Impact of bowel preparation with low-volume (2-Liter) and intermediate-volume (3-Liter) polyethylene glycol on colonoscopy quality: A prospective observational study

Chi Liang Cheng, Yen Lin Kuo, Nai Jen Liu, Cheng Hui Lin, Jui Hsiang Tang, Yi Ning Tsui, Bai Ping Lee, Ming Yao Su, Cheng Tang Chiu

研究成果: 雜誌貢獻文章同行評審

7 引文 斯高帕斯(Scopus)

摘要

Background/Aims: Two-liter polyethylene glycol (PEG) is the most commonly used bowel-cleansing regimen in Taiwan, but its efficacy is unsatisfactory. The aim of this study was to compare 2-liter and 3-liter PEG in terms of their impact on colonoscopy quality among an average-risk population. Methods: Two-liter PEG was provided between August 2012 and May 2013, while 3-liter PEG was provided between June 2013 and March 2014. A split-dose regimen was provided for morning colonoscopy and a same-day regimen was provided for afternoon colonoscopy. The level of bowel cleansing was prospectively scored. Results: A total of 407 consecutive subjects completed the 2-liter regimen, and another 407 consecutive subjects completed the 3-liter regimen. The 3-liter group had a significantly higher rate of excellent or good preparations, equivalent to a Boston bowel preparation scale of ≥7, than the 2-liter group (90 vs. 73%, p < 0.0001). More subjects in the 3-liter preparation group compared with the 2-liter group had overall adenoma (70 vs. 54%, p < 0.0001), proximal adenoma (47 vs. 35%, p = 0.0006), sessile serrated adenoma (28 vs. 6%, p < 0.0001), and advanced adenoma (21 vs. 9%, p < 0.0001). Conclusions: Three-liter PEG provided better cleansing quality and higher adenoma detection rate than 2-liter PEG.

原文英語
頁(從 - 到)156-164
頁數9
期刊Digestion
92
發行號3
DOIs
出版狀態已發佈 - 十月 8 2015
對外發佈

ASJC Scopus subject areas

  • 消化內科

指紋

深入研究「Impact of bowel preparation with low-volume (2-Liter) and intermediate-volume (3-Liter) polyethylene glycol on colonoscopy quality: A prospective observational study」主題。共同形成了獨特的指紋。

引用此