Bowel Preparation Clinical Trial
Official title:
Optimal Bowel Preparation Regimen for Patients With With a History of Colorectal Resection Before Colonoscopy
The study compares the efficacy of bowel cleansing between the standard preparation (2 L polyethylene glycol electrolyte solution, 2 L PEG-ELS), low-volume preparation (10 mg bisacodyl plus 2 L PEG-ELS) and high-volume preparation (4 L PEG-ELS) in patients with previous colorectal resection.
Colonoscopy is the standard approach for evaluating the colon currently. Thorough bowel
cleansing is critical for adequate visualization of colonic mucosa during colonoscopy.
Inadequate bowel cleansing results in adverse consequences for the examination, including
lower adenoma detection rates, longer procedural time, lower cecal intubation rates, shorter
intervals between examinations and an estimated 12-22% increase in overall colonoscopy cost.
A history of colorectal resection represents an independent predictor for inadequate colon
cleansing,hence strategies to improve bowel preparation may be a demanding goal in this
subset of patients.
The study compares the efficacy of bowel cleansing between the standard preparation (2 L
polyethylene glycol electrolyte solution, 2 L PEG-ELS), low-volume preparation (10 mg
bisacodyl plus 2 L polyethylene glycol electrolyte solution) and high-volume preparation (4L
polyethylene glycol electrolyte solution, 4L PEG-ELS) in patients with previous colorectal
resection. Then the investigators can select the optimized regimen for patients with
colorectal surgery.
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Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Single Blind (Investigator), Primary Purpose: Treatment
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