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Colon cleansing protocol in children: research conditions vs. clinical practice

Yoram Elitsur1, Yaslam Balfaqih1, Deborah Preston1

  • 1Joan C Edwards School of Medicine at Marshall University - Pediatrics, Huntington, West Virginia, United States.

Endoscopy International Open
|April 3, 2018
PubMed

Insights

Colon cleansing protocols using PEG-3350 and Dulcolax are effective in routine pediatric colonoscopy. This study confirms the clinical applicability of a previously researched colon preparation method.

Area of Science:

  • Pediatric Gastroenterology
  • Endoscopic Procedures
  • Clinical Practice Research

Background:

  • Colon preparation is crucial for successful pediatric colonoscopy.
  • Published colon cleansing protocols require evaluation in real-world clinical settings.
  • This study assesses a specific colon cleansing protocol in routine practice.

Purpose of the Study:

  • To evaluate the success rate of a previously published colon cleansing protocol in routine clinical practice.
  • To compare the efficacy of the protocol under research conditions versus clinical practice.

Main Methods:

  • Retrospective analysis of a colon cleansing protocol using PEG-3350 and Dulcolax.
  • Adequate preparation graded on a 1-5 scale (≥4.0).
  • Patient questionnaires collected data on stool output, consistency, and side effects.

Main Results:

  • Colon preparation success rates were similar between research (73.6%) and clinical practice (75%).
  • Total stools, stool consistency, and terminal ileum intubation rates were comparable.
  • The protocol demonstrated effectiveness and appropriateness for routine use.

Conclusions:

  • The colon cleansing protocol is effective and applicable in routine clinical practice.
  • Testing protocols under routine conditions is recommended to confirm generalizability.
  • This validates a specific PEG-3350 and Dulcolax regimen for pediatric colonoscopy.
Abstract

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