Makbule Eren, Yusuf Aydemir, Zeren Baris, Gozde Nur Yurttas, Asli Yavuz

Çocuklarda İ ki Bag ırsak Hazırlık İ lacının Etkinlik ve Kullanılabilirlig inin Karşılaştırılması: Polietilen Glikol ve Sodyum Fosfat

Hastalar tarafından iyi tolere edilebilen, yeterli bir bağırsak temizliğinin uygulanabilmesi, iyi kalitede ve güvenilir bir kolonoskopi yapılabilmesi açısından önem taşımaktadır. Çalışmamızda, çocuk hastalarda polietilen glikol (PEG) gibi ozmotik bir bağırsak temizleyici ile daha az kullanılan sodyum fosfat (SF) gibi uyarıcı bir ajanın etkinliğini ve kullanılabilirliğini karşılaştırmayı amaçladık. Hastanemizde, Ocak 2016 ve Aralık 2019 yılları arasında kolonoskopi yapılmış ve kolonoskopi hazırlık rejimi olarak PEG veya SF kullanılmış olan çocuk hastalarımızın kayıtlarını geriye dönük olarak değerlendirdik. Bağırsak temizliğinin kullanılabilirliği (tolerabilite), ilacın kullanım kolaylığı ve karın ağrısı, bulantı, kusma, baş dönmesi gibi yan etkileri ve bunların şiddetini sorgulayan bir anket ile değerlendirildi. Bağırsak temizliğinin kalitesi, temizliği ve sıvı miktarını değerlendiren Ottawa ölçeği ile belirlendi. Ottawa ölçeği, kolonoskopi video kayıtlarından kör bir şekilde ve geriye dönük olarak ölçüldü. Ortalama yaşları 12,3±4,2 yaş olan toplam 145 hasta (65 erkek, %44,8) çalışmaya alındı. Doksan üç (%64,1) hastada PEG, 52 hastada (%35,9) SF kullanılmıştı. Hastaların ortalama yaşları PEG grubunda (11,2±4,6 yaş) SF grubuna (14,2±2,7 yaş) göre anlamlı olarak düşüktü (p

The Comparison of Efficacy and Tolerability of Two Bowel Preparation Agents in Children: Polyethylene Glycol vs Sodium Phosphate

Adequate bowel cleansing with a good patient tolerability is important for high-quality and safe colonoscopy. We aimed tocompare the efficacy and tolerability of an osmotic agent, polyethylene glycol (PEG) and a less frequently used stimulant agent, sodiumphosphate (NP) for pediatric patients. We analyzed the records of pediatric patients who underwent colonoscopy and used either PEG or NPfor bowel cleansing between January 2016 and December 2019. The patient tolerability of bowel preparation was assessed using a patientquestionnaire that consisted of acceptance and adverse events, recording abdominal pain, nausea, vomiting, dizziness and severity of thesesymptoms. The quality of bowel preparation was assessed according to the Ottawa scale, including cleanliness and fluid quantity. Thecolonoscopic video records were retrospectively and blindly evaluated for Ottawa scale. There were a total of 145 patients (65 boys, 44.8%)with a mean age of 12.3±4.2 years. PEG was used in 93 patients (64.1%), while NP was used in 52 patients (35.9%). The mean age of thepatients was significantly lower in PEG group (11.2±4.6 years) when compared to NP group (14.2±2.7 years) (p

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