On 01 Apr 2004 01:29:46 GMT, Toby Joe <[email hidden]>
Quoted message said:Orac said:
In any case, how do you know, given that you haven't even
TRIED to present any evidence to support your assertions?I've presented this twice now.
And I responded to this. But Toby ignored it. I predict that
Toby is going to claim that she either put me in her kill
file or is ignoring my posts. Just watch.
Here it is again:
Comment: There was no control group to compare results. It
also does not talk about how they determined clinical
symptom improvement. There also obviously was no blinding of
the study.
To make this a decent study one would have one group that
had a real transcolonic irrigation and another (placebo)
group that had a sham transcolonic irrigation so that the
patients would not know which they were receiving. And then
you have the people who rate improvement blind to who was in
treatment group and who was in control group.
Having said that it appears common sense that if a person is
experiencing pain secondary to irritation by something
lodged in diverticula then dislodging it will lead to
improvement. But this is a very specialized situation and
certainly not a reason to routinely do colonics if you are
chronically constipated or for some other reason.
Aloha,
Rich
Quoted message said:Here it is again:
J Chin Med Assoc. 2003 May;66(5):282-7. A potential
alternative treatment of uncomplicated painful diverticular
disease by trans-colonoscopic irrigation technique: a
preliminary report.Chen WS, Lin JK. Division of Colorectal Surgery, Taipei
Veterans General Hospital, National Yang-Ming University,
Taipei, Taiwan, ROC.BACKGROUND: Colonic diverticular disease is a common
disorder in elder patients. Medical treatment was usually
recommended as the first line management for this disease.
However, the recurrence rate of such disorder is still
high. In patients with severe complications such as
abscess or fulminant inflammation, non-invasive diagnostic
examination, abdominal CT scan for example, is
recommended. Its most common symptom is repeated abdominal
pain with disturbance of bowel habit. Many patients are
found to be with diverticular disease only after
colonoscopic examination. The aim of this study is to
introduce a new irrigation-draining method and to evaluate
its efficacy in treatment of uncomplicated painful colonic
diverticular disease.METHODS: To reduce the risk of recurrence of acute
diverticulitis and other severe complications, we introduce
a transcolonoscopic irrigation technique for patients of
uncomplicated diverticular disease by flushing out the
obstructed fecalith from the diverticular sac in order to
improve the drainage from the obstructed diverticular sac.RESULTS: Thirty-two patients of uncomplicated painful
diverticular disease with obstructed fecalith impacted were
treated by this technique. Clinical symptom improved in all
of them and no complications developed during the mean follow-
up period of 46 months.CONCLUSION: The results of this preliminary study suggest
that this technique accomplished in the colonoscopic
examination without additional therapeutic procedures. It
provides another potential alternative to the conventional
medical treatment for patients with uncomplicated
diverticular disease. tinyurl.com2s9pyOpen ↗ --Open ↗
ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=pubmed&-
dopt=A bstract&list_uids=12908570
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The best defense to logic is ignorance