Limpieza intestinal para colonoscopia en niños: efectividad, adherencia y efectos adversos de esquemas diferenciados por edad
Date
2017
Type:
Artículo
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7
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Journal Title
Journal ISSN
Volume Title
Publisher
Sociedad Chilena de Pediatria
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Abstract
Introduction: Adequate intestinal cleanliness is crucial to achieve optimal colonoscopy performance.
Several bowel preparation (BP) schemes have been proposed, but there is still no consensus as regards
which is the most suitable in paediatric patients. Objective: To describe the effectiveness, adherence,
and adverse effects of BP protocols differentiated by age group in paediatric patients subjected to
colonoscopy. Patients and Method: Prospective study that included patients < 18 years subjected
to colonoscopy. BP protocols differentiated by age group were indicated as follows: < 6 m (glycerine
suppository); 6 m-3y 11 m (poly-ethylene-glycol (PEG 3350 without electrolytes); 4y-9y 11 m (PEG
3350 without electrolytes + bisacodyl); 10 y-18 y (PEG 3350 with electrolytes). Demographic, clinical
information, adherence and adverse effects were registered. Effectiveness was determined using a validated
scale (Boston modified) during colonoscopy. Results: A total of 159 patients were included, of
which 87 (55%) were males, and with a median age of 4 years (range 1 m-17 years). Seventy eight percent
of patients achieved successful BP. The higher effectiveness was observed in the groups of < 6 m
(96%) and 10-18 y (91%). Constipation was significantly more frequent (29%) in the 4 yo-9 yo 11 m
in which lower effectiveness was observed (69%). Good adherence was observed in 87% of patients.
Adverse effects were observed in a third of patients, although they were mild and did not lead to the
suspension of the BP. Conclusions: Satisfactory results were achieved with the BP schemes used, with
a successful BP being obtained in 4 out of 5 patients. Results were different between groups, which is
probably related to previous bowel transit and indicated medication
Description
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Citation
Rev Chil Pediatr. 2017;88(2):216-222
Keywords
Colonoscopy preparation, Bowel preparation solutions, Cathartics