Related Experiment Video

Updated: Mar 26, 2026

E-Patient Counseling Trial E-PACO: Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy
06:28

E-Patient Counseling Trial E-PACO: Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy

Published on: August 1, 2019

9.3K

BOWEL PREPARATION BEFORE COLONOSCOPY FOR CHILDREN: comparison of efficacy of three different methods

Seyed Mohsen Dehghani1, Hazhir Javaherizadeh1, Mahmood Haghighat1

  • 1Nemazee Teaching Hospital, Shiraz University of Medical Sciences, Shiraz, Iran.

Arquivos De Gastroenterologia
|February 4, 2016
PubMed

Insights

Comparing three 1-day bowel preparation methods for pediatric colonoscopy, polyethylene glycol (PEG) with bisacodyl suppositories showed slightly better results than PEG with saline enema. However, no significant differences in overall bowel preparation scores were found among the regimens.

Area of Science:

  • Gastroenterology
  • Pediatric Endoscopy
  • Clinical Trial Methodology

Background:

  • Colonoscopy is a crucial procedure requiring adequate bowel preparation.
  • Polyethylene glycol (PEG) is a widely used agent for bowel cleansing.
  • Optimizing 1-day preparation regimens is essential for pediatric colonoscopy efficacy.

Purpose of the Study:

  • To compare the efficacy of three distinct 1-day bowel preparation methods for pediatric colonoscopy.
  • To evaluate polyethylene glycol (PEG) alone, PEG with bisacodyl suppositories, and PEG with normal saline enema.

Main Methods:

  • Inclusion of children aged 2-21 years undergoing colonoscopy.
  • Exclusion of patients with prior surgery or incomplete protocol adherence.
  • Assessment of bowel preparation using the Boston Bowel Preparation Score (BPPS).

Main Results:

  • Acceptable bowel preparation was achieved in 85.71% (PEG), 94.73% (PEG + bisacodyl), and 82.35% (PEG + saline enema) of cases.
  • PEG with bisacodyl demonstrated superior preparation in the first colon segment (P=0.05).
  • Higher BPPS scores in the second and third segments for PEG + bisacodyl were not statistically significant.

Conclusions:

  • No statistically significant difference in overall bowel preparation scores among the three 1-day regimens.
  • The PEG with normal saline enema group showed the lowest preparation scores.
  • Further research may be needed to determine optimal pediatric bowel preparation protocols.
Abstract

More Related Videos

Structured Approach to Colonoscopy Technique Optimization: A Single-Center Experience with Novice Endoscopists03:43

Structured Approach to Colonoscopy Technique Optimization: A Single-Center Experience with Novice Endoscopists

Published on: July 11, 2025

935
Diagnosis of Hirschsprung's Disease by Immunostaining Rectal Suction Biopsies for Calretinin, S100 Protein and Protein Gene Product 9.505:45

Diagnosis of Hirschsprung's Disease by Immunostaining Rectal Suction Biopsies for Calretinin, S100 Protein and Protein Gene Product 9.5

Published on: April 26, 2019

14.3K

Related Concept Videos

Imaging Studies III: Gastrointestinal Motility Studies and Virtual Colonoscopy01:26

Imaging Studies III: Gastrointestinal Motility Studies and Virtual Colonoscopy

This lesson explores three gastrointestinal imaging techniques: radionuclide testing, colonic transit studies, and virtual colonoscopy.
Radionuclide Testing
Radionuclide testing is a sophisticated medical technique for assessing gastrointestinal motility. It focuses on gastric emptying and colonic transit time. Radioactive markers track the movement of food through the digestive system, providing insights into gastrointestinal disorders.
In gastric emptying studies, a meal's liquid and...
593
Endoscopic Procedures II: Colonoscopy01:25

Endoscopic Procedures II: Colonoscopy

The colon, or large intestine, is the final segment of the digestive system. Its primary functions include absorbing water and vitamins produced by gut bacteria and transforming waste from liquid to solid to form stool. In adults, the large intestine is approximately 5 feet long and consists of four main sections:
1.1K
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy01:26

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy

Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
1.0K
Lower GI Series: Barium Enema01:23

Lower GI Series: Barium Enema

A Barium Enema, or a lower GI series, is a specialized radiographic examination designed to visualize the lower gastrointestinal tract, specifically the colon and rectum. This procedure is instrumental in diagnosing various conditions such as colorectal cancer, polyps, diverticulosis, and inflammatory bowel disease.
Procedure Details
The examination begins by inserting a lubricated rectal tube into the patient's rectum to administer a radiopaque barium solution. The barium flow is carefully...
2.4K
Inflammatory Bowel Disease V: Surgical Management01:21

Inflammatory Bowel Disease V: Surgical Management

Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
833
Drugs Affecting GI Tract Motility: Other Laxatives01:20

Drugs Affecting GI Tract Motility: Other Laxatives

Laxatives are primarily used to alleviate constipation, a common gastrointestinal disorder characterized by infrequent bowel movements and difficulty passing stools. They work by various mechanisms to increase the volume or frequency of bowel movements. The primary modes of action of laxatives include increasing stool bulk, softening the stool, stimulating intestinal motility, and osmotically drawing water into the intestines.
Osmotic or saline laxatives, like magnesium hydroxide or milk of...
1.4K