Two Centers Affiliated to Shiraz University of Medical Sciences

Background & aim: Colonoscopy is the main method of colon examination. Acceptable bowel preparation plays an effective role in examining the bowel. Diagnosis and treatment of colon polyps or non-bulging lesions such as vascular malformations and serrated polyps depend on the degree of intestinal...

Full description

Bibliographic Details
Main Authors: M Alizadeh Nayini, A Molvi, M Ghorbani, F Banaei
Format: Article
Language:fas
Published: Yasuj University Of Medical Sciences 2023-04-01
Series:Armaghane Danesh Bimonthly Journal
Subjects:
Online Access:http://armaghanj.yums.ac.ir/article-1-3458-en.pdf
_version_ 1827798129502584832
author M Alizadeh Nayini
A Molvi
M Ghorbani
F Banaei
author_facet M Alizadeh Nayini
A Molvi
M Ghorbani
F Banaei
author_sort M Alizadeh Nayini
collection DOAJ
description Background & aim: Colonoscopy is the main method of colon examination. Acceptable bowel preparation plays an effective role in examining the bowel. Diagnosis and treatment of colon polyps or non-bulging lesions such as vascular malformations and serrated polyps depend on the degree of intestinal cleanliness at the time of assessment. On the other hand, insufficient preparation makes the evaluation more difficult, the evaluation is incomplete, increases the time of colonoscopy and the need to repeat the procedure, and this increases the cost. Therefore, the purpose of the present study was to determine and prepare the large intestine for colonoscopy with pidrolox produced in Iran with and without Senagraf syrup in two centers affiliated to Shiraz University of Medical Sciences. Methods: In the present prospective, double-blind descriptive study conducted in 2016 on 273 patients in need of non-emergency colonoscopy referred to Shahid Motahari and Shahid Faqihi clinics of Shiraz, Iran, 227 patients were randomly selected into two drug (111) and control groups. (116) were categorized and studied. The effect of adding Senagraf to pidrolox manufactured in Iran with pidrolox along with placebo on the level of intestinal readiness (based on Ottawa scoring) in eligible patients (20-78 years old) who were willing to enter the study was investigated and compared. Collected data were analyzed using Mann-Whitney, Kruskal-Wallis and Chi-square statistical tests. Results: The average score of intestinal cleanliness in whole and as well by different parts, in the drug group, was lower than the control group, which confirms better preparation (p=0.001). Compared to older people, younger people had cleaner intestines (p=0.001). The level of bowel preparation in female patients was also better than male patients (p=0.001). The travel time from the rectum to the cecum and the return time from the cecum to the rectum were significantly less than the control group (p=0.001). No significant side effects were observed in both groups.   Conclusion: Adding senna to Iranian polyethylene glycol (PEG) before colonoscopy increased bowel preparation and reduces colonoscopy time, without causing additional side effects.
first_indexed 2024-03-11T19:31:33Z
format Article
id doaj.art-3000440fbc72477e8674e981144cb05a
institution Directory Open Access Journal
issn 1728-6506
1728-6514
language fas
last_indexed 2024-03-11T19:31:33Z
publishDate 2023-04-01
publisher Yasuj University Of Medical Sciences
record_format Article
series Armaghane Danesh Bimonthly Journal
spelling doaj.art-3000440fbc72477e8674e981144cb05a2023-10-06T13:16:11ZfasYasuj University Of Medical SciencesArmaghane Danesh Bimonthly Journal1728-65061728-65142023-04-01283371385Two Centers Affiliated to Shiraz University of Medical SciencesM Alizadeh Nayini0A Molvi1M Ghorbani2F Banaei3 Department of Internal Medicine, Shiraz University of Medical Sciences, Shiraz, Iran Department of Internal Medicine, Shiraz University of Medical Sciences, Shiraz, Iran Department of Epidemiology and Biostatistics, Torbat Heydarieh University of Medical Sciences, Torbat Heydarieh, Iran Department of Internal Medicine, Shiraz University of Medical Sciences, Shiraz, Iran Background & aim: Colonoscopy is the main method of colon examination. Acceptable bowel preparation plays an effective role in examining the bowel. Diagnosis and treatment of colon polyps or non-bulging lesions such as vascular malformations and serrated polyps depend on the degree of intestinal cleanliness at the time of assessment. On the other hand, insufficient preparation makes the evaluation more difficult, the evaluation is incomplete, increases the time of colonoscopy and the need to repeat the procedure, and this increases the cost. Therefore, the purpose of the present study was to determine and prepare the large intestine for colonoscopy with pidrolox produced in Iran with and without Senagraf syrup in two centers affiliated to Shiraz University of Medical Sciences. Methods: In the present prospective, double-blind descriptive study conducted in 2016 on 273 patients in need of non-emergency colonoscopy referred to Shahid Motahari and Shahid Faqihi clinics of Shiraz, Iran, 227 patients were randomly selected into two drug (111) and control groups. (116) were categorized and studied. The effect of adding Senagraf to pidrolox manufactured in Iran with pidrolox along with placebo on the level of intestinal readiness (based on Ottawa scoring) in eligible patients (20-78 years old) who were willing to enter the study was investigated and compared. Collected data were analyzed using Mann-Whitney, Kruskal-Wallis and Chi-square statistical tests. Results: The average score of intestinal cleanliness in whole and as well by different parts, in the drug group, was lower than the control group, which confirms better preparation (p=0.001). Compared to older people, younger people had cleaner intestines (p=0.001). The level of bowel preparation in female patients was also better than male patients (p=0.001). The travel time from the rectum to the cecum and the return time from the cecum to the rectum were significantly less than the control group (p=0.001). No significant side effects were observed in both groups.   Conclusion: Adding senna to Iranian polyethylene glycol (PEG) before colonoscopy increased bowel preparation and reduces colonoscopy time, without causing additional side effects.http://armaghanj.yums.ac.ir/article-1-3458-en.pdfcolonoscopybowel preparationottawapolyethylene glycolsenagraph
spellingShingle M Alizadeh Nayini
A Molvi
M Ghorbani
F Banaei
Two Centers Affiliated to Shiraz University of Medical Sciences
Armaghane Danesh Bimonthly Journal
colonoscopy
bowel preparation
ottawa
polyethylene glycol
senagraph
title Two Centers Affiliated to Shiraz University of Medical Sciences
title_full Two Centers Affiliated to Shiraz University of Medical Sciences
title_fullStr Two Centers Affiliated to Shiraz University of Medical Sciences
title_full_unstemmed Two Centers Affiliated to Shiraz University of Medical Sciences
title_short Two Centers Affiliated to Shiraz University of Medical Sciences
title_sort two centers affiliated to shiraz university of medical sciences
topic colonoscopy
bowel preparation
ottawa
polyethylene glycol
senagraph
url http://armaghanj.yums.ac.ir/article-1-3458-en.pdf
work_keys_str_mv AT malizadehnayini twocentersaffiliatedtoshirazuniversityofmedicalsciences
AT amolvi twocentersaffiliatedtoshirazuniversityofmedicalsciences
AT mghorbani twocentersaffiliatedtoshirazuniversityofmedicalsciences
AT fbanaei twocentersaffiliatedtoshirazuniversityofmedicalsciences