These tools will no longer be maintained as of December 31, 2024. Archived website can be found here. PubMed4Hh GitHub repository can be found here. Contact NLM Customer Service if you have questions.


Pubmed for Handhelds

PUBMED FOR HANDHELDS

Search MEDLINE/PubMed

  • Title: Oral sodium phosphate compared with water enemas combined with bisacodyl as bowel preparation for elective colonoscopy.
    Author: Rasmussen M, Bohlbro K, Qvist N.
    Journal: Scand J Gastroenterol; 2003 Oct; 38(10):1090-4. PubMed ID: 14621286.
    Abstract:
    BACKGROUND: Colonoscopy with high diagnostic accuracy requires a high quality of bowel preparation using a method that is well accepted. The aim of this study was to compare oral intake of sodium phosphate solution (SP) with a conventional method of bowel preparation using Bisacodyl combined with repeated water enemas until the appearance of clear return fluid (BE) on bowel preparation and to compare patient compliance in a randomized-investigator blinded trial. METHODS: During a 3-months period, 253 consecutive patients referred for elective colonoscopy in the outpatient clinic were evaluated. After application of the exclusion criteria, 201 patients fulfilled the criteria for the trial; 119 were randomized to SP and 82 to BE. RESULTS: The endoscopist reported a significantly (P = 0.001) improved overall bowel preparation after SP compared with BE. Emptying was significantly better in all segments of the colon except the caecum. Colonoscopy was incomplete in 9 patients (7.6%) in the SP group and in 3 patients (3.7%) in the BE group, but this difference was not significant. The number of patients with colon pathology was similar in both groups. Only 10% in the SP group would have preferred another preparation had this been possible, compared with 89% in the BE group (P < 0.0001). Only the SP preparation emerged as a negative independent predictor of poor bowel preparation after multivariate logistic regression modelling. CONCLUSION: Patient compliance and quality of bowel preparation were better after SP than after BE.
    [Abstract] [Full Text] [Related] [New Search]