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The optimal bowel preparation intervals before colonoscopy: A randomized study comparing polyethylene glycol and low-volume solutions.
Kojecky, Vladimir; Matous, Jan; Keil, Radan; Dastych, Milan; Zadorova, Zdena; Varga, Michal; Kroupa, Radek; Dolina, Jiri; Misurec, Miroslav; Hep, Ales; Griva, Martin.
Afiliación
  • Kojecky V; Internal Clinic, Bata Regional Hospital, Zlin, Czech Republic.
  • Matous J; 2nd Dept. of Internal Medicine, Third Faculty of Medicine, Charles University in Prague, Prague, Czech Republic.
  • Keil R; Dept. of Internal Medicine, 2nd Faculty of Medicine, Charles University in Prague and Motol University Hospital, Prague, Czech Republic.
  • Dastych M; Dept. of Gastroenterology and Internal Medicine, University Hospital Brno and Faculty of Medicine, Masaryk University, Brno, Czech Republic.
  • Zadorova Z; 2nd Dept. of Internal Medicine, Third Faculty of Medicine, Charles University in Prague, Prague, Czech Republic.
  • Varga M; Internal Clinic, Bata Regional Hospital, Zlin, Czech Republic.
  • Kroupa R; Dept. of Gastroenterology and Internal Medicine, University Hospital Brno and Faculty of Medicine, Masaryk University, Brno, Czech Republic.
  • Dolina J; Dept. of Gastroenterology and Internal Medicine, University Hospital Brno and Faculty of Medicine, Masaryk University, Brno, Czech Republic. Electronic address: jidoli@post.cz.
  • Misurec M; Internal Clinic, Bata Regional Hospital, Zlin, Czech Republic.
  • Hep A; Dept. of Gastroenterology and Internal Medicine, University Hospital Brno and Faculty of Medicine, Masaryk University, Brno, Czech Republic.
  • Griva M; Internal Clinic, Bata Regional Hospital, Zlin, Czech Republic.
Dig Liver Dis ; 50(3): 271-276, 2018 Mar.
Article en En | MEDLINE | ID: mdl-29102524
BACKGROUND & AIMS: The optimal duration of bowel preparation has only been assessed for polyethylene glycol (PEG). The aim of the study was to determine the intervals for achieving a satisfactory quality/tolerability of the preparation using PEG/ascorbic acid (PEGA) and sodium picosulphate/magnesium citrate (SPMC), and to compare them with 4L of PEG. METHODS: A randomized, endoscopist-blinded, multicentre study. The 612 outpatients referred to a colonoscopy, were prepared using PEG, SPMC, PEGA. The quality, tolerability, duration of the preparation, and the interval from the end of the preparation to the colonoscopy was assessed. RESULTS: Optimum duration of the preparation was similar for both PEG and SPMC (≥7.3 vs. ≥8.8 h, overall ≥8.4 h). Optimum interval to the colonoscopy was ≤11.8 h and did not differ between preparations (PEG, PEGA ≤ 11.8, SPMC ≤ 13.3 h). These times were the only predictors for a satisfactory preparation. The tolerability depends on the product type (SPMC) only. Timing of the preparation or the other factors had no impact on tolerability. CONCLUSION: The optimum intervals for bowel preparation are identical for all preparations. Satisfactory preparation is achived at the preparation length ≥8.4 h and the time to colonoscopy ≤11.8 h.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Compuestos Organometálicos / Picolinas / Polietilenglicoles / Ácido Ascórbico / Catárticos / Colonoscopía / Citratos Tipo de estudio: Clinical_trials / Prognostic_studies Límite: Aged / Female / Humans / Male / Middle aged País/Región como asunto: Europa Idioma: En Revista: Dig Liver Dis Asunto de la revista: GASTROENTEROLOGIA Año: 2018 Tipo del documento: Article País de afiliación: República Checa Pais de publicación: Países Bajos
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Compuestos Organometálicos / Picolinas / Polietilenglicoles / Ácido Ascórbico / Catárticos / Colonoscopía / Citratos Tipo de estudio: Clinical_trials / Prognostic_studies Límite: Aged / Female / Humans / Male / Middle aged País/Región como asunto: Europa Idioma: En Revista: Dig Liver Dis Asunto de la revista: GASTROENTEROLOGIA Año: 2018 Tipo del documento: Article País de afiliación: República Checa Pais de publicación: Países Bajos