scholarly journals Bowel preparation for colonoscopy: comparison of mannitol and sodium phosphate. Results of a prospective randomized study

1999 ◽  
Vol 54 (6) ◽  
pp. 187-192 ◽  
Author(s):  
Angelita Habr-Gama ◽  
Robert William de Azevedo Bringel ◽  
Sergio Carlos Nahas ◽  
Sergio Eduardo de Alonso Araújo ◽  
Afonso Henrique de Souza Junior ◽  
...  
Keyword(s):  
Side Effects ◽  
Bowel Preparation ◽  
Sodium Phosphate ◽  
Clinical Symptoms ◽  
Randomized Study ◽  
Phosphate Solution ◽  
Phosphate Ions ◽  
Before And After ◽  
Sodium Phosphate Solution

METHOD: Eighty patients were prospectively randomized for precolonoscopic cleansing either with 750 ml of 10% mannitol (Group M) or 180 ml of a sodium phosphate preparation (Group NaP). Laboratory examinations before and after preparation on all patients included hemoglobin, hematocrit, sodium, potassium, phosphorous, calcium and serum osmolarity. A questionnaire was used to assess undesirable side effects and patient tolerance to the solution. The quality of preparation was assessed by the endoscopist who was unaware of the solution employed. RESULTS: Statistically significant changes were verified in serum sodium, phosphorous, potassium and calcium between the two groups, but no clinical symptoms were observed. There were no significant differences in the frequency of side effects studied. Six of the eight patients in Group NaP who had taken mannitol for a previous colonoscopy claimed better acceptance of the sodium phosphate solution. The endoscopic-blinded trial reported excellent or good bowel preparation in 85% prepared with sodium phosphate versus 82.5% for mannitol (p=0.37). CONCLUSIONS: Quality of preparation and frequency of side effects was similar in the two solutions. The smaller volume of sodium phosphate necessary for preparation seems to be related to its favorable acceptance. Nevertheless, the retention of sodium and phosphate ions contraindicates the use of sodium phosphate in patients with renal failure, cirrhosis, ascites, and heart failure.

scholarly journals Bowel Preparation for Colonoscopy with Sodium Phosphate Solution versus Polyethylene Glycol-Based Lavage: A Multicenter Trial

2008 ◽  
Vol 2008 ◽  
pp. 1-6 ◽  
Author(s):  
S. Schanz ◽  
W. Kruis ◽  
O. Mickisch ◽  
B. Küppers ◽  
P. Berg ◽  
...  
Keyword(s):  
Polyethylene Glycol ◽  
Adverse Events ◽  
Bowel Preparation ◽  
Sodium Phosphate ◽  
Vital Signs ◽  
Multicenter Trial ◽  
Phosphate Solution ◽  
Blinded Study ◽  
Sodium Phosphate Solution ◽  
Oral Sodium Phosphate

Background: Adequate bowel preparation is essential for accurate colonoscopy. Both oral sodium phosphate (NaP) and polyethylene glycol-based lavage (PEG-ELS) are used predominantly as bowel cleansing modalities. NaP has gained popularity due to low drinking volume and lower costs. The purpose of this randomized multicenter observer blinded study was to compare three groups of cleansing (NaP, NaP + sennosides, PEG-ELS + sennosides) in reference to tolerability, acceptance, and cleanliness. Patient and Methods: 355 outpatients between 18 and 75 years were randomized into three groups (A, B, C) receiving NaP = A, NaP, and sennosides = B or PEG-ELS and sennosides = C. Gastroenterologists performing colonoscopies were blinded to the type of preparation. All patients documented tolerance and adverse events. Vital signs, premedication, completeness, discomfort, and complications were recorded. A quality score (0–4) of cleanliness was generated. Results: The three groups were similar with regard to age, sex, BMI, indication for colonoscopy, and comorbidity. Drinking volumes (L) (A = 4.33 + 1.2, B = 4.56 + 1.18, C = 4.93 + 1.71) were in favor of NaP (P = .005). Discomfort from ingested fluid was recorded in A = 39.8% (versus C: P = .015), B = 46.6% (versus C: P = .147), and C = 54.6%. Differences in tolerability and acceptance between the three groups were statistically not significant. No differences in adverse events and the cleanliness effects occurred in the three groups (P = .113). The cleanliness quality scores 0–2 were calculated in A: 77.7%, B: 86.7%, and C: 85.2%. Conclusions: These data fail to demonstrate significant differences in tolerability, acceptance, and preparation quality between the three types of bowel preparation for colonoscopy. Cleansing with NaP was not superior to PEG-ELS.

