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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
Summary
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.
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