Abstract
Background
The most commonly used methods for bowel preparation are polyethylene glycol-electrolyte lavage solution (PEG-ELS) and sodium phosphate. Both are problematic in children. The use of bisacodyl together with fleet enema has been suggested as an alternative; however, its use without dietary restriction is inferior to other preparations. We aimed to study the effect of bisacodyl together with fleet enema and a half day of clear fluid diet.
Methods
Ninety-eight children (aged 30 months to 12 years) were studied prospectively according to the following protocol: on the day prior to the colonoscopy, the patient received a 5-mg bisacodyl tablet at noon and started a clear fluid diet. An additional bisacodyl tablet was taken in the evening by patients more than 5 years old. Two pediatric fleet enemas were performed, on the evening before and on the morning of the procedure. The patients were compared with 26 historical control patients that had been prepared with PEG-ELS solution.
Results
The compliance of the bisacodyl group was excellent (100%), compared with 88% of the control group. Ninety-five percent of the bisacodyl group had good to excellent bowel preparation, compared with 88% of the PEG-ELS group.
Conclusions
This method is safe and appropriate for use in children younger than 12 years.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
A Dahshan CH Lin J Peters R Thomas V Tolia (1999) ArticleTitleA randomized, prospective study to evaluate the efficacy and acceptance of three bowel preparations for colonoscopy in children Am J Gastroenterol 94 3497–501 10.1111/j.1572-0241.1999.01613.x Occurrence Handle10.1111/j.1572-0241.1999.01613.x Occurrence Handle1:STN:280:DC%2BD3c%2Fnt1ehtA%3D%3D Occurrence Handle10606310
K Abubakar N Goggin S Gormally M Durnin B Drumm (1995) ArticleTitlePreparing the bowel for colonoscopy Arch Dis Child 73 459–61 Occurrence Handle10.1136/adc.73.5.459 Occurrence Handle1:STN:280:DyaK287kvVChsA%3D%3D Occurrence Handle8554368
CE Brady SuffixIII JA Dipalma DE Beck (1987) ArticleTitleEffect of bisacodyl on gut lavage cleansing for colonoscopy Ann Clin Res 19 34–8 Occurrence Handle3555277
MM da Silva GL Briars MK Patrick GJ Cleghorn RW Shepherd (1997) ArticleTitleColonoscopy preparation in children: safety, efficacy, and tolerance of high- versus low-volume cleansing methods J Pediatr Gastroenterol Nutr 24 33–7 10.1097/00005176-199701000-00009 Occurrence Handle10.1097/00005176-199701000-00009 Occurrence Handle1:STN:280:DyaK2s3kslylsg%3D%3D Occurrence Handle9093983
DA Gremse AI Sacks S Raines (1996) ArticleTitleComparison of oral sodium phosphate to polyethylene glycol-based solution for bowel preparation for colonoscopy in children J Pediatr Gastroenterol Nutr 23 586–90 10.1097/00005176-199612000-00013 Occurrence Handle10.1097/00005176-199612000-00013 Occurrence Handle1:STN:280:DyaK2s7jvVyltA%3D%3D Occurrence Handle8985850
DS Pashankar A Uc WP Bishop (2004) ArticleTitlePolyethylene glycol 3350 without electrolytes: a new safe, effective, and palatable bowel preparation for colonoscopy in children J Pediatr 144 358–62 10.1016/j.jpeds.2003.11.033 Occurrence Handle10.1016/j.jpeds.2003.11.033 Occurrence Handle1:CAS:528:DC%2BD2cXhslemtrg%3D Occurrence Handle15001943
A Pinfield MD Stringer (1999) ArticleTitleRandomised trial of two pharmacological methods of bowel preparation for day case colonoscopy Arch Dis Child 80 181–3 10.1136/adc.80.2.181 Occurrence Handle10.1136/adc.80.2.181 Occurrence Handle1:STN:280:DyaK1M3lslGrug%3D%3D Occurrence Handle10325738
JM Sondheimer RJ Sokol SF Taylor A Silverman B Zelasney (1991) ArticleTitleSafety, efficacy, and tolerance of intestinal lavage in pediatric patients undergoing diagnostic colonoscopy J Pediatr 119 IssueID1 Pt 1 148–52 Occurrence Handle1:STN:280:DyaK3M3psV2mtQ%3D%3D Occurrence Handle2066847
A Lembo M Camilleri (2003) ArticleTitleChronic constipation N Engl J Med 349 1360–8 10.1056/NEJMra020995 Occurrence Handle10.1056/NEJMra020995 Occurrence Handle1:CAS:528:DC%2BD3sXnvVGhtb0%3D Occurrence Handle14523145
R Shaoul R Wolff H Seligmann Y Tal M Jaffe (2001) ArticleTitleSymptoms of hyperphosphatemia, hypocalcemia, and hypomagnesemia in an adolescent after the oral administration of sodium phosphate in preparation for a colonoscopy Gastrointest Endosc 53 650–2 10.1067/mge.2001.112712 Occurrence Handle10.1067/mge.2001.112712 Occurrence Handle1:STN:280:DC%2BD3MvkvVKrsg%3D%3D Occurrence Handle11323597
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Shaoul, R., Haloon, L. An assessment of bisacodyl-based bowel preparation for colonoscopy in children. J Gastroenterol 42, 26–28 (2007). https://doi.org/10.1007/s00535-006-1958-z
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00535-006-1958-z