Comparison of the Efficacy and Safety of Sodium Phosphate Tablets and Polyethylene Glycol Solution for Bowel Cleansing in Healthy Korean Adults.
10.3349/ymj.2014.55.6.1542
- Author:
Seung Hwa LEE
1
;
Duck Joo LEE
;
Kwang Min KIM
;
Sang Wook SEO
;
Joon Koo KANG
;
Eun Hye LEE
;
Dong Ryul LEE
Author Information
1. Health Promotion Center, Ajou University School of Medicine, Suwon, Korea. djleemd@medicus.co.kr
- Publication Type:Original Article ; Randomized Controlled Trial
- Keywords:
Sodium phosphate tablet;
polyethylene glycol;
bowel preparation;
safety;
efficacy
- MeSH:
Adult;
Asian Continental Ancestry Group;
*Colonoscopy;
Female;
Humans;
Male;
Middle Aged;
Phosphates/*administration & dosage/therapeutic use;
Pilot Projects;
Polyethylene Glycols/*administration & dosage/therapeutic use;
Prospective Studies;
Republic of Korea;
Surface-Active Agents/*administration & dosage;
Tablets;
Therapeutic Irrigation/*methods
- From:Yonsei Medical Journal
2014;55(6):1542-1555
- CountryRepublic of Korea
- Language:English
-
Abstract:
PURPOSE: Bowel cleansing is generally regarded as time-consuming and unpleasant among patients. Patients commonly state that bowel preparation provokes more discomfort than the actual colonoscopic examination. The purpose of this study was to compare two regimens of sodium phosphate (NaP) tablets versus polyethylene glycol (PEG) solution for bowel preparation in healthy Korean adults. MATERIALS AND METHODS: This was a single center, prospective, open-label, investigator-blinded, randomized, controlled-pilot study. A total of 62 healthy Korean subjects were randomly assigned to two groups (NaP vs. PEG). Efficacy, safety, and patient-related outcomes, as well as procedural parameters, were evaluated. RESULTS: Although there were no significant differences in total Ottawa bowel quality score, fluid scores and the rate of adequate bowel preparation were significantly better in the NaP group than the PEG group. Additionally, the NaP group showed better results regarding patient tolerance, satisfaction, preference, and rate of adverse events than the PEG group. Significant fluctuations in specific serum electrolytes were common and of a greater magnitude in the NaP group than the PEG group. However, these abnormalities were transient and did not result in serious complications and side effects. CONCLUSION: In this study, NaP tablets were shown to be an effective, well-tolerated, and acceptable regimen for bowel preparation. Also, our study suggests that NaP tablets may be safe and can be used as a bowel cleansing agent in healthy adults undergoing elective colonoscopy. Further multicenter, large scale studies are needed to confirm these findings.
