Addition of senna improves quality of colonoscopy preparation with magnesium citrate.

AIM: To prospectively investigate the effectiveness and patient's tolerance of two low-cost bowel cleansing preparation protocols based on magnesium citrate only or the combination of magnesium citrate and senna. METHODS: A total of 342 patients who were referred for colonoscopy underwent a col...

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Main Authors: Vradelis, S, Kalaitzakis, E, Sharifi, Y, Buchel, O, Keshav, S, Chapman, R, Braden, B
Format: Journal article
Language:English
Published: 2009
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author Vradelis, S
Kalaitzakis, E
Sharifi, Y
Buchel, O
Keshav, S
Chapman, R
Braden, B
author_facet Vradelis, S
Kalaitzakis, E
Sharifi, Y
Buchel, O
Keshav, S
Chapman, R
Braden, B
author_sort Vradelis, S
collection OXFORD
description AIM: To prospectively investigate the effectiveness and patient's tolerance of two low-cost bowel cleansing preparation protocols based on magnesium citrate only or the combination of magnesium citrate and senna. METHODS: A total of 342 patients who were referred for colonoscopy underwent a colon cleansing protocol with magnesium citrate alone (n = 160) or magnesium citrate and senna granules (n = 182). The colonoscopist rated the overall efficacy of colon cleansing using an established score on a 4-point scale. Patients were questioned before undergoing colonoscopy for side effects and symptoms during bowel preparation. RESULTS: The percentage of procedures rescheduled because of insufficient colon cleansing was 7% in the magnesium citrate group and 4% in the magnesium citrate/senna group (P = 0.44). Adequate visualization of the colonic mucosa was rated superior under the citramag/senna regimen (P = 0.004). Both regimens were well tolerated, and did not significantly differ in the occurrence of nausea, bloating or headache. However, abdominal cramps were observed more often under the senna protocol (29.2%) compared to the magnesium citrate only protocol (9.9%, P < 0.0003). CONCLUSION: The addition of senna to the bowel preparation protocol with magnesium citrate significantly improves the cleansing outcome.
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spelling oxford-uuid:e06c4bcb-3c36-4f6d-8811-9885f5a76c412022-03-27T09:47:04ZAddition of senna improves quality of colonoscopy preparation with magnesium citrate.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:e06c4bcb-3c36-4f6d-8811-9885f5a76c41EnglishSymplectic Elements at Oxford2009Vradelis, SKalaitzakis, ESharifi, YBuchel, OKeshav, SChapman, RBraden, BAIM: To prospectively investigate the effectiveness and patient's tolerance of two low-cost bowel cleansing preparation protocols based on magnesium citrate only or the combination of magnesium citrate and senna. METHODS: A total of 342 patients who were referred for colonoscopy underwent a colon cleansing protocol with magnesium citrate alone (n = 160) or magnesium citrate and senna granules (n = 182). The colonoscopist rated the overall efficacy of colon cleansing using an established score on a 4-point scale. Patients were questioned before undergoing colonoscopy for side effects and symptoms during bowel preparation. RESULTS: The percentage of procedures rescheduled because of insufficient colon cleansing was 7% in the magnesium citrate group and 4% in the magnesium citrate/senna group (P = 0.44). Adequate visualization of the colonic mucosa was rated superior under the citramag/senna regimen (P = 0.004). Both regimens were well tolerated, and did not significantly differ in the occurrence of nausea, bloating or headache. However, abdominal cramps were observed more often under the senna protocol (29.2%) compared to the magnesium citrate only protocol (9.9%, P < 0.0003). CONCLUSION: The addition of senna to the bowel preparation protocol with magnesium citrate significantly improves the cleansing outcome.
spellingShingle Vradelis, S
Kalaitzakis, E
Sharifi, Y
Buchel, O
Keshav, S
Chapman, R
Braden, B
Addition of senna improves quality of colonoscopy preparation with magnesium citrate.
title Addition of senna improves quality of colonoscopy preparation with magnesium citrate.
title_full Addition of senna improves quality of colonoscopy preparation with magnesium citrate.
title_fullStr Addition of senna improves quality of colonoscopy preparation with magnesium citrate.
title_full_unstemmed Addition of senna improves quality of colonoscopy preparation with magnesium citrate.
title_short Addition of senna improves quality of colonoscopy preparation with magnesium citrate.
title_sort addition of senna improves quality of colonoscopy preparation with magnesium citrate
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