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:: Volume 5, Issue 3 (5-2014) ::
Caspian J Intern Med 2014, 5(3): 162-166 Back to browse issues page
Comparison of two different methods of colon cleansing for afternoon-colonoscopy
Kobra Baghbani, Javad Shokry-Shirvani *, Hassan Taheri
Babol University of Medical Sciences , javadshory@gmail.com
Abstract:   (6358 Views)
Background: The appropriate colon cleansing is a major determinant of quality of colonoscopy. The aim of this study was to compare the efficacy and tolerability of the morning (AM) PEG (polyethylene glycol) solution to previous-evening (PM) PEG solution for the afternoon colonoscopy. Methods: This comparative study compared the AM to PM prep for afternoon outpatient colonoscopy. The subjects randomly received PEG PM dose 4 liters of water plus 4 pack PEG powder at 6 pm before colonoscopy (250 ml every 15 min) or AM ( the same dose solution at 6 am on the day of colonoscopy). The preparation and colonoscopy quality, PEG side effects, sleep quality, lesion detection, flush need and suction fluid were compared in these two groups. Results: One hundred seven cases received AM prep and 102 received PM prep. The colon prep was adequate in 94.4% in AM group and in 90.2% cases in PM group (P=0.2). The incidence of adverse events in these two groups was similar. Sleep quality and the need for flush was lower in the AM group (P=0.004 and P=0.03). The mean volume of suction fluid was higher in the AM group (P=0.01). The detected lesions were similar between the two groups. Adequate prep was associated with lower flush need in AM group (P=0.001). Conclusion: AM and PM PEG solutions were clinically equivalent with cleansing efficacy and side effect and lesion detection. AM group was associated with a better sleep quality and less flush need, but more suction fluid.
Keywords: Colonoscopy, Colon, cleansing, PEG solution, PM, AM
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Type of Study: Original Article | Subject: Internal
Received: 2014/06/11 | Accepted: 2014/06/11 | Published: 2014/06/11
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Baghbani K, Shokry-Shirvani J, Taheri H. Comparison of two different methods of colon cleansing for afternoon-colonoscopy. Caspian J Intern Med. 2014; 5 (3) :162-166
URL: http://caspjim.com/article-1-335-en.html

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Volume 5, Issue 3 (5-2014) Back to browse issues page
Caspian Journal of Internal Medicine
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