ANALYZING EFFECTIVENESS AND SAFETY OF BOWEL PREPARATION USING SAME-DAY PICOSOLUTION AND BISACODYL

Aims Since PS/MC and BIS/PEG has lesser volume to intake, the patient's compliance is high and the usage rate is increasing.Concerning about electrolyte imbalance, usually a split-dose regimen was used,in which whichever preparation was taken in the evening of the previous day and in the morning of the procedure. However, the patients’ quality of sleep decrease, nowadays the idea of same day-PS/MC and same day-BIS/PEG is emerging as alternative method.

Methods This single center study recruited patients who had total colonoscopy between January 2020 and April 2021.Before the patients underwent total colonoscopy, the indication of endoscopy had been documented.Underlying diseases and medications of the patients related to constipation had been checked.During the endoscopy, Boston Bowel Preparation Scale (BBPS) and HCS score were evaluated by a single performer.In addition, cecal intubation success and time of procedure and withdrawal were also recorded.Since the bowel prep can cause electrolyte imbalance, serum levels before and after patients’ bowel preparations about above mentioned were measured.

Results 300 cases were enrolled to this study.Based on BBPS and HCS score,the bowel preparation at right colon was not inferior in same-day group than split-day group.Procedural time was compared and there was no significant difference between two groups.Patient satisfaction level was also higher on same-day PS/MC group than split-day group.Electrolyte imbalance were not significantly different.

Conclusions Total colonoscopy is a procedure which patients often express unwillingness due to bowel preparation.Since quality of life is considered to be more and more important thesedays,ease of bowel prepration with same quality of result would be meaningful.

Publication History

Article published online:
14 April 2022