Preparation of the colon for double-contrast barium enema: comparison of Picolax, Picolax with cleansing enema and Citramag (2 sachets)--a randomized prospective trial

Clinical Radiology
S ChakravertyJ Rawlinson

Abstract

A randomized prospective trial was undertaken on 196 consecutive patients referred for double-contrast barium enema examination to assess the relative efficacy of three colon cleansing regimes: Citramag (2 sachets), Picolax and Picolax with a preliminary cleansing enema. Each of the regimes was preceded by a 5 day low residue diet. The radiographs from the examinations were assessed on a double-blind basis. The quality of bowel preparation was significantly poorer (P < 0.001) in the group receiving the preliminary cleansing enema, notably with respect to mucosal coating, compared with the other two groups. The quality of the preparation was slightly better in the group receiving Picolax alone than in the Citramag group (P < 0.01), the difference being most apparent in the proximal colon. The laxatives were equally well tolerated. The study has formed the basis of a departmental audit. As a result, the bowel preparation has been standardized to a 5 day period of dietary restriction followed by 2 Picolax sachets. This measure has improved efficiency within the department with no sacrifice in quality.

References

Jan 1, 1977·AJR. American Journal of Roentgenology·W J DoddsG E Metter
Mar 1, 1991·Radiology·D W GelfandD J Ott
Nov 1, 1968·Radiology·M R Barnes
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Citations

Sep 1, 1996·Gastroenterology Nursing : the Official Journal of the Society of Gastroenterology Nurses and Associates·M Schmelzer, K B Wright

Related Concepts

Picosulfol
Micropaque Oral
Bowel Preparation Solutions
Citrates
Taenia Coli
Double-Blind Method
Administration of Enema
Organometallic Compounds
Picoline
Diagnostic Radiologic Examination

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