Rectal Protocol - Colorectal Cancer Surgery

Rectal Protocol

• Clear liquids only 4 hours before procedure (see clear liquid diet guidelines) 
• If you are currently taking prescribed medications, please take as instructed with a very small amount of water just enough for swallowing. 
• Two fleet enemas available over the counter at any frug store, no prescription necessary (see bowel prep directions)
• If a.m. case: use one enema 2 hours after dinner the Night before procedure and one enema the morning of the procedure—please have completed the last enema at least 1.5 hours before your appointment (may adjust time for travel) 
• If p.m. case: use two enemas the morning of the procedure, 1 hour apart from each other with the last enema Completed at least 1.5 hours before your appointment (may adjust time for travel) 
• Notify your doctor/nurse prior to the procedure if you have any of the following:
  • Drug allergies/IV contrast allergies/latex allergies. IV contrast allergy patients must be pre-medicated. Notify the nurse to call in prescriptions to the pharmacy.
  • History of kidney problems
  • Diabetic patients taking Glucophage/glucovance/etc. Do not take diabetic medication morning of the procedure.
  • Creatinine level (blood test) is required within 30 days for:
    • Patients 70 years of age or older
    • Diabetic (insulin and non-insulin dependent)
    • History of renal insufficiency