Addition of enemas to oral lavage preparation for colonoscopy is not necessary
To evaluate whether the addition of enemas to oral electrolyte lavage is helpful for colonoscopic preparation, we conducted a prospective, randomized, observer-blinded trial to compare oral lavage plus enemas with oral lavage alone. The quality of preparation, mucosal visualization, and the volume o...
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| Veröffentlicht in: | Gastrointestinal endoscopy 1992-05, Vol.38 (3), p.369-372 |
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| container_title | Gastrointestinal endoscopy |
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| creator | Lever, Eric L. Walter, Michael H. Condon, Stanley C. Balasubramaniam, Kumaravelu Chen, Yang K. Mitchell, Robert D. Herber, Raymond Collen, Martin J. |
| description | To evaluate whether the addition of enemas to oral electrolyte lavage is helpful for colonoscopic preparation, we conducted a prospective, randomized, observer-blinded trial to compare oral lavage plus enemas with oral lavage alone. The quality of preparation, mucosal visualization, and the volume of retained colonic fluid did not differ between the two groups. Twenty-two percent of the patients in the group who received oral lavage plus enemas compared with 12% of the patients in the group that only received oral lavage stated that they would refuse to repeat the preparation for future colonoscopic examination. Seventeen percent of the patients in the group that received oral lavage plus enemas demonstrated anorectal trauma or inflammation compared with only 5% in the group that received oral lavage alone (p
=
0.09). These results indicate that the addition of enemas to oral lavage preparation for colonoscopic evaluation cannot be routinely recommended. However, enemas may be considered on an individual basis in the occasional patient unable to consume the complete oral lavage or in whom residual stool is found during colonoscopic evaluation after oral lavage preparation. |
| doi_str_mv | 10.1016/S0016-5107(92)70435-0 |
| format | Article |
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=
0.09). These results indicate that the addition of enemas to oral lavage preparation for colonoscopic evaluation cannot be routinely recommended. However, enemas may be considered on an individual basis in the occasional patient unable to consume the complete oral lavage or in whom residual stool is found during colonoscopic evaluation after oral lavage preparation.</description><identifier>ISSN: 0016-5107</identifier><identifier>EISSN: 1097-6779</identifier><identifier>DOI: 10.1016/S0016-5107(92)70435-0</identifier><identifier>PMID: 1607091</identifier><language>eng</language><publisher>United States: Mosby, Inc</publisher><subject>Colonoscopy ; Electrolytes - administration & dosage ; Enema ; Female ; Humans ; Male ; Middle Aged ; Patient Acceptance of Health Care ; Polyethylene Glycols - administration & dosage ; Prospective Studies ; Solutions ; Therapeutic Irrigation</subject><ispartof>Gastrointestinal endoscopy, 1992-05, Vol.38 (3), p.369-372</ispartof><rights>1992 American Society for Gastrointestinal Endoscopy</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c360t-331a6fb523d23852a04b454e37b2ca264bca680182cc22eff5c1af26a7006b7e3</citedby><cites>FETCH-LOGICAL-c360t-331a6fb523d23852a04b454e37b2ca264bca680182cc22eff5c1af26a7006b7e3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/S0016-5107(92)70435-0$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3548,27923,27924,45994</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/1607091$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lever, Eric L.</creatorcontrib><creatorcontrib>Walter, Michael H.</creatorcontrib><creatorcontrib>Condon, Stanley C.</creatorcontrib><creatorcontrib>Balasubramaniam, Kumaravelu</creatorcontrib><creatorcontrib>Chen, Yang K.</creatorcontrib><creatorcontrib>Mitchell, Robert D.</creatorcontrib><creatorcontrib>Herber, Raymond</creatorcontrib><creatorcontrib>Collen, Martin J.</creatorcontrib><title>Addition of enemas to oral lavage preparation for colonoscopy is not necessary</title><title>Gastrointestinal endoscopy</title><addtitle>Gastrointest Endosc</addtitle><description>To evaluate whether the addition of enemas to oral electrolyte lavage is helpful for colonoscopic preparation, we conducted a prospective, randomized, observer-blinded trial to compare oral lavage plus enemas with oral lavage alone. The quality of preparation, mucosal visualization, and the volume of retained colonic fluid did not differ between the two groups. Twenty-two percent of the patients in the group who received oral lavage plus enemas compared with 12% of the patients in the group that only received oral lavage stated that they would refuse to repeat the preparation for future colonoscopic examination. Seventeen percent of the patients in the group that received oral lavage plus enemas demonstrated anorectal trauma or inflammation compared with only 5% in the group that received oral lavage alone (p
=
