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Thai Journal of Gastroenterology

Thai Journal of Gastroenterology

2015 Vol.16 No.2

Article :
Is a Single Dose of Sodium Phosphate (90 mL of SWIFF®) or a Split Dose of Sodium Phosphate (45 mL of SWIFF®)Better to Cleanse the Large Bowel?


Author :
Vannarath S
Bouachanh R


Abstract :
Aim: To compare a single dose of sodium phosphate (NaP) (90 mL of SWIFF®) and a split dose of NaP (45 mL of SWIFF(r)) given 6 hours apart for the endoscopic cleansing the colon. Method: From February 2012 to August 2012, 81 patients were consecutively assigned to receive either a single dose of NaP (90 mL of SWIFF®) or a split dose of 45 mL of NaP (45 mL of SWIFF®) at 6 hours apart in an alternate day manner. The cleanliness of the large bowel was compared by using the Ottawa scale scoring criteria. Electrolyte levels were measured after the procedures. Results: The Ottawa scale was 4.78 ± 1.96 in the group receiving a single dose compared with 3.25 ± 2.40 in the group receiving the split dose, p = 0.002. The results of electrolytes were Na 142 mmol/L, K 4.05 mmol/L, Cl 103 mmol/L, and Ca 11 mg/dL in the group receiving a single dose compared with Na 144 mmol/L, K 3.83 mmol/L, Cl 106.94 mmol/L, Ca 8.78 mg/dL in the other group, there being no statistical difference. Conclusion: The split dose of 45 mL of NaP (SWIFF®) given 6 hours apart was cleansing better than a single dose of NaP (SWIFF®90 mL) which . There were no abnormal changes in the electrolyte levels.


Keyword :
Colonoscopy, large bowel cleansing, sodium phosphate


PDF Download :
file/Thai-Journal-of-gastroenterology-vol-16-no-2-1088448.pdf

 



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