A Pilot Study Assessing the Effectiveness of a Glycerin Suppository in Controlled Colostomy Emptying

Abstract

The focus of this research was to explore another way for the patient to manage their colostomy. It was hoped that by inserting a glycerin suppository into the colostomy one would be able to evacuate the lower large intestine more effectively and efficiently.

OBJECTIVE 

To determine if persons with a sigmoid colostomy could obtain fecal continence by instituting a daily self-administered bowel-stimulating suppository.

DESIGN 

Randomized crossover comparative study comparing usual ostomy emptying practice with emptying with a glycerine suppository to stimulate controlled emptying.

SETTING AND SUBJECTS 

Adult males and females with a sigmoid colostomy were studied in their homes.

INSTRUMENTS 

The instruments included a profile questionnaire, a take-home diary, crossover and end-of-study questionnaires, and an exit questionnaire.

METHODS 

Subjects were randomized to their usual pouching method or to the experimental suppository method for 14 days each.

RESULTS 

There was no difference in fecal output, fecal volume, or flatus between the 2 groups. The action of the suppository was affected by its failure to remain in the bowel for an adequate amount of time.

CONCLUSION 

Further research is needed to determine if an adjunct device/method to hold the suppository in place would produce successful results.