| Comparison of Bowel Preparation Quality between Clear-liquid Diet and No Diet Restriction |
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Woo Shin Jeong, Dong Il Park, Hyo Sun Seok, Seong Eun Kim1, Suck-Ho Lee2, Chang Kyun Lee3, Chang Soo Eun4, Dong Soo Han4 |
1Department of Internal Medicine, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Ewha Womans University School of Medicine
2Seoul, Soonchunhyang University College of Medicine
3Cheonan, Kyung Hee University School of Medicine
4Seoul, Hanyang University College of Medicine, Guri, Korea
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| 대장내시경 시행 전 맑은 유동식이 시행 여부에 따른 대장정결도 비교 |
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정우신, 박동일, 석효선, 김성은1, 이석호2, 이창균3, 은창수4, 한동수4 |
1성균관대학교 의과대학 강북삼성병원, 이화여자대학교 의과대학
2순천향대학교 의과대학
3경희대학교 의과대학
4한양대학교 의과대학 내과학교실 |
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| Abstract |
Background/Aims
Adequate bowel preparation is essential for full visualization of colonic mucosa because detection of small polyps and neoplasms depends on the quality of bowel cleansing. The aims of this study were to compare the efficacy, tolerability of preparation and side effect between two groups: clear-liquid diet with polyethylene glycol (PEG) solution versus no diet restriction with PEG solution. Methods: This was a randomized single-blind prospective study. A total of 330 patients were randomly assigned to receive either 2 L PEG solution with a clear-liquid diet on the day before colonoscopy and another 2 L PEG solution on the day of the procedure (group 1) or 2 L PEG solution with a general diet on the day before colonoscopy and another 2 L PEG solution on the day of the procedure (group 2). Results: 162 patients were assigned to group 1 and 168 patients to group 2. The satisfactory quality of bowel preparation was not significantly different between the two groups (80.2%, 78.6%, P=0.707). Patient's compliance of the clear-liquid diet in group 1 was 50%. The satisfactory quality of bowel preparation was weakly better when the clear-liquid diet was given 2 or 3 times a day (group 1A) than 0 or once a day (group 1B) (74.1%, 86.4%, P=0.048). The tolerability of the PEG solution and side effects of preparation were not significantly different in the two groups (P=0.573, 0.686). Conclusions: Bowel preparation with no diet restriction and split-dose PEG solution was similar to preparation with a clear-liquid diet in efficacy, tolerability and side effect. Therefore, the use of the clear-liquid diet protocol should improve patient's compliance. (Intest Res 2012;10: 0-279) |
| Key Words:
Bowel Preparation Solutions, Diet, Colonoscopy |
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