Hüseyin Köseoğlu, Tevfik Solakoğlu, Murat Başaran, Öykü Tayfur Yürekli, Aylin Demirerzer Bolat, Mustafa Tahtacı, Osman Ersoy

Kolonoskopi öncesi barsak temizliği için sennosid A+B kalsiyum hazırlık rejimine ananas suyu eklenmesi

Giriş ve Amaç: Kolonoskopinin tanısal etkinliği barsak hazırlığı rejiminin başarısına bağlıdır. Daha önce yapılan bir çalışmada polietilen glikol kolonoskopi hazırlık rejimine ananas suyu eklenmesinin barsak temizliğini artırdığı gösterilmiştir. Bu çalışmanın amacı sennosid A+B kalsiyum hazırlık rejimine ananas suyu eklemenin barsak temizliği üzerine olumlu etkisininolup olmadığının değerlendirilmesidir. Gereç ve Yöntem: Kolonoskopi yapılmak üzere ünitemize yönlendirilen hastalar randevu verilmesi esnasında ananas grubu ve kontrol grubu olarak iki gruba ayrıldı. Tüm hastalara barsak hazırlığı için işlemden bir gün önce sennosid A+B kalsiyum 300 mg, bol su ile içmeleri önerildi. Ananas grubunda yer alan hastalara ise buna ek olarakişlemden bir gün önce bir tam ananası katı meyve sıkacağından geçirerek içmesi önerildi. İşlemi yapan endoskopist barsak temizliğini Ottawa barsak temizliği skalası yardımı ile değerlendirdi ve sonuçlar karşılaştırıldı. Bulgular: Çalışma için uygun olmayan hastalar dışlandıktan sonra kontrol grubunda 46, ananas grubunda ise 44 hasta değerlendirmeye alındı. Total Ottawa barsak temizliği skalası skoru ve her kolon segmenti için ayrı ayrı hesaplanan temizlik miktarları açısından iki grup arasında istatistiksel olarak anlamlı fark saptanmadı. Total Ottawa barsak temizliği skalası ananas grubu ve kontrol grubu için sırasıyla 4,77 ve 5,00 olarak hesaplandı. Sonuç: Sennosid A+Bkalsiyum hazırlık rejimine ananas suyu eklemenin barsak temizliği üzerine olumlu katkısı saptanamamıştır.

Anahtar Kelimeler:

Ananas suyu, barsak temizliği, bromelain, kolonoskopi, sennoside A+B calcium

Adding pineapple juice to sennoside A+B calcium for colonoscopy bowel preparation

Background and Aims: The diagnostic efficacy of colonoscopy depends on the quality of bowel preparation. It was shown in one study that administration of pineapple juice to 2 liter polyethylene glycol improves the quality of bowel cleaning. The aim of this study is to assess the effect of adding pineapple juice to sennoside A+B calcium for colon cleansing. Materials and Methods: One hundred patients admitted to our unit for elective colonoscopy were randomized to control group and pineapple group. Patients were advised to use 300 mg sennoside A+B calcium. In addition to this, the patients in the pineapple group were advised to squeeze one pineapple via a fruit juice extractor, and to drink it at the preprocedural day. The endoscopist scored the cleaning of the colonic segments using the Ottawa Bowel Preparation Scale Results: After exclusion 46 patients in the control group and 44 patients in the pineapple group were included in the analysis. The cleanliness for each segments of the colon and the total OBPS was not statistically significant between groups. The total OBPS for pineapple group and control group were 4.77 and 5.00, respectively. Conclusion: Adding fresh squeezed pineapple juice has no beneficial effect on increasing colon cleansing.

Keywords:

Bowel preparation, bromelain, colonoscopy, pineapple juice, sennoside A+B calcium,

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