کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
---|---|---|---|---|
3263039 | 1207751 | 2013 | 5 صفحه PDF | دانلود رایگان |
![عکس صفحه اول مقاله: A new low-volume isosmotic polyethylene glycol solution plus bisacodyl versus split-dose 4 L polyethylene glycol for bowel cleansing prior to colonoscopy: A randomised controlled trial A new low-volume isosmotic polyethylene glycol solution plus bisacodyl versus split-dose 4 L polyethylene glycol for bowel cleansing prior to colonoscopy: A randomised controlled trial](/preview/png/3263039.png)
Background4-L polyethylene glycol preparations are effective for colon cleansing before colonoscopy. However, large volume and unpleasant taste reduce tolerability and acceptability limiting patient compliance. A new isosmotic low-volume polyethylene glycol preparation with citrates and simethicone plus bisacodyl has been developed to improve patient compliance and tolerability.AimTo compare the efficacy of 2 different regimens of preparation vs a split-dose of polyethylene glycol solution.Patients and methodsIn this randomised, blinded, comparative study, 153 patients were allocated to 3 arms. Arm 1 (n = 52) received bisacodyl and 2-L polyethylene glycol with citrates and simethicone the day before the procedure. Arm 2 (n = 50) received bisacodyl the day before and 2-L polyethylene glycol with citrates and simethicone on the day of colonoscopy. Control group (n = 51) received a split-dose of 4-L polyethylene glycol. Cleansing was evaluated according to Ottawa scale.ResultsThe mean Ottawa score was not different in the 3 groups. Excellent cleansing was observed more frequently in arm 2 (70%) than in controls (49%) (p < 0.05). No serious adverse events were observed in the 3 regimens. The willingness to repeat the same bowel preparation was superior in arms 1 and 2 than in controls (p < 0.001).ConclusionsNew low-volume preparations seem to be as effective as the split 4-L polyethylene glycol regimen, showing a better tolerability and acceptability.
Journal: Digestive and Liver Disease - Volume 45, Issue 1, January 2013, Pages 23–27