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All the patients undergoing Barium Enema or Colonoscopy require them to take an “Oral Bowel Cleansing Agent" (also called ‘bowel prep’).

A recent NPSA (National Patient Safety Agency) alert “Reducing risk of harm from oral bowel cleansing solutions” suggested such agents carry risks of dehydration and electrolyte disturbance and that it is essential that the patient has had their U&Es checked in the preceding three months before the patient can safely take this oral bowel cleansing agent

The Trust does not accept any direct Colonoscopy referrals but any patients needing repeat Colonoscopy and Barium Enema will need to be evaluated by GPs for their suitability for the oral bowel cleansing agent.

If patient has not already had these blood tests done, we would ask that any patient being referred for Barium Enema or Colonoscopy should also have U&Es and FBC checked at the time of the referral or before their scheduled procedure.

GP will complete the “Oral Bowel Cleansing Agent Prescription Checklist” to assess whether it is safe for the patient to take the Oral Bowel Cleansing Agent based on medical history, medical conditions, medications and blood test results

GP will send the checklist along with the request form. Once we receive the completed checklist with the referral form, we will make the necessary arrangements for the patient regarding appointment and Oral Bowel Cleansing Agent

In case of any questions, please contact Radiology Booking Centre on 01932 723054 or Endoscopy Clerk on 01932 726575.


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