Please use these links for Safety Issues.

- Safety regarding Automic Dysreflexia and Electrolytes.
- Physician's testimonials.
- Institutions using PIE* System.
- Professional info package with Certificate of Medical Necessity.
- 30-minute Colonoscopy Prep without chemicals.
- What are the dangers of long-term use of laxatives?
- Solving Fecal Impactions without hospitalization or surgery.
- Solving barium impactions.
- Facts about chronic constipation and laxatives.
- Eliminating oral preparation for colonoscopy studies and having walk-in preps.

Safety history of PIE* procedure:
The procedure has been performed over 100,000 times with no complications. Currently, physicians and major institutions are using the procedure as "the method of choice"for fecal impaction.


PIE* Published Studies in Medical Journals


Study done by V. A. regarding safety.
This study included of electrolytes, blood chemistry, Autonomic Dysreflexia, patient comfort, bowel time, blood pressure and other important information.

Use of pulsed irrigation evacuation in the management of the neuropathic bowel
Published in Spinal Cord (1997) 35, 694-699
Terry A. Puet, Holly Jackson and Sandy Amy
Hillside Rehabilitation Hospital, 8747 Squires Lane, NE, Warren, Ohio 44484, USA.

Pulsed Irrigation Enhanced Evacuation: New Method for Treating Fecal Impaction
Published in Arch Phys Med Rehabil, Vol. 72, October 1991
Terry A. Puet, MD, Lovsho Phen, MD, Dorothy L. Hurst, RN
Hillside Rehabilitation Hospital, 8747 Squires Lane, NE, Warren, Ohio 44484, USA.

Barium Impaction Ileus in a Child Using the PIE*Procedure
Letter to the Editor, Journal of Pediatric Gastroenterology and Nutrition, 21:119-120, 1995
Mark A Gilger, M.D., Milton L. Wagner, Gloria T. Kelley, Department of Pediatrics, Baylor College of Medicine and Texas Children's Hospital, Houston, Texas U.S.A

Treatment of Fecal Impaction with Pulsed Irrigation Enhanced Evacuation of Fecal Impaction
Published in Dis Colon Rectum, February 1994, Vol. 37, No. 2, pp. 161-164
Joseph Kokoszka, M.D. Richard Nelson, M.D. Margaret Falconio, R.N. Herand Abcarian, M.D.
From the Department of Surgery, University of Illinois College of Medicine at Chicago, Chicago, Illinois (Dr. Richard Nelson, Department of Surgery, University of Illinois College of Medicine at Chicago, Room 2204, m/c 957, 1740 West Taylor Street, Chicago, Illinois 60612)

*3423 Pulsed Irrigation Evacuation: A Better Technique for Colon Cleansing?
Kamran Ayub, Waqar Quershi, Rosetta Brown, Rhonda A. Cole, David Y. Graham
VA Med Ctr, Houston, TX.

Avatar Bowel Program Clinical Study PIEE - Pulsed Irrigation Procedure
(NOTE: The Avatar model was the first model of the PIE* System)
Veterans Administration Medical Center of Denver and the University of Colorado Medical Center.