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Preparing the bowel for colonoscopy

K Abubakar1, N Goggin, S Gormally

  • 1Department of Paediatrics, University College Dublin, Our Lady's Hospital for Sick Children, Crumlin, Ireland.

Archives of Disease in Childhood
|November 1, 1995
PubMed
Summary
This summary is machine-generated.

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Oral bisacodyl and a phosphate enema offer an effective bowel preparation for pediatric colonoscopy. This method allows for clear visualization and can be performed as a day case, enabling children to eat normally.

Area of Science:

  • Pediatric Gastroenterology
  • Gastrointestinal Endoscopy

Background:

  • Traditional bowel preparation for pediatric colonoscopy often requires hospitalization and nasogastric tube administration of lavage solutions.
  • Effective bowel cleansing is crucial for accurate colonoscopy in children.

Purpose of the Study:

  • To evaluate the efficacy of oral bisacodyl combined with a single phosphate enema for bowel preparation in children undergoing total colonoscopy.
  • To determine if this regimen allows for day case procedures and normal diet maintenance.

Main Methods:

  • An open prospective trial involving 30 children (18 months-15 years).
  • Administration of oral bisacodyl for two days prior to colonoscopy, with a normal diet.
  • A single phosphate enema administered on the procedure morning.

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Main Results:

  • Excellent (Grade I) or good (Grade II) bowel preparation was achieved in 100% of patients.
  • Adequate visualization of the bowel mucosa was obtained in all participants.
  • Minor adverse events included transient abdominal cramps in 26.6% and crying during enema in 16.6% (all under 5 years).

Conclusions:

  • Oral bisacodyl and a phosphate enema is an effective and well-tolerated bowel preparation regimen for pediatric colonoscopy.
  • This method facilitates day case colonoscopy in children while allowing them to maintain a normal diet.