EGD-assisted Bowel Preparation for Colonoscopy



Status:Completed
Conditions:Gastrointestinal
Therapuetic Areas:Gastroenterology
Healthy:No
Age Range:Any
Updated:4/21/2016
Start Date:August 2009
End Date:March 2012

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Adequate bowel preparation is of critical importance for colonoscopy. Particularly among
hospitalized patients, inadequate bowel preparation for colonoscopy may arise due to patient
intolerance to prescribed laxative regimen, elderly population, and co-existing conditions
that impair the ability to ingest a large-volume laxative regimen. Improvements in bowel
preparation for colonoscopy in hospitalized patients would likely improve patient care and
reduce hospital costs. The purpose of this study is to determine if administering a portion
of the bowel purgative via EGD could improve colonoscopy preparation in hospitalized
patients.

In this randomized controlled trial in hospitalized patients, patients in whom colonoscopy
was anticipated the day following EGD were consented and randomized to either standard prep
by mouth (split-dose PEG) or intervention group (instillation of the first 2 liters of
Nulytely solution through the channel of the endoscope into the duodenal bulb, then continue
standard prep). Data is collected on quality of prep and patient satisfaction in both
groups.

Inclusion Criteria:

- hospitalized patients

- having EGD and expected to have colonoscopy the following day

- written informed consent

Exclusion Criteria:

- unable to tolerate EGD-assisted prep administration
We found this trial at
2
sites
5510 East State Street
Rockford, Illinois 61108
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Rockford, IL
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Rockford, Illinois 61104
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Rockford, IL
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