Comparative Study of Three Regimens of Bowel Preparation Before Transabdominal Ultrasonography of the Colon

Ultrasound Med Biol. 2016 Sep;42(9):2140-5. doi: 10.1016/j.ultrasmedbio.2016.04.005. Epub 2016 May 13.

Abstract

The objective of the study was to compare the efficacy of three bowel preparation regimens for transabdominal colon ultrasonography. A total of 192 consecutive patients were given one of three regimens (senna, magnesium sulfate or polyethylene glycol electrolyte powder) before ultrasonographic examinations. The cleaning grade (I = emptying; II = filled or filled + empty; III = I or II with some retention; and IV = retention [grades I and II were termed "qualified"]) and cleaning range (A = all seven colon sections were qualified; B = four to six sections were qualified; C = three or less sections were qualified) were evaluated retrospectively. Senna was found more effective than polyethylene glycol in terms of cleaning grade (p < 0.001), qualified rate (p < 0.001) and cleaning range (p = 0.003). Senna was better than magnesium sulfate in cleaning grade (p < 0.001). Our results suggest that senna seems to be the preferred regimen for bowel preparation before transabdominal colonic ultrasonography.

Keywords: Bowel preparation; Colon; Magnesium sulfate; Polyethylene glycol; Senna; Ultrasonography.

Publication types

  • Comparative Study

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Cathartics
  • Colon / diagnostic imaging*
  • Colonoscopy / methods*
  • Female
  • Humans
  • Magnesium Sulfate / administration & dosage*
  • Male
  • Middle Aged
  • Polyethylene Glycols / administration & dosage*
  • Reproducibility of Results
  • Senna Extract / administration & dosage*
  • Sennosides
  • Ultrasonography / methods*
  • Young Adult

Substances

  • Cathartics
  • Sennosides
  • Polyethylene Glycols
  • Magnesium Sulfate
  • Senna Extract