使用口服乳果糖进行结肠镜检查肠道准备的新方案:一项前瞻性比较研究。

IF 2.1 Q3 GASTROENTEROLOGY & HEPATOLOGY Clinical Endoscopy Pub Date : 2024-10-22 DOI:10.5946/ce.2024.056
Josué Aliaga Ramos, Danilo Carvalho, Vitor N Arantes
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引用次数: 0

摘要

背景/目的:聚乙二醇(PEG)被认为是肠道准备的黄金标准方案;然而,由于必须使用大量的聚乙二醇,患者的耐受性会受到影响。因此,乳果糖是结肠镜检查准备的一种新型替代方案。本研究旨在探讨乳果糖肠道准备液与 PEG 结肠镜检查相比的有效性和安全性:这是一项前瞻性、非盲法比较研究。门诊患者被随机分为两组:第一组(111 名患者)使用 PEG;第二组(111 名患者)使用乳果糖。每组均评估了以下临床结果:使用波士顿肠道准备评分法进行的肠道清理程度、结直肠息肉检出率、腺瘤检出率、耐受性和副作用:PEG组和乳果糖组的肠道准备不足率分别为8.1%和1.8%(P=0.030)。PEG 组和乳果糖组的全结肠波士顿肠道准备评分分别为 7.34±1.17 和 8.36±1.09 (pConclusions:在结肠清洁、腺瘤检出率、耐受性和患者体验方面,口服乳果糖的新型肠道准备方法优于 PEG。
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Novel regimen for colonoscopy bowel preparation with oral lactulose: a prospective comparative study.

Background/aims: Polyethylene glycol (PEG) is considered the gold standard regimen for bowel preparation; however, due to the necessity of a large volume, patient tolerance is impaired. Therefore, lactulose is a novel alternative for colonoscopy preparation. This study aimed to investigate the efficacy and safety of lactulose-based bowel preparations in comparison with PEG for colonoscopy.

Methods: This is a prospective, non-blinded, comparative study. Outpatients were randomly divided into two groups: group 1 (111 patients), PEG; and group 2 (111 patients), lactulose. The following clinical outcomes were assessed in each group: degree of bowel clearance using the Boston bowel preparation score, colorectal polyp detection rate, adenoma detection rate, tolerability, and side effects.

Results: The rate of inadequate bowel preparation was 8.1% and 1.8% for the PEG and lactulose groups, respectively (p=0.030). The Boston bowel preparation score for the entire colon was 7.34±1.17 and 8.36±1.09 for the PEG and lactulose groups, respectively (p<0.001). The satisfactory overall experience rates were 27.9% and 62.2% for the PEG and lactulose groups, respectively (p<0.001).

Conclusions: The novel bowel preparation with oral lactulose was superior to that with PEG in terms of colon cleansing, adenoma detection rate, tolerance, and patient experience.

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来源期刊
Clinical Endoscopy
Clinical Endoscopy GASTROENTEROLOGY & HEPATOLOGY-
CiteScore
4.40
自引率
8.00%
发文量
95
审稿时长
26 weeks
期刊最新文献
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