19:00-23:00 - take four liters of Fortrans + 10-15 ml simethicone (dilute in 4 liters of laxative). Study tomorrow 11:00-14:00 - two-stage preparation scheme. The day before: 20:00-23:00 – three liters of Fortrans + simethicone 7.5 ml. Dilute simethicone (defoamer) solution in the last glass of Fortrans solution. Study day: 6:00-7:00 - fourth liter of Fortrans + simethicone 7.5 ml (dilute in the last glass of Fortrans solution).

Study tomorrow after 14:00 - one-stage morning preparation scheme. All 4 liters must be drunk on the day of the study 6:00-10:00 + simethicone 15 ml (diluted in 4 liters of laxative).

Fortrans - features of the product

Fortrans has a similar composition with the exception of one substance. Additionally, the medicine contains sodium picosulfate. The product is available in powder form for preparing a solution.

Sodium picosulfate is a laxative that acts only at the level of the colon. It is a stimulant that causes rhythmic contractions of the intestinal walls. It is poorly digestible and has low absorption. The product has an unpleasant, bitter taste due to the content of sodium sulfate. It is not in Endofalk.

The drug Fortrans uses macrogol 4000, and Endofalk uses macrogol 3350. A substance with a lower molecular weight is considered safer. Macrogol 3350 is less irritating to the mucous membrane.

Comparison of side effects of Fortrans and Moviprep

Side effects or adverse events are any adverse medical event that occurs in a subject after administration of a drug.

Moviprep has more side effects than Fortrans. This implies that the frequency of their occurrence is low in Moviprep and low in Fortrans. Frequency of occurrence is an indicator of how many cases of an undesirable effect from treatment are possible and registered. The undesirable effect on the body, the strength of influence and the toxic effect of drugs are different: how quickly the body recovers after taking it and whether it recovers at all. When using Moviprep, the body's ability to recover faster is higher than that of Fortrans.