A pilot study assessing the effectiveness of a glycerin suppository in controlled colostomy emptying.

UNLABELLED: 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.