Stool consistency and stool frequency are excellent clinical markers for adequate colon preparation after polyethylene glycol 3350 cleansing protocol: a prospective clinical study in children

Safder, Shaista; Demintieva, Yulia; Rewalt, Mary; Elitsur, Yoram

doi:10.1016/j.gie.2008.04.026

Cited by 47 publications

(54 citation statements)

References 11 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…A computer generated random list assigned the children to each protocol. The parents/caregivers (or child when appropriate) were asked to complete a clinical questionnaire during the colon preparation as previously described [8] . Briefly, the questionnaire included the amount of PEG 3350 consumed per day, number of stools per day, consistency of stool (scale: 1-5), and various side effects (abdominal pain, vomiting).…”

Section: Methodsmentioning

confidence: 99%

“…Two PEG 3350 protocols for 4 and 2 d were prescribed as previously described [8,9] . The 4 dy protocol (protocol A) included PEG 3350 at 1.5 g/kg per day (up to a limit of 100 g/d) for 4 d. Patients were allowed to eat regular food until the day before procedure and clears only at the last day of protocol.…”

Section: Colon Cleansing Protocolsmentioning

confidence: 99%

“…No adjunct medication or enema was allowed in any of the protocols. The parents/caregivers were required to complete a simple questionnaire as previously described [8] . The questionnaires were returned to the physicians on the day of procedure and reviewed with the parents to ensure compliance and accuracy.…”

Section: Colon Cleansing Protocolsmentioning

confidence: 99%

“…The colon was assessed according to previous methodology as previously described [8] . Briefly, the colon preparation was graded according to 5 different levels (Grade 1 to 5) as follows: G1: unacceptable (large amount of solid stool covering the mucosa); G2: poor preparation (enough stool that much of intra-procedural cleaning was required); G3: fair preparation (some liquid stool, easily removed); G4: good preparation (successful visualization of the colon mucosa); G5: Excellent preparation (Crystal clear colonic mucosa).…”

Section: Colon Preparation Assessmentmentioning

confidence: 99%

“…Several studies have shown that children will accept this PEG based solution and the compli-ance rate was very good even for long term therapy [4][5][6][7] . In the past, we showed that PEG 3350 is an excellent solution for colon cleansing protocol in children reaching adequate colon preparation in up to 92% of the children examined [8] . Moreover, we reported that following the number of defecation and stool consistency in the last days of preparation may be used as indicators for the colon condition, and would reduce the number of failed procedures due to an unprepared colon.…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Polyethylene glycol 3350 based colon cleaning protocol: 2 dvs4 d head to head comparison

Elitsur

Butcher²,

Vicki³

et al. 2013

WJGE

View full text Add to dashboard Cite

AIM:To compare between 2 and 4 d colon cleansing protocols. METHODS:Children who were scheduled for colonoscopy procedure (2010)(2011)(2012) for various medical reasons, were recruited from the pediatric gastroenterology clinic at Marshall University School of Medicine, Huntington, WV. Exclusion criteria were patients who were allergic to the medication used in the protocols [polyethylene glycol (PEG) 3350, Bisacodyl], or children with metabolic or renal diseases. Two PEG 3350 protocols for 4 d (A) and 2 d (B) were prescribed as previously described. A questionnaire describing the volume of PEG consumed, clinical data, and side effects were recorded. Colon preparation was graded by two observers according to previously described method. Main outcome measurements: Rate of adequate colon preparation. RESULTS:A total of 78 patients were considered for final calculation (group A: 40, group B: 38). Age and stool consistency at the last day was comparable in both groups, but the number of stools/day was significantly higher in group B (P = 0.001). Adequate colon preparation was reached in 57.5% (A) and 73.6% (B), respectively (P = 0.206). Side effects were minimal and comparable in both groups. There was no difference in children's age, stool characteristics, or side effects between the children with adequate or inadequate colon preparation. Correlation and agreement between observers was excellent (Pearson correlation = 0.972, kappa = 1.0). CONCLUSION:No difference between protocols was observed, but the 2 d protocol was superior for its shorter time. Direct comparison between different colon cleansing protocols is crucial in order to establish the "gold standard" protocol for children.

show abstract

Section: Methodsmentioning

confidence: 99%

Section: Colon Cleansing Protocolsmentioning

confidence: 99%

Section: Colon Cleansing Protocolsmentioning

confidence: 99%

Section: Colon Preparation Assessmentmentioning

confidence: 99%