Per-rectal pulsed irrigation versus per-oral colonic lavage for colonoscopy preparation: a randomized, controlled trial

Chang, Kenneth J.; Erickson, Richard A.; Schandler, Steven L.; Coye, Tom; Moody, Chris

doi:10.1016/s0016-5107(91)70777-3

Cited by 20 publications

(14 citation statements)

References 13 publications

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“…However, poor compliance related to the salty taste, the smell from the sulfates, and the large volume of fluids required led to modifications of the PEG solutions and their dosing recommendations and reevaluations of other osmotic laxatives (e.g., sodium phosphate [NaP]). [9][10][11][12][13][14][15][16] Chang et al 17 developed a method of pulsed rectal irrigation combined with magnesium citrate. These regimens and their use continue to evolve.…”

Section: Evolution Of Bowel Preparationsmentioning

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: Evolution Of Bowel Preparationsmentioning

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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“…18 However, while there was no significant difference between the two bowel cleansing approaches, patients who had the PIEE procedure reported more undesirable side effects, including those of GI bloating, distension, and discomfort, as well as producing an undesirable rise in the serum magnesium concentration due to pre-treatment with magnesium citrate. Since the PIEE procedure uses a small volume of water to stimulate peristaltic activity in the No significant difference were noted between groups for the number of polyps detected (F = 0.042, P = 0.859).…”

Section: Discussionmentioning

confidence: 94%

Comparison between pulsed irrigation enhanced evacuation and polyethylene glycol-electrolyte lavage solution for bowel preparation prior to elective colonoscopy in veterans with spinal cord injury

Lyons

Korsten²,

Spungen³

et al. 2014

The Journal of Spinal Cord Medicine

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Background: Poor preparation for elective colonoscopy is common in persons with spinal cord injury (SCI). This unsatisfactory outcome is likely due to long-standing difficulty with evacuation and decreased colonic motility. Our objective was to determine the most effective preparation for elective colonoscopy applying a novel and traditional approach to bowel cleansing. Methods: Twenty-four subjects with SCI were consented and scheduled to receive one of the two possible arms: pulsed irrigation enhanced evacuation (PIEE) or polyethylene glycol-electrolyte lavage solution (PEG; CoLyte ® ). The quality of the preparation was scored during the colonoscopy by applying the Ottawa scoring system. Results: Patients with SCI who received PIEE tended to have lower Ottawa scores and a higher percentage of acceptable preparations than did those who received PEG; however, the results were not statistically different. Conclusion: In this preliminary study in subjects with SCI, neither PIEE nor PEG produced acceptable bowel preparation for elective colonoscopy. Future studies should confirm our findings and consider studying alternative, more efficacious approaches to bowel cleansing prior to colonoscopic procedures in patients with SCI, which should provide better outcomes.Registration number for clinicaltrials.gov: NCT00745095.

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“…This was also evaluated in a gastrointestinal surgery setting, 11 and for bowel preparation. 12 It has also proven safe and eective for use in children. 13 This is the ®rst study evaluating a new, more portable and less expensive device using the pulsed irrigation evacuation principle.…”

Section: Discussionmentioning

confidence: 99%

Use of pulsed irrigation evacuation in the management of the neuropathic bowel

1997

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Management of the neuropathic bowel is one of the major issues in the treatment of patients with severe spinal cord injury (SCI). Pulsed irrigation evacuation (PIE) has been evaluated in several small studies for the clearing of fecal impactions in patients with a neuropathic bowel. We evaluated our experience with 398 PIE procedures performed on inpatients and outpatients at our facility. It has proven to be both safe and eective in a wide variety of patients with this disorder, and is a useful addition to traditional methods in the management of the neuropathic bowel.

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Per-rectal pulsed irrigation versus per-oral colonic lavage for colonoscopy preparation: a randomized, controlled trial

Cited by 20 publications

References 13 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)

Comparison between pulsed irrigation enhanced evacuation and polyethylene glycol-electrolyte lavage solution for bowel preparation prior to elective colonoscopy in veterans with spinal cord injury

Use of pulsed irrigation evacuation in the management of the neuropathic bowel

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