Randomized Study Comparing Two Regimens of Oral Sodium Phosphates Solution Versus Low-Dose Polyethylene Glycol and Bisacodyl

Malik, Pramod; Balaban, David H.; Thompson, William O.; Galt, Deborah J B

doi:10.1007/s10620-008-0420-x

Cited by 22 publications

(14 citation statements)

References 31 publications

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“…This issue is complicated by the fact that the conventional OC preparation has been challenged by some authors as being unnecessarily extensive [47,48]. Therefore, it may be more constructive to focus on optimization of each test procedure independently to maximize patients' choices and compliance.…”

Section: Perspectivesmentioning

confidence: 99%

CT Colonography With Decreased Purgation: Balancing Preparation, Performance, and Patient Acceptance

Mahgerefteh

Fraifeld

Blachar

et al. 2009

American Journal of Roentgenology

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Section: Perspectivesmentioning

confidence: 99%

CT Colonography With Decreased Purgation: Balancing Preparation, Performance, and Patient Acceptance

Mahgerefteh

Fraifeld

Blachar

et al. 2009

American Journal of Roentgenology

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“…Today we have a combination of sodium picosulfate magnesium oxide and citric acid (CitraFleet ® ) (26,27) and bisacodyl (Dulcolaxo ® ) (28,29). Its effectiveness lies in 70-80% of patients, but may be associated with electrolyte problems and dehydration.…”

Section: Stimulating Agentsmentioning

confidence: 99%

Preparation for colonoscopy: types of scales and cleaning products

Lorenzo-Zúñiga

Moreno-de-Vega

Boix

2012

Rev. esp. enferm. dig.

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Adequate bowel preparation is essential before a colonoscopy, allowing us to make a proper examination of the entire mucosa. The ideal method of colon cleansing should be fast, safe, and get a proper cleaning with minimal discomfort for the patient. Today we have a wide variety of colon cleansing products, information sometimes becomes confused. A good colon preparation depends partly on correct choice of the same, but also upon dietary restriction. Knowledge of all these products, with their advantages and limitations, we can make a better selection for each patient, and although the efficacy is comparable, is the experience of the browser, patient preferences, and the degree of compliance with the instructions preparation, which greatly influence the results.

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“…Oral sodium phosphate (Fleet ® ) is a low-volume, hyperosmotic agent used as part of a colorectal-cleansing preparation for elective abdominal and gynecological surgery, colonoscopic examination or other colorectalrelated procedures [1].…”

Section: Introductionmentioning

confidence: 99%

Severe hyperphosphatemia and symptomatic hypocalcemia after bowel cleansing with oral sodium phosphate solution in a patient with postoperative hypoparathyroidism

et al. 2010

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AbstractOral sodium phosphate (NaP) is increasingly being used for bowel preparation. There are several reports of significant serum electrolyte changes after the administration of oral NaP solution in renal failure. We report a case of postoperative hypoparathyroidism who developed severe hyperphosphatemia and associated hypocalcemia after bowel preparation with oral NaP. A 39-year old woman was admitted to the hospital because of multiple bone fractures. The diagnosis of primary hyperparathyroidism was confirmed. Further assays suggested Cushing’s disease and MRI disclosed a pituitary microadenoma. Considering the diagnostic suspect of multiple endocrine neoplasia type 1, computed tomography of abdomen was performed, showing a mass in the right adrenal. The patient underwent transsphenoidal surgery and then total parathyroidectomy. Despite total removal of the microadenoma by transsphenoidal surgery, there was no suppression in serum cortisol levels. So, an operation was scheduled for the adrenal tumor. The patient was administered 45 mL oral NaP solution for bowel cleansing before the surgery. Although her calcium and phosphorus levels were normal before NaP administration, four hours later she developed respiratory distress and tetany. Laboratory studies revealed severe hyperphosphatemia and hypocalcemia. We conclude that the use of NaP for bowel preparation should be avoided in patients with hypoparathyroidism.

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Randomized Study Comparing Two Regimens of Oral Sodium Phosphates Solution Versus Low-Dose Polyethylene Glycol and Bisacodyl

Abstract: Better cleansing and willingness to retake the regimen was achieved with the oral sodium phosphates solutions than with polyethylene glycol plus bisacodyl.

Cited by 22 publications

References 31 publications

CT Colonography With Decreased Purgation: Balancing Preparation, Performance, and Patient Acceptance

CT Colonography With Decreased Purgation: Balancing Preparation, Performance, and Patient Acceptance

Preparation for colonoscopy: types of scales and cleaning products

Severe hyperphosphatemia and symptomatic hypocalcemia after bowel cleansing with oral sodium phosphate solution in a patient with postoperative hypoparathyroidism

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