Endoscopy 2019; 51(04): S144
DOI: 10.1055/s-0039-1681593
ESGE Days 2019 ePoster podium presentations
Friday, April 5, 2019 13:30 – 14:00: Bowel cleansing 2 ePoster Podium 1
Georg Thieme Verlag KG Stuttgart · New York

A COMPARISON STUDY OF 2L PEG-ASCORBIC ACID VERSUS 1L PEG-ASCORBIC ACID WITH BISACODYL VERSUS SODIUM PICOSULFATE/MAGNESIUM CITRATE WITH BISACODYL AS BOWEL PREPARATION

SJ Choi
1   Division of Gastroenterology, Department of Internal Medicine, Korea University, Seoul, Korea, Republic of
,
YT Jeen
1   Division of Gastroenterology, Department of Internal Medicine, Korea University, Seoul, Korea, Republic of
,
JH Kim
1   Division of Gastroenterology, Department of Internal Medicine, Korea University, Seoul, Korea, Republic of
,
HJ Jeon
1   Division of Gastroenterology, Department of Internal Medicine, Korea University, Seoul, Korea, Republic of
,
SH Jang
1   Division of Gastroenterology, Department of Internal Medicine, Korea University, Seoul, Korea, Republic of
,
SH Kim
1   Division of Gastroenterology, Department of Internal Medicine, Korea University, Seoul, Korea, Republic of
,
SH Kim
1   Division of Gastroenterology, Department of Internal Medicine, Korea University, Seoul, Korea, Republic of
,
JM Lee
1   Division of Gastroenterology, Department of Internal Medicine, Korea University, Seoul, Korea, Republic of
,
HS Choi
1   Division of Gastroenterology, Department of Internal Medicine, Korea University, Seoul, Korea, Republic of
,
ES Kim
1   Division of Gastroenterology, Department of Internal Medicine, Korea University, Seoul, Korea, Republic of
,
B Keum
1   Division of Gastroenterology, Department of Internal Medicine, Korea University, Seoul, Korea, Republic of
,
HS Lee
1   Division of Gastroenterology, Department of Internal Medicine, Korea University, Seoul, Korea, Republic of
,
HJ Chun
1   Division of Gastroenterology, Department of Internal Medicine, Korea University, Seoul, Korea, Republic of
,
CD Kim
1   Division of Gastroenterology, Department of Internal Medicine, Korea University, Seoul, Korea, Republic of
› Author Affiliations
Further Information

Publication History

Publication Date:
18 March 2019 (online)

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Aims:

Bowel preparation is the most important colonoscopy quality indicator because it affects both the cecal intubation and adenoma detection rates. Ingestion of a large volume of PEG, as well as its unpleasant taste, results in low compliance rates and unsatisfactory cleansing quality. To reduce drug dose and increase patients satisfaction, we would like to compare the efficacy and patient satisfaction of the following three methods: 2 Liters of PEG-ascorbic acid mono regimen versus 1 Liters of PEG-ascorbic acid plus bisacodyl versus Sodium picosulfate with magnesium citrate (SPMC) plus bisacodyl.

Methods:

This study was a single center, randomized, prospective, observer-blinded study. The study was performed from april 2018 to July 2018 and we enrolled 300 patients and ramdomly classified them into three groups of 100 patients each. To evaluate bowel cleansing, we used the Boston bowel preparation scale (BBPS). The degree of discomfort and satisfaction of the patients in the bowel preparation process was investigated through questionnaire.

Results:

Baseline characteristics of the three groups were similar. There was no significant difference in the bowel preparation quality using BBPS in three groups. Abdomen fullness was statistically significantly lower in SPMC and bisacodyl group.(P-value = 0.003) Also patients' satisfaction compare with previous preparation was significantly higher in the SPMC and bisacodyl group. (P-value = 0.016).

Conclusions:

In this study, the combination of SPMC and bisacodyl group is similar for the improvement of the bowel preparation than the other PEG groups. However, the SPMC and bisacodyl group patients feel more comfortable than other groups. Therefore, in order to satisfy both good intestinal cleansing and patient compliance, we conclude that bowel preparation with the SPMC and bisacodyl group might be the better method than others.