Colonoscopy
Conditions
Keywords
Colonoscopy
Brief summary
The aim of the study is to compare the efficacy of Polyethylene glycol versus sodium phosphate as purgative for colon preparation to colonoscopy, after the failure of preparation with sodium phosphate for first colonoscopy. The hypothesis tested is whether there is advantage for substituting the purgative used, as compared to repeating the colonoscopy with the same purgative.Briefly, patients whose preparation was inadequate, will be allocated randomly to a group that will receive 3L Polyethylene glycol versus a group that will receive sodium phosphate(45ccX2). Both groups will be instructed to extend low-fiber diet to 5 days. Cleanliness of the colon at colonoscopy will be assessed blindly by an experienced endoscopist.
Detailed description
The aim of the study is to compare the efficacy of Polyethylene glycol versus sodium phosphate as purgative for colon preparation to colonoscopy, after the failure of preparation with sodium phosphate for first colonoscopy. The hypothesis tested is whether there is advantage for substituting the purgative used, as compared to repeating the colonoscopy with the same purgative.Briefly, the study will be composed of patients whose preparation was judged to be inadequate in a first colonoscopy by an endoscopist independent of the current study. They will be allocated randomly to a group that will receive 3L Polyethylene glycol versus a group that will receive sodium phosphate(45ccX2). Both groups will be instructed to extend low-fiber diet to 5 days. Cleanliness of the colon at colonoscopy will be assessed blindly by an experienced endoscopist.
Interventions
Single time 3 liters PEG, 250 cc every 15 minutes the day before colonoscopy
Sodium phosphate 45cc, 2 doses 4 hours apart the day before colonoscopy
Sponsors
Study design
Eligibility
Inclusion criteria
* Failed colonoscopy due to inadequate preparation * Able to understand and sign an informed consent * Preparation for frst colonoscopy consisted of sodium phosphate
Exclusion criteria
* Significant heart disease or CHF * Chronic Renal Failure * Allergy to any of the purgative ingredients * Pregnancy * Alcohol and/or drug abuse * Vomiting or aspiration * Suspected bowel obstruction
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Colon cleanliness at the second colonoscopy | within 24 hours of purgative ingestion, and within 30 minutes of colonoscopy |
Secondary
| Measure | Time frame |
|---|---|
| Tolerability of purgative regimen | within 24 hours of purgative ingestion |
Countries
Israel