Children Prior to Colonoscopy
Conditions
Keywords
colonoscopy, pediatric, preparation, diet
Brief summary
Colonoscopy is a routinely performed procedure in children and adolescents. Proper visualization of the intestinal mucosa is highly dependent on the quality of the bowel preparation. European Society of Gastrointestinal Endoscopy (ESGE) emphasizes that the timing of bowel preparation is the key factor and recommends that the delay between the last dose of bowel preparation and colonoscopy should be minimized. Timing of bowel preparation prior to colonoscopy has not been studied in children population, yet. The diet regimen before colonoscopy is likely less important than the timing of bowel preparation, however may influence the well-being of children.
Interventions
DEVICEpolyethylene glycol 3350
Patients received a polyethylene glycol 3350 solution starting at afternoon the day before the colonoscopy at a dose of 1000 ml/15 kg (maximum 4 L). The patients were instructed to drink all solution in about 4-6 hours.
Sponsors
Medical University of Warsaw
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Investigator)
Eligibility
Sex/Gender
ALL
Age
6 Years to 18 Years
Healthy volunteers
No
Inclusion criteria
* Age 6-18 years * Elective colonoscopy
Exclusion criteria
* Chronic renal, liver, or heart failure * Acute surgical abdominal conditions (e.g., acute obstruction or perforation) * Acute surgical abdominal conditions (e.g., acute obstruction or perforation) * Any prior gastrointestinal surgery
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Bowel preparation of the whole colon | in 15 minutes after colonoscopy | Boston bowel preparation score for the whole colon assessed by the endoscopist in 15 minutes after the procedure |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Bowel preparation for colon sections | in 15 minutes after colonoscopy | Boston bowel preparation score for: * the right side of the colon * the transverse section of the colon * the left side of the colon assessed by the endoscopist in 15 minutes after the colonoscopy |
| Duration of PEG taking | in 15 minutes after colonoscopy | — |
| Time between the last dose of PEG and colonoscopy | in 15 minutes after colonoscopy | — |
| Acceptability | in the first 6 hours after colonoscopy | Patient's satisfaction of bowel preparation measured by 10-point visual-analogue scale (VAS) |
| Tolerability | in the first 6 hours after colonoscopy | Tolerability assessment was based on the recording of occurrence and severity of GI symptoms such as nausea, bloating, abdominal, pain/cramps and anal discomfort |
Countries
Poland
Outcome results
None listed