Effective Bowel Cleansing for Colonoscopy: Picoprep Use

Abstract

AIM: to evaluate efficacy of PICOPREP (sodium picosulfate, magnesium oxide and citric acid) for bowel cleansing before colonoscopy compared to LAVAKOL (polyethylene glycol, sodium sulfate anhydrous, sodium bicarbonate, sodium chloride, potassium chloride) and FLEET PHOSPHATE (sodium phosphates mixed). MATERIALS AND METHODS: a randomized single center study included 365 patients. LAVAKOL group included 320 pts, PHOSPHATE-SODA group -165 and PIKOPREP - 150. Evaluation criteria included laboratory data, organoleptic features of the drug, subjective perception of the drug by patients and the quality of bowel cleansing. RESULTS: minimal laboratory changes occurred only in FLEET PHOSPHATE group. PICOPREP was the most comfortable by organoleptic features. There was no significant difference in the quality of bowel cleansing between groups. CONCLUSION: PICOPREP is comparable by efficacy to other agents for the bowel cleansing, however it is better by organoleptic features and is safer than on sodium phosphate.