KMID : 0356720000160060383
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Journal of the Korean Society of Coloproctology 2000 Volume.16 No. 6 p.383 ~ p.387
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Mechanical Bowel Preparation for Elective Colorectal Surgery: A Prospective Randomized Study Comparing Two Liters and Four Liters of Polyethylene Glycol-Based Oral Lavage Solutions
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Jo Shin-Il
Yun Seong-Hyeun Park Jea-Kun Kim Nam-Kyu Sohn Seung-Kook Min Jin-Sik
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Abstract
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Purpose: This study was undertaken to determine whether a mechanical bowel preparation with 2 liters polyethylene glycol solution combined with a Bisacodyl 20 mg (Group II) increases the acceptability of bowel preparation and reduces discomfort compared with 4 liters of polyethylene glycol solution (Group I).
Methods: We conducted a prospective randomized single-blinded study. Eighty patients undergoing an elective colorectal surgery in Severance hospital from April 1999 to September 1999 were included in this study. The patients¡¯ tolerance, cleansing ability and surgeon¡¯s satisfaction were assessed by a structured questionnaire. Postoperative complications were also evaluated.
Results: The patients¡¯ tolerance of the group II (2 liters polyethylene glycol solution combined with a Bisacodyl 20 mg) was better than that of the groups I (4 liters of polyethylene glycol solution). The cleaning ability and surgeon¡¯s satisfaction were not different between two groups (p=0.225, p=0.322). The incidence of postoperative complications was 2.3 percent in Group I and 2.7 percent in Group II.
Conclusion: The mechanical bowel preparation with two liters of polyethylene glycol solution with a Bisacodyl 20 mg was more comfortable to patients and equally efficient compared with the mechanical bowel preparation with the 4 liters of polyethylene glycol solution regimen before elective colorectal surgery.
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KEYWORD
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Mechanical bowel preparation, Colorectal surgery
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