Abstract
Purpose Low-volume bowel preparation regimens for colonoscopy are reported to improve patient acceptance and compliance. We sought to compare the bowel cleansing efficacy, tolerability, and acceptability of three low-volume regimens: an oral sodium phosphates solution 45/45 ml (NaP-45/45), a reduced-dose oral sodium phosphates solution 45/30 ml (NaP-45/30), and polyethylene glycol plus bisacodyl (PEG-2L). Results A total of 121 patients were evaluated (mean age 55.2 ± 8.9 years). Bowel cleansings rated as excellent and good were significantly different among the groups: NaP-45/45 = 98%, NaP-45/30 = 88%, and PEG-2L = 76% (P < 0.04). Side effects were not significantly different except for greater thirst in the NaP-45/45 group (P = 0.001) and increased vomiting in females using PEG-2L (two-tailed interaction, P < 0.10). Willingness to retake the preparation was higher among the sodium phosphates regimens (88, 95, and 73%, respectively; P = 0.019). Conclusions Better cleansing and willingness to retake the regimen was achieved with the oral sodium phosphates solutions than with polyethylene glycol plus bisacodyl.
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Notes
Study conducted during earlier development of Fleet Phospho-soda EZ-Prep with the product not finalized or marketed until September, 2006.
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Acknowledgments
This study was sponsored by C.B. Fleet Co. Dr. Malik was the PI for this study. Dr. Balaban is a medical consultant for C.B. Fleet Co., and has received speaker honoraria and research support from C.B. Fleet Company. Dr. Thompson is a consulting biostatistician for C.B. Fleet Co. Deborah JB Galt is a medical writer employed in the Medical Affairs Department at C.B. Fleet Co.
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This study has been presented in abstract form at the 2005 ACG Annual Meeting.
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Malik, P., Balaban, D.H., Thompson, W.O. et al. Randomized Study Comparing Two Regimens of Oral Sodium Phosphates Solution Versus Low-Dose Polyethylene Glycol and Bisacodyl. Dig Dis Sci 54, 833–841 (2009). https://doi.org/10.1007/s10620-008-0420-x
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DOI: https://doi.org/10.1007/s10620-008-0420-x