Document Detail


Obesity Does Not Affect Sodium Picosulphate Bowel Preparation.
MedLine Citation:
PMID:  22757662     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Background:  A previous study utilising oral Polyethylene-glycol by Borg BB et al (Clin Gastroenterol Hepatol 2009) concluded that obesity is an independent predictor of inadequate bowel preparation at colonoscopy. Objective:  To compare bowel preparation quality between obese and non-obese individuals as assessed by BBPS after using sodium picosulphate. Design:  Prospective observational cohort study Setting:  Day surgery unit at an academic hospital Patients:  Patients undergoing colonoscopy were identified prospectively over 3 months. Interventions:  None Main outcome Measurements:  The presence of obesity and its influence on bowel preparation quality. Results:  104 patients were enrolled prospectively. Five (4.8%) were excluded owing to poor mental capacity. Sixty three (64%) were non-obese and 36 (36%) were obese. 57(90%) non-obese and 32(89%) obese patients had good bowel preparation. There was no statistical difference for sodium picosulphate bowel preparation between obese and non-obese individuals (P > 0.99) using Fisher's exact probability tests. The BBPS score in the left colon predicted the overall BBPS score in all patients (P < 0.001). Three of 99 patients (3%) did not tolerate sodium picosulphate, with nausea being the most common side effect. Limitations:  Non-randomised study Conclusions:  There was no difference in bowel preparation quality between obese & non-obese patients using a low volume bowel preparation (sodium picosulphate) and without dose modification of the bowel preparation. Sodium picosulphate was a well tolerated and effective bowel preparation for obese individuals. With an increasing incidence of obesity and expanding colonoscopic indications within Australia and other western countries from government sponsored programs, it is paramount that procedural quality not be compromised in the obese patient.
Authors:
Kum C Fok; Wun C Teoh; Richard L Levy; Ian B Turner
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-7-4
Journal Detail:
Title:  Internal medicine journal     Volume:  -     ISSN:  1445-5994     ISO Abbreviation:  -     Publication Date:  2012 Jul 
Date Detail:
Created Date:  2012-7-4     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101092952     Medline TA:  Intern Med J     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
© 2012 The Authors. Internal Medicine Journal © 2012 Royal Australasian College of Physicians.
Affiliation:
Department of Gastroenterology, Campbelltown Hospital, NSW, Australia University of Western Sydney, NSW, Australia.
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