scholarly journals An Improved Colonoscopy Preparation Method and its Acceptability by Patients

1995 ◽  
Vol 1 (3) ◽  
pp. 141-145
Author(s):  
Masanori Tsuruoka
Keyword(s):  
Preparation Method ◽  
Magnesium Citrate ◽  
Patient Tolerance ◽  
Colonic Cleansing ◽  
Before And After ◽  
Sodium Picosulfate ◽  
Lukewarm Water ◽  
Colonoscopy Preparation ◽  
Abdominal Fullness

The author presents an improved method of preparation for colonoscopy that involved no dietary limitation on the patient until the day of the examination and that was shown by a randomized questionnaire evaluation to earn good patient tolerance and acceptance. Patients were given 10 mg of cisapride and 75 mg of sodium picosulfate before sleep on the day preceding the examination, and 50 g of magnesium citrate powder (MP) in 1,200 mL lukewarm water before the examination. It was divided into 600-mL portions and ingested slowly during two 30-minute periods. Ninety-five percent of patients classified the taste of a magnesium citrate powder laxative as palatable in the questionnaire given immediately after the procedure. Concerning the quantity, 79.4% replied that it was tolerable, 17.3% considered it somewhat excessive, and 3.3% replied that it was barely tolerable. No patient classified it as intolerable. Symptoms after taking laxatives and lukewarm water such as abdominal pain, nausea and abdominal fullness were observed in 3.8%, 4.4% and 5.6%, respectively, whereas there were no symptoms in 79% of patients. Body weight and serum K level showed a tendency to decrease, whereas the serum Mg level showed an increase before and after colonoscopy. The quality of colonic cleansing evaluated by colonoscopy was excellent, good, or fair in a total of 93.3%. No adverse effects were observed. It was concluded that this method is a clinically beneficial and well-tolerated preparation for colonic examinations.

Efficacy of the drug containing sodium picosulfate and magnesium citrate in bowel preparation for colonoscopy in children

2020 ◽  
Vol 15 (4) ◽  
pp. 32-39
Author(s):  
T.N. Budkina ◽  
◽  
V.I. Oldakovskiy ◽  
A.V. Tupylenko ◽  
V.S. Tsvetkova ◽  
...  
Keyword(s):  
Bowel Preparation ◽  
Key Words Children ◽  
Control Group ◽  
Magnesium Citrate ◽  
Right Colon ◽  
Bowel Diseases ◽  
Sodium Picosulfate ◽  
Inflammatory Bowel ◽  
The Right

Objective. To evaluate the efficacy, safety, and tolerability of the drug containing sodium picosulfate and magnesium citrate (SPMC) used for bowel preparation in children. Patients and methods. We have assessed the quality of bowel preparation for colonoscopy in 80 children aged between 9 and 18 years (40 of them received SPMC for it and another 40 were prepared by cleansing enemas). The effectiveness of bowel preparation was evaluated using the Boston and Chicago Bowel Preparation Scales (BPS). Tolerability of the SPMC preparation scheme was estimated using a specially designed questionnaire. Results. Effective bowel preparation was achieved in 85% children receiving SPMC (excellent in 27.5% of cases and good in 57.5% of cases), whereas children in the control group have demonstrated significantly lower quality of bowel preparation (p = 0.021). We have observed that the right colon was significantly better prepared in the SPMC group than in the control group (p < 0.001). Ninety percent of children were satisfied with the SPMC preparation scheme and agreed to use it in the future. Conclusion. Preparation of children for colonoscopy with SPMC was effective, safe, and well tolerated by them; therefore, SPMC is preferable over traditional cleansing enemas. Key words: children, inflammatory bowel diseases, colonoscopy, bowel preparation, sodium picosulfate–magnesium citrate

scholarly journals A Case of Thermal Esophageal Injury Induced by Sodium Picosulfate with Magnesium Citrate

2017 ◽  
Vol 2017 ◽  
pp. 1-5
Author(s):  
Dong-Hyuk Yang ◽  
Byoung Wook Bang ◽  
Kye Sook Kwon ◽  
Hyung Kil Kim ◽  
Yong Woon Shin
Keyword(s):  
Chest Pain ◽  
Conservative Treatment ◽  
Thermal Injury ◽  
Esophageal Injury ◽  
Upper Endoscopy ◽  
Magnesium Citrate ◽  
Severe Chest Pain ◽  
Mucosal Change ◽  
Colonic Cleansing ◽  
Sodium Picosulfate

