The timing of bowel preparation before colonoscopy determines the quality of cleansing, and is a significant factor contributing to the detection of flat lesions:: A randomized study
The timing of bowel preparation before colonoscopy determines the quality of cleansing, and is a significant factor contributing to the detection of flat lesions:: A randomized study
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DOI：
10.3748/wjg.v12.i38.6161
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发表时间：
2006-10-14
影响因子：
4.3
通讯作者：
Quintero, Enrique
中科院分区：
文献类型：
--
作者：
Parra-Blanco, Adolfo;Nicolas-Perez, David;Quintero, Enrique
目的：比较聚乙二醇电解质溶液和磷酸钠在不同给药方案下的清洁质量，并评价肠道准备的给药时间是否影响息肉的检出。方法：一百七十-7名连续门诊结肠镜检查患者随机分为4组，分别接受聚乙二醇电解质溶液或口服磷酸钠，时间表结果：在结肠镜检查的同一天接受聚乙二醇或磷酸钠的患者，获得良好到优秀的全球清洁分数更频繁地比在手术前一天接受聚乙二醇或磷酸钠的患者（P < 0.001）。平坦的病变，但不是平坦的腺瘤，更频繁的患者准备在同一天（P = 0.02）。结论：结肠清洁的质量和平坦病变的检测显着提高时，采取的准备当天的结肠镜检查。(C)2006年，WJG出版社。All rights reserved.
AIM: To compare the cleansing quality of polyethylene glycol electrolyte solution and sodium phosphate with different schedules of administration, and to evaluate whether the timing of the administration of bowel preparation affects the detection of polyps.METHODS: One hundred and seventy-seven consecutive outpatients scheduled for colonoscopy were randomized in one of four groups to receive polyethylene glycol electrolyte solution or oral sodium phosphate with two different timing schedules. Quality of cleansing, polyp detection, and tolerance were evaluated.RESULTS: Patients receiving polyethylene glycol or sodium phosphate on the same day as the colonoscopy, obtained good to excellent global cleansing scores more frequently than patients who received polyethylene glycol or sodium phosphate on the day prior to the procedure (P < 0.001). Flat lesions, but not flat adenomas, were more frequent in patients prepared on the same day (P = 0.02).CONCLUSION: The quality of colonic cleansing and the detection of flat lesions are significantly improved when the preparation is taken on the day of the colonoscopy. (C) 2006 The WJG Press. All rights reserved.