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Is there any evidence support effectiveness of coffee enema?

Is there any evidence support effectiveness of coffee enema?. Truth and Myth Pisaln Mairiang MD. Searching strategy. Pubmed (no limit) Keywords: Coffee enema, Colonic hydrotherapy Colonic irrigation. Searching: coffee enema.

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Is there any evidence support effectiveness of coffee enema?

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  1. Is there any evidence support effectiveness of coffee enema? Truth and Myth Pisaln Mairiang MD.

  2. Searching strategy • Pubmed (no limit) Keywords: Coffee enema, Colonic hydrotherapy Colonic irrigation

  3. Searching: coffee enema

  4. Historical aspects of enema therapy • An ancient theory of autointoxication by intestinal waste products. • Had been practicing among ancient Chinese, Hindu, Egyptian medicine

  5. NJ Taffinder et al Colorectal disease 2004;6:258-60

  6. Indications asthma,allergies, arthritis, back pain, headache, insomnia, hyperlipidemia, bad breath, hypertension, mental disorders, alcoholism, ulcerative colitis, cancers and liver insufficiency.

  7. Gerson’s hypothesis Alteration of Immune system intoxication asthma allergies arthritis headache, insomnia, bad breath, mental disorders, cancers and liver insufficiency. Bile flow Bacterial and food waste product

  8. Bile salt enterohepatic recirculation

  9. Gerson’s hypothesis Repair of Immune system detoxication asthma allergies arthritis headache, insomnia, bad breath, mental disorders, cancers and liver insufficiency. Bile flow Bacterial and food waste product coffee coffee coffee

  10. Scientific background of coffee enema • Anaerobic decreased energy production and promote cancer • Coffee stimulate bile formation and flow • Colestolcompounds present in coffee act as detoxicants by stimulate liver GST • Cancer cells can be killed by inflammatory reaction NO NO NO Yes/No

  11. Coffee enema and cancer Leed A, et al. Lancet1990;15:677-2

  12. Safety and complications

  13. Complications of coffee enema • Sporadic cases of deaths related to coffee enemas : • Pulmonary enema and septicemia in 46-year-old woman diagnosed as colitis • 37-year-old woman with carcinoma of the breast developed hyponathemia, hyperkalemia and abdominal pain with dyspnea John W. Eisele, Donald T. Reay. JAMA 1980;244(14):1608-9. • Perineal gangrene and rectal perforation Tan MP et al Ann Acad Singapore 1999;28:583-5 • Potassium depletion by enemas Dumning MF, Plum F. Am J Med 1956;789-92. • Water intoxication Ziskind A, Gelis SS. J Dis Child 1958;699-04. • Polymicrobial enteric septicemia from coffee enemas Margolin KA, Green MR. West J Med 1984;140(3):460 • Report cases of colonic injury (Burn) from Thai endoscopists

  14. Summary on colonic hydrotherapy • Colonic hydrotherapy is effective in treatment constipation and hepatic encephalopathy • There is no scientific evidence of its effectiveness • To answer for effectiveness of coffee enema need controlled trail study. possible or impossible

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