By Dr. med. Ernst Stein (auth.)
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Extra resources for Anorectal and Colon Diseases: Textbook and Color Atlas of Proctology
Reference 1. Bond JH, Levy M, Levitt MD (1976 ) Explosion of hydrogen gas in the colon during proctosigmoidoscopy. Gastrointest Endosc 23: 41-42 Disinfection and Sterilization A number of factors combine to increase the risk of nosocomial infections in clinic and hospital proctologic procedures. Both the diagnostic and therapeutic procedures have become quite complex. In addition, increasing demand and financial pressures have lead to a much higher turnover of patients in the specialized examination areas.
The patient can then see the physioa period of inspiration. Parasympathetic reflex logical functions that he or she needs to improve pathways lead to peristaltic contractions of the des- as visual or acoustic displays. For example, the concending colon, sigmoid colon, and rectum. Simulta- traction strength of the external anal sphincter or neously, both anal sphincters and the striated mus- puborectalis muscle can be shown. Required for cle of the pelvic floor relax. Through the coopera- this approach are the presence of intact sphincter 16 Physiology and Pathophysiology of Anorectal Function muscles and the patient's ability to sense distention in the rectum .
The openings of the various passageways (air, suction, water, and instruments) are all carefully cleaned, then rinsed and blown clean. The valves are cleaned with the recommended aldehyde solution and cotton-tipped applicators. Disinfection of endoscopes which are not waterproof is carried out as described below. The endoscope is hung in an appropriate aldehyde solution to within 5 cm of the control buttons. All the channels are filed with disinfectant and then closed in some way to kept the fluid from draining out.
Anorectal and Colon Diseases: Textbook and Color Atlas of Proctology by Dr. med. Ernst Stein (auth.)