Pulsed irrigation enhanced evacuation: new method for treating fecal impaction.

Puet, T A; Phen, L; Hurst, D L · Arch Phys Med Rehabil · 1991

case_series · Level IV

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Abstract

Fecal impaction is a common problem in patients with neurologic impairment. The pulsed irrigation enhanced evacuation (PIEE) procedure is a new method of clearing fecal impactions using pulses of small amounts of warm water to rehydrate stool and improve peristalsis. Thirty-seven PIEE procedures were performed on 28 patients with a variety of neurologic problems. The PIEE procedure was observed to be effective and safe. It should be a useful adjunct to a proper bowel management program.

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