scholarly journals Comparison of colon-cleansing methods in preparation for colonoscopy - Comparative efficacy of solutions of mannitol, sodium picosulfate and monobasic and dibasic sodium phosphates

2008 ◽  
Vol 23 (suppl 1) ◽  
pp. 108-111 ◽  
Author(s):  
Paulo Miki Jr ◽  
Carlos Renato dos Reis Lemos ◽  
Pedro Popoutchi ◽  
Ricardo Luiz dos Santos Garcia ◽  
José Joaquim Ribeiro da Rocha ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Side Effects ◽  
Pulse Rate ◽  
Bowel Preparation ◽  
Sodium Phosphate ◽  
Clinical Signs ◽  
Phosphate Solution ◽  
Clinical Effects ◽  
Colon Cleansing ◽  
Sodium Picosulphate

PURPOSE: Colonoscopy plays an essential role in the therapeutic and diagnostic approach in various colonic pathologies, the aim of the present study was to compare three solutions and their efficacy for the bowel preparation in adult patients submitted to elective colonoscopy. METHODS: Sixty patients were randomly divided into three groups of 20 each. Each group was submitted to a bowel preparation with one of the following solutions: 10% manitol, sodium picosulphate or sodium phosphate. The parameters evaluated were: taste, tolerance, associated side effects and quality of cleansing. Postural blood pressure and pulse rate as well as serum sodium, potassium, calcium and phosphate were compared. RESULTS: Sodium phosphate and 10% manitol solutions provided superior results in terms of colon cleansing compared to sodium picosulphate solution. All serum electrolytes evaluated were significantly altered in the three groups, without important clinical signs. DISCUSSION: High levels of serum phosphate were the most striking alteration in patients prepared with sodium phosphate solution, again with no clinical signs. Variations related to blood pressure and pulse rate suggested contraction of intravascular volume, with no clinical effects. CONCLUSION: Sodium phosphate and 10% manitol solutions are equivalent in providing good quality colon cleansing, with no significant side effects that could compromise the procedure.

scholarly journals In vitro bioactivity of soda lime borate glasses with substituted SrO in sodium phosphate solution

2014 ◽  
Vol 8 (3) ◽  
pp. 167-177 ◽  
Author(s):  
Mohamed Marzouk ◽  
Batal El
Keyword(s):  
Weight Loss ◽  
Sodium Phosphate ◽  
Corrosion Behaviour ◽  
Glass Ceramics ◽  
Soda Lime ◽  
Phosphate Solution ◽  
Borate Glasses ◽  
Before And After ◽  
Sodium Phosphate Solution

Borate glasses with the basic composition 0.6B2O3?0.2Na2O?0.2CaO and SrO progressively substituting CaO were prepared and characterized for their bone-bonding ability. The obtained glasses were thermally treated and converted to their glass-ceramic derivatives. In this study, FTIR spectral analyses were done for the prepared glasses and glass-ceramics before and after immersion in a sodium phosphate solution for extended times. The appearance of two IR bands within the spectral range 550-680 cm-1 after immersion confirms the formation of hydroxyapatite. X-ray diffraction studies and scanning electron microscope analysis supported the obtained infrared spectroscopy results. The solubility test (measurements of the weight loss in aqueous sodium phosphate solution) was conducted for measuring the dissolution of both glassy and crystalline derivatives to find out the role of SrO. The corrosion behaviour of the glasses and glass-ceramics indicate the increase of weight loss with the increase of SrO content. Different suggested proposals were introduced to explain this abnormal behaviour.

Sign in / Sign up

Export Citation Format

Share Document