Intestine; Complaints
Conditions
Keywords
polyethylene glycol, bisacodyl
Brief summary
The purpose of this study is to compare two regimens of polyethylene glycol(PEG) plus bisacodyl versus PEG alone for bowel preparation in hospitalized patients.
Detailed description
Inadequate bowel preparation may lead to a longer colonoscopy, and to an inability to identify lesions. PEG can provide a rapid orthograde peroral approach to colonic lavage without producing significant fluid or electrolyte changes. Thus PEG is now commonly used for bowel preparation. However, large amounts and unsatisfactory taste of PEG solution are generally poorly tolerated, especially in hospitalized patients who had comorbidity and restricted ambulation. Recently, a new PEG-based bowel cleansing agents became available. It combines PEG with a high dose of ascorbic acid or bisacodyl. Although many studies reported the efficacy of these combined solution for colonoscopy, but efficacy in hospitalized patients was under-recognized.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* Hospitalized patients for colonoscopy
Exclusion criteria
* age under 20 years or over 80 years * major psychiatric illness * known allergy to PEG * serious condition- severe cardiac, renal, or metabolic diseases * partial colon resection * current acute exacerbation of chronic inflammatory bowel disease * functional constipation defined by Rome III diagnostic criteria
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| The efficacy of bowel preparation | one day (after colonoscopy) | Ottawa scale |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Patient's compliance and acceptability | one day (after injestion of preparation solution) | acceptability, Visual Analogue Scale |
| Patient's compliance and acceptability (2) | one day (after injestion of preparation solution) | stress for ingestion, Stress 0(not) - 4(severe) |
| Patient's compliance and acceptability (3) | one day (after colonoscopy) | willingness for re-evaluation, 0(very willing) - 4(some) |