Comparison of polyethylene glycol, sodium phosphate and sennoside for colonoscopy preparation

Yıl 2018, Cilt: 26 Sayı: 3, 74 - 77, 28.12.2018

Mustafa Kaplan

https://doi.org/10.17940/endoskopi.437152

Cited By: 2

Öz

Background and aim: The efficiency,
cecal intubation rate and side effects of colonoscopy preparation with polyethylene
glycol (PEG), sodium phosphate and sennosid were compared in this study.

Material
and Methods: This study was carried out retrospectively by
investigating the records of patients undergoing colonoscopy between July 2017
and March 2018.The patients were divided into 3 groups: PEG, sodium phosphate
and sennoside group. Patients with dietary incompatibility, renal
insufficiency, intestinal obstruction, active infection, active bleeding and who
took fewer than 75% of medications were excluded from the study. Bowel
preperation was evaluated in 4 groups as excellent,
good, moderate and poor.

Results: The
study population was consisted of 269 persons, 129 female (48%) and 140 male
(52%) patients. The average age of the patients was 55 years. When all patients
were examined, the excellent cleaning
rate was 38%, the good cleaning rate
was 17%, the moderate cleaning rate
was 26% and the poor cleaning rate
was 19%. The adequate cleaning rate was found 52% in the sennoside group, 50%
in the sodium phosphate group and 66% in the PEG group. In this study, total cecal
intubation rate was 90%. The cecal intubation rate was 100% in the PEG group,
87% in the sennoside group and 85% in the sodium phosphate group. The most common
side effects in patients were nausea / vomiting (12%) and abdominal pain (9%).

Conclusion: Colonoscopy
preparation with PEG is a more effective method than preparation with sennoside
and sodium phosphate.

Anahtar Kelimeler

Polyethylene glycol, sodium phosphate, sennoside, PEG

Kolonoskopi hazırlığı için polietilen glikol, sodyum fosfat ve sennosid kullanımının karşılaştırılması

Öz

Amaç: Bu
çalışmada kolonoskopi hazırlığı için kullanılan polietilen glikol (PEG), sodyum
fosfat ve sennosidin etkinlikleri, çekuma ulaşma oranları ve yan etkileri karşılaştırılmıştır.

Yöntem: Bu
çalışma Temmuz 2017-Mart 2018 tarihleri arasında kolonoskopi
yapılan hastaların kayıtları retrospektif incelenerek yapılmıştır. Hastalar 3
gruba bölünmüştür: PEG, sodyum fosfat ve sennosid grubu. Diyet
uyumsuzluğu olan, ilaçların %75’ten azını içen, renal yetmezlik, intestinal obstruksiyon, aktif enfeksiyon
ve aktif kanaması olan hastalar çalışmadan dışlanmıştır. Kolon temizliği mükemmel, iyi, orta ve kötü olmak üzere 4 grupta
değerlendirilmiştir.

Bulgular: Araştırma
popülasyonu 129 kadın (%48) ve 140 erkek (%52) 
erkek hasta olmak üzere 269 kişiden oluştu. Hastaların ortalama yaşı 55
yıldı. Tüm hastalar incelendiğinde mükemmel
temizlik oranı % 38, iyi temizlik
oranı %17, orta temizlik oranı %26 ve
kötü temizlik oranı %19 olarak
bulundu. Sennosid grubunda yeterli temizlik oranı %52, sodyum fosfat grubunda
%50 ve PEG grubunda %66 olarak bulundu. Çalışmada 242 hastada çekuma ulaşıldı (%90).
Çekuma ulaşma oranı PEG grubunda %100 iken sennosid grubunda %87 ve sodyum
fosfat grubunda %85 olarak bulunmuştur. Hastalarda en sık görülen yan etkiler ise
bulantı/kusma (%12) ve karın ağrısı idi (%9).

Sonuç: PEG ile
kolonoskopi hazırlığı sennosid ve sodyum fosfat ile hazırlığa göre daha efektif
bir yöntemdir.

Anahtar Kelimeler

Polietilen glikol, sodyum fosfat, sennosid, PEG

Kaynakça

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