Bowel Preparation for Colonoscopy
Conditions
Keywords
Colonoscopy, Preparation, Polyp, Polyethylene glycol
Brief summary
the efficacy and tolerability of a low-volume (2 L) PEG regimen for colonoscopy compared to single (4 L) or split-dose (2 L + 2 L) treatments are not different.
Detailed description
In-hospital patients were randomly assigned to one of three groups: group 1 single dose (PEG-3350; PEG-4 L the day previous of the study, starting at 17:00 and finishing at 21:00 h); group 2: split-dose (PEG-3350; 2 L the day before 17:00-19:00 h and 2 L same day of the procedure 06:00-08:00 am); group 3: low-volume 2 L PEG-solution (same day of the procedure 06:00-08:00 am). The quality of colonic preparation was assessed by the Boston bowel preparation scale (13); tolerability (nausea, vomiting, and abdominal pain), compliance, sleep disturbance and adverse effects in group 3 were compared with those in groups 1 and 2. The time since the last dose of bowel-preparation agent, the time since the last solid food was consumed, the approximate amount of bowel preparation taken (0%, 25%, 75%, or 100%), and the start time of the colonoscopy were recorded. Satisfactory colon preparation was considered when scores of the Boston bowel preparation scale were 2/3; otherwise, the procedure was considered unsatisfactory preparation.
Interventions
split-dose (PEG-3350; 2 L the day before 17:00-19:00 h and 2 L same day of the procedure 06:00-08:00 am)
PEG-3350; PEG-4 L the day previous of the study, starting at 17:00 and finishing at 21:00 h
low-volume 2 L PEG-solution (same day of the procedure 06:00-08:00 am)
Sponsors
Study design
Eligibility
Inclusion criteria
* In-hospital patients with an indication for colonoscopy
Exclusion criteria
* patients under 18 years of age * the presence of a severe illness (cardiac, renal, or metabolic) * major psychiatric illness * known allergies to PEG-3350 * refusal to consent to the study
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| satisfactory bowel preparation | at the moment of colonoscopy | The aim of this study was to test the quality of bowel preparation and tolerability of a low-volume (2 L) PEG regimen for colonoscopy compared to single (4 L) or split-dose (2 L + 2 L) treatments. The quality of colonic preparation was assessed by the Boston bowel preparation scale.Satisfactory colon preparation was considered when scores of the Boston bowel preparation scale were 2/3; otherwise, the procedure was considered unsatisfactory preparation. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| tolerability with bowel preparation | just before to start the colonoscopy and before any sedative be administered | tolerability of bowel preparation was measured, considering: nausea, vomiting, and abdominal pain, compliance, sleep disturbance and adverse effects. |
Countries
Mexico