Korean J Gastrointest Endosc > Volume 30(4); 2005 > Article
Korean Journal of Gastrointestinal Endoscopy 2005;30(4): 194-198.
Polyethylene Glycol 용액 분할 복용 시 대장내시경 전처치 효과
김상훈·박동일·박승하·김홍주·조용균·성인경·손정일·전우규·김병익
성균관대학교 의과대학 강북삼성병원 내과학교실
Comparision of Single Versus Split-dose of Polyethylene Glycol-electrolyte Solution for Colonoscopy Preparation
Sang Hoon Kim, M.D., Dong Il Park, M.D., Seung Ha Park, M.D., Hong Joo Kim, M.D., Yong Kyun Cho, M.D., In Kyung Sung, M.D., Chong Il Sohn, M.D., Woo Kyu Jeon, M.D. and Byung Ik Kim, M.D.
Department of Internal Medicine, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea
Abstract

Background/Aims:
Although polyethethylene glycol (PEG) solution is widely used for bowel preparation, it is difficult to drink a large amount of fluid in a short period of time. We compared the quality of bowel preparation and compliance between the single-dose group and split-dose group.
Methods:
Two hundred seventeen patients undergoing outpatient colonoscopy were randomly assigned to receive either 4 litre (L) of PEG solution (n=104, single- dose group) on the day of colonoscopy or 2 L of PEG solution on the day before colonoscopy and then 2 L of same solution on the day of colonoscopy (n=113, split- dose group). The quality of bowel preparation was assessed using Ottawa scale. Cecal intubation time, compliance and side effects were assessed.
Results:
Split-dose group showed the better quality of bowel preparation than single-dose group (4.75⁑2.45 vs 5.52⁑2.24, p<0.05) because of lower residual volume scale. Patients who experienced very difficulty during ingestion (0.95% vs 5.8%) and left out more than 25% of PEG solution (3.5% vs 8.7%) were greater in single-dose group. There was no difference of side effects between two groups.
Conclusions:
Split-dose PEG preparation could be the useful method in than single-dose in colonoscopy preparation. (Korean J Gastrointest Endosc 2005;30:194⁣198)
Key Words: Colonoscopy, Bowel preparation, Ottawa scale, Polyethylene glycol solution
주요어: 대장내시경, PEG 용액, 전처치, Ottawa 척도
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