Comparison of reduced volume versus four liters sulfate-free electrolyte lavage solutions for colonoscopy colon cleansing

DiPalma, Jack A.; Wolff, Bruce G.; Meagher, Alan P.; Cleveland, Mark

doi:10.1016/s0002-9270(03)00696-8

Cited by 65 publications

(71 citation statements)

References 27 publications

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“…91,92 Adverse effects may occur less frequently in association with preparation regimens that use a reduced volume of PEG. 93 Some drug interaction databases raise concerns when PEG solutions, especially HalfLytely \ , are prescribed for patients taking ACE inhibitors and/or potassiumsparing diuretics because of the small amount of potassium present in this preparation solution. Although this problem raises a theoretic concern for hyperkalemia in these patients, no clinical reports of adverse outcomes were available as of this writing.…”

Section: Safetymentioning

confidence: 99%

A Consensus Document on Bowel Preparation Before Colonoscopy: Prepared by a Task Force From The American Society of Colon and Rectal Surgeons (ASCRS), The American Society for Gastrointestinal Endoscopy (ASGE), and The Society of American Gastrointestinal and Endoscopic Surgeons (SAGES)

Wexner

Beck

Baron

et al. 2006

Diseases of the Colon &Amp; Rectum

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Section: Safetymentioning

confidence: 99%

A Consensus Document on Bowel Preparation Before Colonoscopy: Prepared by a Task Force From The American Society of Colon and Rectal Surgeons (ASCRS), The American Society for Gastrointestinal Endoscopy (ASGE), and The Society of American Gastrointestinal and Endoscopic Surgeons (SAGES)

Wexner

Beck

Baron

et al. 2006

Diseases of the Colon &Amp; Rectum

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“…Generally, these studies showed good tolerability but poor efficacy. [2][3][4] Given the need for further improvements in bowel preparation because of its inherent limitations, split-dosing of the PEG solutions was introduced and studied. 6-10 However, results have varied, making the overall effect controversial.…”

Section: Discussionmentioning

confidence: 99%

Bowel preparation with split-dose polyethylene glycol before colonoscopy: a meta-analysis of randomized controlled trials

Kilgore

Abdinoor

Szary

et al. 2011

Gastrointestinal Endoscopy

243

149

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“…More recently, 2 l of PEG with bisacodyl tablets have been found as effective as 4 l but with reduced side effects. 27,28 Such advances in bowel cleansing preparation for colonoscopy may decrease the perception of unpleasantness and inconvenience of the procedure as a barrier to CRC screening.…”

Section: Discussionmentioning

confidence: 99%

Predictors of Lower Endoscopy Use Among Patients at Three Inner-City Neighborhood Health Centers

Zimmerman

Tabbarah²,

Trauth³

et al. 2006

J Urban Health

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Although colorectal cancer (CRC) is the second leading cause of cancer death in the U.S., screening rates are low. Understanding the predictors of CRC screening is needed. In 2003, a random sample of patients aged 50 and over from three inner-city health centers was surveyed by computer-assisted telephone interview concerning CRC screening. The questionnaire was based on the Transtheoretical Model and the Theory of Reasoned Action. Factor analysis with Varimax rotation and logistic regression analyses were conducted. Of 319 surveys with data about endoscopy, 148 (46%) met guidelines (19 reported sigmoidoscopy within 5 years, 105 reported colonoscopy within 10 years, and 24 reported both within 5 years). Factor analysis identified three factors associated with increased likelihood of lower endoscopy within guidelines: Social Influence for CRC Screening (Eigenvalue 1.73), Barriers to Lower Endoscopy (Eigenvalue 2.00), and Lower Endoscopy Benefit/Ease (Eigenvalue 1.19). Variables in logistic regression associated with a lower rate of endoscopy include being African American (Odds Ratio (OR) = 0.35, 95% confidence interval = 0.13-0.96), being a current smoker (OR = 0.13, CI = 0.03-0.60), and having a higher score on the Barriers to Lower Endoscopy factor (i.e., viewed the inconvenience and unpleasant aspects as more troubling, OR = 0.33, CI = 0.18-0.60). The perceived inconvenience and unpleasant aspects of lower endoscopy are substantial barriers to screening. Advances in colon preparation procedures and better educational campaigns might lessen this perceived barrier and may be particularly important in disadvantaged and African American communities.

show abstract

Comparison of reduced volume versus four liters sulfate-free electrolyte lavage solutions for colonoscopy colon cleansing

Abstract: Reduced volume preparation with 2 L SF-ELS and bisacodyl is safe and effective. Clinical symptoms from the reduced volume preparation are significantly reduced compared with traditional 4 L gut lavage.

Cited by 65 publications

References 27 publications

A Consensus Document on Bowel Preparation Before Colonoscopy: Prepared by a Task Force From The American Society of Colon and Rectal Surgeons (ASCRS), The American Society for Gastrointestinal Endoscopy (ASGE), and The Society of American Gastrointestinal and Endoscopic Surgeons (SAGES)

A Consensus Document on Bowel Preparation Before Colonoscopy: Prepared by a Task Force From The American Society of Colon and Rectal Surgeons (ASCRS), The American Society for Gastrointestinal Endoscopy (ASGE), and The Society of American Gastrointestinal and Endoscopic Surgeons (SAGES)

Bowel preparation with split-dose polyethylene glycol before colonoscopy: a meta-analysis of randomized controlled trials

Predictors of Lower Endoscopy Use Among Patients at Three Inner-City Neighborhood Health Centers

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