Abstract | BACKGROUND:
Polyethylene Glycol 3350 (Miralax®) without electrolytes is commonly used for 3-4 days as bowel preparation for colonoscopy in children. One-day preparation has been anecdotally reported to be effective but there are few published prospective studies comparing the safety and efficacy of one-day preparation with that of three-day preparation. This study was conducted to compare the efficacy and safety of a one-day bowel preparation with Miralax® with that of a three-day preparation for colonoscopy in children. METHODS: We conducted a prospective, randomized controlled trial with children age 2-21 yrs. undergoing elective colonoscopy. Patients were randomly assigned to receive Miralax® for either one or three days. Children with known electrolyte disturbances, dehydration, fecal impaction, metabolic or renal disease were excluded. A metabolic panel was monitored before and after bowel preparation. Subjects reported the tolerability and side effects of Miralax® via a survey. Effectiveness of the bowel preparation was assessed using a stool diary and a bowel cleansing scale during colonoscopy. RESULTS: 32 subjects were enrolled; 18 received one-day bowel preparation and 14 received 3-day preparation. There were no differences between the groups in efficacy of bowel preparation based on colonoscopic grading or the safety of the preparation. One-day preparation was as well tolerated as three-day preparation. CONCLUSION: Miralax® used one day as bowel preparation for elective colonoscopy in children is safe, effective and well tolerated. Physicians should consider offering a one-day option for bowel preparation, which would allow children to miss fewer days of school prior to colonoscopy. TRIAL REGISTRATION: TRIAL REGISTRATION NUMBER: NCT02174497. Date of Registration: 02 May, 2014 URL of register: clinicaltrials.gov.
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Authors | Serge A Sorser, Venkata Konanki, Alice Hursh, Karen Hagglund, Hernando Lyons |
Journal | BMC research notes
(BMC Res Notes)
Vol. 7
Pg. 648
(Sep 15 2014)
ISSN: 1756-0500 [Electronic] England |
PMID | 25223547
(Publication Type: Comparative Study, Journal Article, Randomized Controlled Trial)
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Chemical References |
- Cathartics
- Polyethylene Glycols
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Topics |
- Adolescent
- Age Factors
- Cathartics
(administration & dosage, adverse effects)
- Child
- Child, Preschool
- Colonoscopy
- Defecation
(drug effects)
- Drug Administration Schedule
- Female
- Humans
- Male
- Polyethylene Glycols
(administration & dosage, adverse effects)
- Predictive Value of Tests
- Prospective Studies
- Rhode Island
- Time Factors
- Young Adult
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