Frihet til å velge tömmingsregime för koloskopi. En randomisert, sammenlig nende studie av ulike tömmingsregimers innvirkning på tarmensrenhet og pasientenes opplevelse av ubehag
Engelsk titel: Freedom to choose bowel cleansing regime before colonoscopy. A randomized, comparative study of different colon cleansing regimes influence on the cleanliness of the colon and the patients` discomfort
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Författare:
Woldstad K
;
Rönnevig M
;
Knobloch MB
Språk: Nor
Antal referenser: 25
Dokumenttyp:
RCT
UI-nummer: 00087869
Sammanfattning
BACKGROUND: Patients undergoing
colon cleansing before colonoscopy
frequently experienced
that it was hard to swallow 4 litres
of the salty solution, polyethylene
glycol (PEG).
OBJECTIVES: The purpose of this
study was to test different regimens
in order to find the regimen that
both cleaned the colon properly
and that was experienced comfortable
for the patient.
METHODS: 83 hospitalised patients
were prospectively randomised
to receive either a standard 4 litres
PEG, a 2 litres PEG combined with
Bisacodyl, or a 2 litres PEG combined
with Natriumpicosulphat.
Nurses recorded demographic and
clinical data. The patients filled out
a detailed questionnaire related to
comfort during the cleansing procedure.
The endoscopists were blinded
for the type of preparation used
and assessed the colon on a scale
from poor to excellent cleaned.
This study was approved by the
Research Ethics Committee Health
Region II, Norway.
RESULTS: There were no clinically
significant differences neither in the
endoscopists estimation of the cleanliness
of the colon (p = 0.93) nor
in the frequency and intensity of
any of the 18 discomfort problems
questioned (p = 0.32) and the regimens
tested.
CONCLUSIONS: All the regimens
gave sufficient results and thereby
the freedom to choose cleansing
regimen before colonoscopy.