A Clear Liquid Diet Is Not Mandatory for Polyethylene Glycol-Based Bowel Preparation for Afternoon Colonoscopy in Healthy Outpatients

被引：22

作者：

Jung, Yoon Suk ^{[1
]}

Seok, Hyo Sun ^{[1
]}

Park, Dong Il ^{[1
]}

Song, Chang Seok ^{[1
]}

Kim, Seong Eun ^{[2
]}

Lee, Suck Ho ^{[3
]}

Eun, Chang Soo ^{[4
]}

Han, Dong Soo ^{[4
]}

Kim, Yong Soo ^{[4
]}

Lee, Chang Kyun ^{[5
]}

机构：

[1] Sungkyunkwan Univ, Sch Med, Kangbuk Samsung Hosp, Dept Internal Med, 29 Saemunan Ro, Seoul 110746, South Korea

[2] Ewha Womans Univ, Sch Med, Dept Internal Med, Seoul, South Korea

[3] Soonchunhyang Univ, Coll Med, Dept Internal Med, Seoul, South Korea

[4] Hanyang Univ, Guri Hosp, Coll Med, Dept Internal Med, Guri, South Korea

[5] Kyung Hee Univ, Sch Med, Dept Internal Med, Seoul, South Korea

来源：

GUT AND LIVER | 2013年 / 7卷 / 06期

关键词：

Clear liquid diet; Regular diet; Afternoon colonoscopy; Bowel preparation; SINGLE-BLIND TRIAL; PEG-ELECTROLYTE SOLUTION; ORAL SODIUM-PHOSPHATE; COLORECTAL-CANCER; MAGNESIUM CITRATE; LAVAGE SOLUTION; QUALITY; EFFICACY; VOLUME; IMPACT;

D O I：

10.5009/gnl.2013.7.6.681

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

Background/Aims: A dietary regimen consisting of a clear liquid diet (CLD) for at least 24 hours is recommended for colonoscopy preparation. However, this requirement results in problems in patient compliance with bowel preparation. The aim of this study was to evaluate the efficacy of a CLD compared with a regular diet (RD) for colonoscopy preparation using a polyethylene glycol (PEG) solution. Methods: This was a multicenter, randomized, investigator-blind prospective study. A total of 801 healthy outpatients undergoing afternoon colonoscopy were randomized to either a CLD or RD in addition to a 4 L PEG regimen. Results: The quality of bowel cleansing was not different between the CLD and RD groups in terms of the proportion with excellent or good preparation. In addition, no significant differences were observed between the two groups for polyp and adenoma detection rates and overall adverse events. Good compliance with bowel preparation was higher in the RD group than in the CLD group. Conclusions: A CLD for a full day prior to colonoscopy should not be mandatory for PEG-based bowel preparation. Dietary education concerning the avoidance of high-fiber foods for 3 days before colonoscopy is sufficient, at least for healthy outpatients.

引用

页码：681 / 687

页数：7

共 26 条

[1] A randomized single-blind trial of split-dose PEG-electrolyte solution without dietary restriction compared with whole dose PEG-electrolyte solution with dietary restriction for colonoscopy preparation [J].