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- Title
COMPARATIVE ANALYSIS OF COLON PREPARATION USING POLY ETHYLENE GLYCOL (PEG) WITH LACTULOUSE FOR COLONOSCOPY.
- Authors
Asghar, Asma; Alam, Laima; Farooq, Asif; Hayat, Arshad; Saeed, Farrukh; Ahmad, Jehangir
- Abstract
Objective: To compare the adequacy of preparation for colonoscopy using polyethylene glycol with lactulose. Study Design: Quasi experimental study. Place and Duration of Study: Department of Gastroenterology, Combined Military Hospital Lahore, from Jul 2019 to Dec 2019. Methodology: The enrolled patients were randomized into two equal groups. Group A received polyethylene glycol (PEG) formulation containing 13.125g x 24 sachets with 4 liters of water over 24 hours, group B received lactulose 600ml (66.7g/100ml) with 4 liters of water over 24 hours. Quality of bowel preparation was assessed using Ottawa scoring system (OBPS). A designed questionnaire was used for recording patients’ tolerability toward the preparation method. Questionnaire was filled pre and post-procedure for socio-demographic data and scores. Patients were also assessed for tolerability of procedure and palatability of the solutions by questionnaire. Results: The median age of patients in group A was 49 (26 IQR) years and in group B was 48 (18.5 IQR) years. Out of 100 patients 60% were males and 40% were females. The most common indication of colonoscopy was anemia (32%), followed by diarrhea (26%), bleeding per-rectum (24%) and constipation (18%). Polyethylene glycol showed better bowel cleansing score compared with lactulose (p<0.001). Tolerability and palatability for polyethylene glycol were statistically superior to the same volume of lactulose. Conclusion: Polyethylene glycol is superior to lactulose in terms of bowel preparation, tolerability and palatability.
- Subjects
OTTAWA (Ont.); LAHORE (Pakistan); ETHYLENE glycol; BOWEL preparation (Procedure); POLYETHYLENE glycol; COLONOSCOPY; COMPARATIVE studies; LACTULOSE
- Publication
Pakistan Armed Forces Medical Journal, 2020, Vol 70, Issue 5, p1261
- ISSN
0030-9648
- Publication type
Article