Although thermal esophageal injuries caused by hot food or tea have been reported, thermal esophageal injury due to sodium picosulfate with magnesium citrate (PSMC) used for bowel preparation is rarely reported. We report the case of a 56-year-old man who presented with esophageal injury after ingestion of PSMC. Instead of dissolving the PSMC in water before ingestion, he drank water immediately after swallowing PSMC powder. As soon as he drank water, he developed severe chest pain and hematemesis. Upper endoscopy revealed severe hemorrhagic, ulcerative mucosal change from upper to mid-esophagus. He was hospitalized for nine days, received conservative treatment (fasting and parenteral nutrition), and recovered without complications. When PSMC is used as a colonic cleansing agent, patients should be educated to take it after dissolving it sufficiently in 150 mL of water to avoid esophageal thermal injury.

scholarly journals Effectiveness of Sodium Picosulfate/Magnesium Citrate (PICO) for Colonoscopy Preparation

2014 ◽  
Vol 30 (5) ◽  
pp. 222 ◽  
Author(s):  
Ki Hwan Song ◽  
Wu Seok Suh ◽  
Jin Sik Jeong ◽  
Dong Sik Kim ◽  
Sang Woo Kim ◽  
...  
Keyword(s):  
Magnesium Citrate ◽  
Sodium Picosulfate ◽  
Colonoscopy Preparation

Split-dose sodium picosulfate–magnesium citrate colonoscopy preparation achieves lower residual gastric volume with higher cleansing effectiveness than a previous-day regimen

2016 ◽  
Vol 83 (3) ◽  
pp. 566-573 ◽  
Author(s):  
César Prieto-Frías ◽  
Miguel Muñoz-Navas ◽  
María Teresa Betés ◽  
Ramón Angós ◽  
Susana De la Riva ◽  
...  
Keyword(s):  
Gastric Volume ◽  
Magnesium Citrate ◽  
Residual Gastric Volume ◽  
Split Dose ◽  
Sodium Picosulfate ◽  
Colonoscopy Preparation

scholarly journals A Multicentre, Observational Study of Sodium Picosulfate and Magnesium Citrate as a Precolonoscopy Bowel Preparation

2009 ◽  
Vol 23 (10) ◽  
pp. 706-710 ◽  
Author(s):  
Jonathan Love ◽  
Edmond-Jean Bernard ◽  
Alan Cockeram ◽  
Lawrence Cohen ◽  
Martin Fishman ◽  
...  
Keyword(s):  
Observational Study ◽  
Bowel Preparation ◽  
Left Colon ◽  
Preliminary Evaluation ◽  
Magnesium Citrate ◽  
Patient Acceptability ◽  
Bowel Cleansing ◽  
Sodium Picosulfate ◽  
The Right ◽  
Colonoscopy Preparation

BACKGROUND: Sodium picosulfate with magnesium citrate (PSMC) has been available as a precolonoscopy bowel preparation in Canada since 2005. A high patient acceptability and preference appears to have contributed to its wide adoption across the country. Despite its frequent use, there are relatively few published studies of this product, especially reports regarding its use in routine clinical practice. Moreover, to date, there have been no Canadian studies of any kind.OBJECTIVE: To conduct a preliminary evaluation of PSMC by prospectively collecting data describing its effectiveness.METHODS: In the present multicentre, observational study, sequential patients used PSMC according to each institution’s standard colonoscopy protocol. Differences in bowel cleansing protocols included dose timing, fluid intake, dietary restrictions and administration of bisacodyl. During colonoscopy, preparation quality was rated separately for the right and left sides of the colon.RESULTS: Of the 613 patients entered, 606 were evaluable for efficacy. For the right and left colon, respectively, 93.0% and 96.2% of preparations were rated either ‘excellent’ or ‘adequate’. In the 334 patients who received adjunctive bisacodyl and the 272 patients who did not, the results were similar: for the right and left colon, 92.3% and 97.1% of those who did not, and 93.4% and 95.7% of those who did receive bisacodyl, respectively, were rated either ‘excellent’ or ‘adequate’.CONCLUSIONS: Despite the differences in bowel cleansing protocols used at each hospital (including an additional laxative), PSMC consistently yielded a high percentage of positive ratings for efficacy.

scholarly journals Polyethylene glycol vs sodium picosulfate/magnesium citrate for colonoscopy preparation

2014 ◽  
Vol 02 (04) ◽  
pp. E230-E234 ◽  
Author(s):  
Kristian Leitao ◽  
Tore Grimstad ◽  
Michael Bretthauer ◽  
Øyvind Holme ◽  
Vemund Paulsen ◽  
...  
Keyword(s):  
Polyethylene Glycol ◽  
Magnesium Citrate ◽  
Sodium Picosulfate ◽  
Colonoscopy Preparation
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