Colorectal Carcinoma
Conditions
Keywords
Lubiprostone, Bowel preparation regime
Brief summary
Lubiprostone as an adjunct to the standard bowel preparation regime the quality of bowel preparation can be improved for a good colonoscopic examination without missing lesions and complications.
Detailed description
Objectives: 1. Primary: * Same day Low volume PEG with placebo (Arm 1) versus same day low volume PEG with Lubiprostone (Arm 2) * Waiting time for colonoscopic procedure and quality of bowel preparation 2. Secondary: * Quality of bowel preparation without Dietary restriction (Modified bowel preparation regime without Fiber diet restrictions)
Interventions
Lubiprostone is a chloride channel activator approved by the Food and Drug Administration for the treatment of chronic constipation. A randomized, double-blind, parallel-group, placebo-controlled study evaluating the effect of lubiprostone on gastric function showed slowed gastric emptying and increased small bowel and colonic transit time. Peak plasma concentration was shown to be around 1.14 hours, with a majority of the drug excreted in the urine within 48 hours.
Sponsors
Study design
Eligibility
Inclusion criteria
1. All adult patient referred for colonoscopy to AIG 2. Age 18 - 75 years old
Exclusion criteria
1. Acute GI bleeding. 2. Patient of bowel preparation regime other than excepted for the study. 3. Renal insufficiency. 4. Dementia. 5. Symptomatic heart failure. 6. Recent Myocardial Infarction. 7. Patients with ileus. 8. Suspected bowel obstruction. 9. Prior alimentary tract surgery. 10. Significant gastroparesis. 11. Gastric outlet obstruction. 12. Toxic colitis or megacolon. 13. Pregnant or lactating patients.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Quality of bowel preparation in Same day Low volume PEG with placebo versus same day low volume PEG with Lubiprostone | 2 months | Quality of bowel preparation is based on Boston Bowel Preparation Score (BBPS) |