"Jak p\u0159ipravit nemocn\u00E9ho ke koloskopii"@cs . "Jak p\u0159ipravit nemocn\u00E9ho ke koloskopii" . "11150" . "1"^^ . . . "Jak p\u0159ipravit nemocn\u00E9ho ke koloskopii" . . . "1212-7299" . . . "1"^^ . "How to prepare a patient for colonoscopy"@en . "5" . . "antibiotic prophylaxis; screening; olonoscopy"@en . "RIV/00216208:11150/14:10286373!RIV15-MSM-11150___" . "I" . "3"^^ . "Intern\u00ED medic\u00EDna pro praxi" . "Koloskopie p\u0159edstavuje hlavn\u00ED diagnostickou metodu pro onemocn\u011Bn\u00ED kolorekta. Zvl\u00E1\u0161t\u011B v posledn\u00ED dob\u011B roste jej\u00ED v\u00FDznam v diagnostice a terapii p\u0159edn\u00E1dorov\u00FDch a \u010Dasn\u00FDch n\u00E1dorov\u00FDch zm\u011Bn p\u0159i screeningu kolorekt\u00E1ln\u00EDho karcinomu. Efektivita a bezpe\u010Dnost koloskopie z\u00E1vis\u00ED na spr\u00E1vn\u00E9 p\u0159\u00EDprav\u011B pacienta - to se t\u00FDk\u00E1 p\u0159edev\u0161\u00EDm o\u010Disty tra\u010Dn\u00EDku p\u0159ed vy\u0161et\u0159en\u00EDm. Dnes je ji\u017E v \u010Cesk\u00E9 republice dostupn\u00E9 spektrum o\u010Distn\u00FDch p\u0159\u00EDpravk\u016F se srovnateln\u00FDm o\u010Distn\u00FDm potenci\u00E1lem a rozd\u00EDlnou bezpe\u010Dnost\u00ED. Nezbytnou sou\u010D\u00E1st\u00ED o\u010Disty tra\u010Dn\u00EDku jsou dietn\u00ED omezen\u00ED a dostate\u010Dn\u00FD p\u0159\u00EDjem tekutin. P\u0159\u00EDprava ke koloskopii zahrnuje tak\u00E9 zhodnocen\u00ED stavu pacienta a jeho rizik pro vy\u0161et\u0159en\u00ED. Indikace protisr\u00E1\u017Eliv\u00E9 terapie i spektrum antikoagula\u010Dn\u00EDch a antiagrega\u010Dn\u00EDch prost\u0159edk\u016F se roz\u0161i\u0159uj\u00ED a je \u010Dasto nutn\u00E9 tuto terapii v souvislosti s koloskopick\u00FDm v\u00FDkonem upravit. Naopak indikace antibiotick\u00E9 profylaxe p\u0159i koloskopii se sp\u00ED\u0161e zu\u017Euj\u00ED. Jen pro spr\u00E1vn\u011B p\u0159ipraven\u00E9ho pacienta je koloskopie maxim\u00E1ln\u011B efektivn\u00ED a bezpe\u010Dn\u00E1." . "23120" . . . "RIV/00216208:11150/14:10286373" . . . "[47383267FB37]" . . "CZ - \u010Cesk\u00E1 republika" . . "Koloskopie p\u0159edstavuje hlavn\u00ED diagnostickou metodu pro onemocn\u011Bn\u00ED kolorekta. Zvl\u00E1\u0161t\u011B v posledn\u00ED dob\u011B roste jej\u00ED v\u00FDznam v diagnostice a terapii p\u0159edn\u00E1dorov\u00FDch a \u010Dasn\u00FDch n\u00E1dorov\u00FDch zm\u011Bn p\u0159i screeningu kolorekt\u00E1ln\u00EDho karcinomu. Efektivita a bezpe\u010Dnost koloskopie z\u00E1vis\u00ED na spr\u00E1vn\u00E9 p\u0159\u00EDprav\u011B pacienta - to se t\u00FDk\u00E1 p\u0159edev\u0161\u00EDm o\u010Disty tra\u010Dn\u00EDku p\u0159ed vy\u0161et\u0159en\u00EDm. Dnes je ji\u017E v \u010Cesk\u00E9 republice dostupn\u00E9 spektrum o\u010Distn\u00FDch p\u0159\u00EDpravk\u016F se srovnateln\u00FDm o\u010Distn\u00FDm potenci\u00E1lem a rozd\u00EDlnou bezpe\u010Dnost\u00ED. Nezbytnou sou\u010D\u00E1st\u00ED o\u010Disty tra\u010Dn\u00EDku jsou dietn\u00ED omezen\u00ED a dostate\u010Dn\u00FD p\u0159\u00EDjem tekutin. P\u0159\u00EDprava ke koloskopii zahrnuje tak\u00E9 zhodnocen\u00ED stavu pacienta a jeho rizik pro vy\u0161et\u0159en\u00ED. Indikace protisr\u00E1\u017Eliv\u00E9 terapie i spektrum antikoagula\u010Dn\u00EDch a antiagrega\u010Dn\u00EDch prost\u0159edk\u016F se roz\u0161i\u0159uj\u00ED a je \u010Dasto nutn\u00E9 tuto terapii v souvislosti s koloskopick\u00FDm v\u00FDkonem upravit. Naopak indikace antibiotick\u00E9 profylaxe p\u0159i koloskopii se sp\u00ED\u0161e zu\u017Euj\u00ED. Jen pro spr\u00E1vn\u011B p\u0159ipraven\u00E9ho pacienta je koloskopie maxim\u00E1ln\u011B efektivn\u00ED a bezpe\u010Dn\u00E1."@cs . "16" . "The colonoscopy is an effective diagnostic method for colorectal diseases. Its importance both in diagnostics and therapy of premalignant and early malignant changes is growing recently. Efficacy and safety of colonoscopy depend on adequate preparation of the patient - the bowel cleansing being the most important. There is a spectrum of bowel cleansing agents available in the Czech Republic today with comparable efficiency and variable safety. A dietary restriction and an adequate liquid intake are essential parts of the bowel preparation. The planning for a colonoscopy comprises also an evaluation of patient overall status and procedure risk. Indications of antithrombotic therapy as well as a spectrum of anticoagulants and antiplatelet agents are growing and this therapy has to be often modified before an endoscopic procedure. On the other hand, indications for the antibiotic prophylaxis before colonoscopy are limited. The colonoscopy is maximally effective and safe only for properly prepared patient."@en . . "http://www.internimedicina.cz/pdfs/int/2014/05/10.pdf" . "Jak p\u0159ipravit nemocn\u00E9ho ke koloskopii"@cs . "Cyrany, Ji\u0159\u00ED" . "How to prepare a patient for colonoscopy"@en .