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Possibilities of using phospho-soda in patients with complicated colon preparation for endoscopy

https://doi.org/10.21518/2079-701X-2018-14-124-128

Abstract

Endoscopic screening is the main method of colon examination. An important factor for the accurate diagnosis of various pathological changes in the mucous membrane of the lower part of the digestive tract is the degree of its visualization, which directly depends on the quality of preparation for colonoscopy. There are many colon cleansers, but the peristaltic motion of the gut slows down in various diseases and syndromes, which results in the reduced accuracy of endoscopy.

The paper presents the analysis of colon preparation quality using Phospho-soda (Casen Recordati, S.L., Spain) for colonoscopy in 198 patients with pathological conditions that impedes passage of all bowel contents: inflammatory bowel disease, acromegaly, and hypotonia of the large intestine. The authors carried out a comparative analysis with a control group, which included 106 patients without factors that slowed down the peristaltic motion of the intestine, who were preparing for endoscopic examination according to a similar scheme.

The study showed that using Phospho-soda to prepare for endoscopic examination in patients with decreased colonic tone resulted in the efficacy of the drug comparable with its efficacy in a group of patients without dysmotility. 

About the Authors

A. A. Titaeva
Vladimirsky Moscow Regional Research Clinical Institute
Russian Federation


E. A. Belousova
Vladimirsky Moscow Regional Research Clinical Institute
Russian Federation


S. G. Tereshchenko
Vladimirsky Moscow Regional Research Clinical Institute
Russian Federation


References

1. Patient information leaflet for Phospho-soda http://grls.rosminzdrav.ru/Grls_View_v2.aspx?routingGuid=b813a802-aab5-4c90-a38c-1ade10e15eb8&t =.

2. Khrustaleva MV, Khodakovskaya YuA, Goggello EA, et al. Spectral imaging colour enhancement technology in the evaluation of the colon polyp morphology. Meditsinsky Sovet, 2018, 3.

3. Shuleshova AG, Minushkin ON, Potekhina EV. Preparation for colonoscopy supplemented with modern specifying techniques in patients with colon epithelial formations. Meditsinsky Sovet, 2017, 15.

4. Gastroenterology. National guidelines. Under the editorship of Ivashkina VT, Lapina TL. Moscow: GEOTARMedia, 2008.

5. Vorobyov GI, Khalif IL. Nonspecific inflammatory bowel diseases. M.: Miklos, 2008

6. Orme SM, Mcnally RJQ, Cartwright RA, et al. Mortality and cancer incidence in acromegaly: A retrospective cohort study. J Clin Endocrinol Metab, 1998, 83(8): 2730-2734. doi: 10.1210/jcem.83.8.5007.

7. Ron E, Gridley G, Hrubec Z, et al. Acromegaly and gastrointestinal cancer. Cancer, 1991, 68(8): 1673-1677. doi: 10.1002/1097-0142(19911015)68:83.0.co,2-0.

8. Jenkins PJ, Besser M. Clinical perspective: Acromegaly and cancer: A problem. J Clin Endocrinol Metab, 2001, 86(7): 2935-2941. doi: 10.1210/jcem.86.7.7634.

9. Wassenaar MJ, Cazemier M, Biermasz NR, et al. Acromegaly is associated with an increased prevalence of colonic diverticula: a case-control study. J Clin Endocrinol Metab, 2010, 95(5): 2073–2079.

10. Rokkas T, Pistiolas D, Sechopoulos P, et al. Risk of colorectal neoplasm 42 in patients with acromegaly: a meta-analysis. World J Gastroenterol, 2008, 14: 3484-3489.

11. Attanasio R, Mainolfi A, Grimaldi F, et al. Somatostatin analogs and 43 gallstones: a retrospective survey on a large series of acromegalic patients. J Endocrinol Invest, 2008, 31: 704-710.

12. Lai E J, Calderwood A H, Doros G, Fix O K, Jacobson BC. The Boston bowel preparation scale: A valid and reliable instrument for colonoscopy-oriented research. Gastrointest Endosc, 2009, 69(3 Pt 2): 620–625.

13. Адлер Г. Болезнь Крона и язвенный колит. Пер. с нем. М., 2001. 1. /Adler G. Crohn’s disease and ulcerative colitis. Translated from German. M., 2001. 1.

14. Alexandrov VB. Colorectal cancer. Guide to gastroenterology. Under the editorship of Komarova FI, Rapoport SI. M., 2010: 418-432.

15. Alexandrov VB. Rectal cancer. M., 2006.

16. Aspirin: prevention of cardiovascular diseases and colorectal cancer (editorial). Klin. Farmakol. Ter., 2007, 16 (4): 5-9.

17. Clark BT, Rustagi T, Laine L. What level of bowel prep quality requires early repeat colonoscopy: systematic review and meta-analysis of the impact of preparation quality on adenoma detection rate. Am J Gastroenterol, 2014 Nov, 109(11): 1714-23.

18. Murphy CJ, Jewel Samadder N, Cox K, Iqbal R, So B, Croxford D, Fang JC. Outcomes of NextDay Versus Non-next-Day Colonoscopy After an Initial Inadequate Bowel Preparation. Dig Dis Sci, 2016 Jan, 61(1): 46-52.


Review

For citations:


Titaeva AA, Belousova EA, Tereshchenko SG. Possibilities of using phospho-soda in patients with complicated colon preparation for endoscopy. Meditsinskiy sovet = Medical Council. 2018;(14):124-128. (In Russ.) https://doi.org/10.21518/2079-701X-2018-14-124-128

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ISSN 2079-701X (Print)
ISSN 2658-5790 (Online)