0.09). These results indicate that the addition of enemas to oral lavage preparation for colonoscopic evaluation cannot be routinely recommended. However, enemas may be considered on an individual basis in the occasional patient unable to consume the complete oral lavage or in whom residual stool is found during colonoscopic evaluation after oral lavage preparation.</description><subject>Colonoscopy</subject><subject>Electrolytes - administration & dosage</subject><subject>Enema</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Patient Acceptance of Health Care</subject><subject>Polyethylene Glycols - administration & dosage</subject><subject>Prospective Studies</subject><subject>Solutions</subject><subject>Therapeutic Irrigation</subject><issn>0016-5107</issn><issn>1097-6779</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1992</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkMtOwzAQRS0EgvL4hEpeIVgExnZi1ytUVbwkBAtgbTnOBBmlcbDTSv17QlPBks3M4t47j0PIlMEVAyavX2GoWcFAXWh-qSAXRQZ7ZMJAq0wqpffJ5NdyRI5T-gSAGRfskBwyCQo0m5DneVX53oeWhppii0ubaB9oiLahjV3bD6RdxM5GuzXVIVIXmtCG5EK3oT7RNvS0RYcp2bg5JQe1bRKe7foJeb-7fVs8ZE8v94-L-VPmhIQ-E4JZWZcFFxUXs4JbyMu8yFGokjvLZV46K2fAZtw5zrGuC8dszaVVALJUKE7I-Ti3i-Frhak3S58cNo1tMaySUVxrLXI9GIvR6GJIKWJtuuiXw6WGgfnhaLYczQ8ko7nZcjQw5Ka7BatyidVfagQ36DejjsOXa4_RJOexdVj5iK43VfD_bPgGdNCCNA</recordid><startdate>19920501</startdate><enddate>19920501</enddate><creator>Lever, Eric L.</creator><creator>Walter, Michael H.</creator><creator>Condon, Stanley C.</creator><creator>Balasubramaniam, Kumaravelu</creator><creator>Chen, Yang K.</creator><creator>Mitchell, Robert D.</creator><creator>Herber, Raymond</creator><creator>Collen, Martin J.</creator><general>Mosby, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19920501</creationdate><title>Addition of enemas to oral lavage preparation for colonoscopy is not necessary</title><author>Lever, Eric L. ; Walter, Michael H. ; Condon, Stanley C. ; Balasubramaniam, Kumaravelu ; Chen, Yang K. ; Mitchell, Robert D. ; Herber, Raymond ; Collen, Martin J.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c360t-331a6fb523d23852a04b454e37b2ca264bca680182cc22eff5c1af26a7006b7e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1992</creationdate><topic>Colonoscopy</topic><topic>Electrolytes - administration & dosage</topic><topic>Enema</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Patient Acceptance of Health Care</topic><topic>Polyethylene Glycols - administration & dosage</topic><topic>Prospective Studies</topic><topic>Solutions</topic><topic>Therapeutic Irrigation</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lever, Eric L.</creatorcontrib><creatorcontrib>Walter, Michael H.</creatorcontrib><creatorcontrib>Condon, Stanley C.</creatorcontrib><creatorcontrib>Balasubramaniam, Kumaravelu</creatorcontrib><creatorcontrib>Chen, Yang K.</creatorcontrib><creatorcontrib>Mitchell, Robert D.</creatorcontrib><creatorcontrib>Herber, Raymond</creatorcontrib><creatorcontrib>Collen, Martin J.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Gastrointestinal endoscopy</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lever, Eric L.</au><au>Walter, Michael H.</au><au>Condon, Stanley C.</au><au>Balasubramaniam, Kumaravelu</au><au>Chen, Yang K.</au><au>Mitchell, Robert D.</au><au>Herber, Raymond</au><au>Collen, Martin J.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Addition of enemas to oral lavage preparation for colonoscopy is not necessary</atitle><jtitle>Gastrointestinal endoscopy</jtitle><addtitle>Gastrointest Endosc</addtitle><date>1992-05-01</date><risdate>1992</risdate><volume>38</volume><issue>3</issue><spage>369</spage><epage>372</epage><pages>369-372</pages><issn>0016-5107</issn><eissn>1097-6779</eissn><abstract>To evaluate whether the addition of enemas to oral electrolyte lavage is helpful for colonoscopic preparation, we conducted a prospective, randomized, observer-blinded trial to compare oral lavage plus enemas with oral lavage alone. The quality of preparation, mucosal visualization, and the volume of retained colonic fluid did not differ between the two groups. Twenty-two percent of the patients in the group who received oral lavage plus enemas compared with 12% of the patients in the group that only received oral lavage stated that they would refuse to repeat the preparation for future colonoscopic examination. Seventeen percent of the patients in the group that received oral lavage plus enemas demonstrated anorectal trauma or inflammation compared with only 5% in the group that received oral lavage alone (p
=
0.09). These results indicate that the addition of enemas to oral lavage preparation for colonoscopic evaluation cannot be routinely recommended. However, enemas may be considered on an individual basis in the occasional patient unable to consume the complete oral lavage or in whom residual stool is found during colonoscopic evaluation after oral lavage preparation.</abstract><cop>United States</cop><pub>Mosby, Inc</pub><pmid>1607091</pmid><doi>10.1016/S0016-5107(92)70435-0</doi><tpages>4</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0016-5107 |
| ispartof | Gastrointestinal endoscopy, 1992-05, Vol.38 (3), p.369-372 |
| issn | 0016-5107 1097-6779 |
| language | eng |
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| source | MEDLINE; ScienceDirect Journals (5 years ago - present) |
| subjects | Colonoscopy Electrolytes - administration & dosage Enema Female Humans Male Middle Aged Patient Acceptance of Health Care Polyethylene Glycols - administration & dosage Prospective Studies Solutions Therapeutic Irrigation |
| title | Addition of enemas to oral lavage preparation for colonoscopy is not necessary |
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