Friday, July 11, 2014

Which Colonoscopy Cleanout Preparation Works Best in Children?

By: Lewis First, MD, MS -- Editor-in-Chief

Photo by cheryl via Flickr
Preparing a child’s bowel for a colonoscopy is easier said than done, since available bowel preparation solutions often don’t taste good, require children to consume a high volume of the solution, and necessitate compliance with tricky dietary restrictions.

Multiple preparations for colonoscopy do exist, but have not been compared with each other for efficacy, safety, tolerability and acceptance—at least not until Di Nardo et al. (doi: 10.1542/peds.2014-0131) performed a randomized controlled trial using four different bowel preparation methods.

The study does a nice job of coming clean with some useful results that will flush out what you need to know and consider using (if you’re not using them already) the next time you need to have one of your patients undergo colonoscopy.

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