|Table of Contents|

The improving effects of additional oral 1 L vs 2 L polyethylene glycol as rescue for patients with poor bowel preparation before colonoscopy

Journal Of Modern Oncology[ISSN:1672-4992/CN:61-1415/R]

Issue:
2021 02
Page:
280-283
Research Field:
Publishing date:

Info

Title:
The improving effects of additional oral 1 L vs 2 L polyethylene glycol as rescue for patients with poor bowel preparation before colonoscopy
Author(s):
HONG Shaojing; LIN Yiping; CHEN Yurong
Department of Gastroenterology,the 900th Hospital of the Joint Logistics Team,Fujian Fuzhou 350025,China.
Keywords:
colonoscopy; bowel preparation; inadequate; polyethylene glycol; remedy
PACS:
R735.3
DOI:
10.3969/j.issn.1672-4992.2021.02.021
Abstract:
Objective:To investigate the effect of remedial oral administration of 1 L vs 2 L polyethylene glycol (PEG) on the patients with inadequate bowel preparation before colonoscopy.Methods:From March 2019 to October 2019,110 outpatients patients with inadequate bowel preparation assessed by the last rectal effluent before colonoscopy,were randomly divided into 1 L PEG group (n=55) and 2 L PEG group (n=55).On the same day,the patients in the two groups were respectively given remedial oral 1 L or 2 L PGE and then underwent colonoscopy.The following indexes were compared between the two groups.Bowel cleanliness included the Boston bowel preparation score (BBPS) of whole colon and each segment of colon,the adequate rate of bowel preparation.Colonoscopy results included cecal intubation rate,cecal intubation time and withdrawal time,polyp detection rate,adenoma detection rate.Patient tolerance and satisfaction were observed.Results:There was no significant difference in BBPS score and the adequate rate of bowel preparation between the whole colon and each segment of the colon between the two groups (P＞0.05).There were no statistically significant differences in cecal intubation rate,cecal intubation time and withdrawal time,polyp detection rate,and adenoma detection rate between the two groups (P＞0.05).However,the incidence of abdominal discomfort (38.2% vs 58.2%) in the 1 L PEG group was significantly lower than that in the 2 L PEG group,and the satisfaction (7.8±1.5 vs 7.2±1.4) was significantly higher than that in the 2 L PEG group,with statistically significant differences (P＜0.05).Conclusion:The effect of remedial oral 1 L or 2 L PEG on the improvement of inadequate intestinal preparation before colonoscopy is basically similar,which can ensure the successful completion of colonoscopy on the same day,especially the patients receiving 1 L PEG remedial oral regimen have better tolerance and satisfaction.

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Memo:
福建省自然科学基金（编号：2017J01321）
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