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Adequate bowel preparation is one of the most important quality measures in colonoscopy. Previous studies identified several factors associated with inadequate bowel preparation (IBP). No study has attempted to assign a different regimen to patients based on the presence of risk factors for inadequate bowel preparation.
The aim of the study is to check if a personalized bowel preparation regimen based on risk factors for IBP, will lead to an overall improvement in bowel preparation during colonoscopy.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Interventional arm (group A) | Experimental | Patients with risk factors for IBP who will receive "intensified" bowel preparation |
|
| Control arm (group B) | Active Comparator | Patients with risk factors for IBP who will receive standard bowel preparation |
|
| Control arm (group c) | Active Comparator | Patients without risk factors for IPB who will receive standard bowel preparation |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Sodium Picosulfate / Magnesium Oxide / Citric Acid in two split doses + one dose of polyethylene glycol + two Bisacodyl tablets day before the procedure | Drug | Bowel preparation |
|
| Measure | Description | Time Frame |
|---|---|---|
| Improved bowel preparation | Boston Bowel Preparation Scale at index colonoscopy will be measured. The grading is between 1 and 3 for each segment of colon (ascending, transverse, descending) where 1 is poor and 3 is excellent (subscale). The final score is between 3 and 9 summing up the scores for each segment. | Index colonoscopy |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Klein, MD | Contact | +972-4-7773625 | am_klein@rmc.gov.il |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Rambam MC | Recruiting | Haifa | Israel |
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|
| ID | Term |
|---|---|
| C005701 | picosulfate sodium |
| D008277 | Magnesium Oxide |
| D019343 | Citric Acid |
| D011092 | Polyethylene Glycols |
| ID | Term |
|---|---|
| D017616 | Magnesium Compounds |
| D007287 | Inorganic Chemicals |
| D010087 | Oxides |
| D017601 | Oxygen Compounds |
| D002951 | Citrates |
| D014233 | Tricarboxylic Acids |
| D000144 | Acids, Acyclic |
| D002264 | Carboxylic Acids |
| D009930 | Organic Chemicals |
| D005026 | Ethylene Glycols |
| D006018 | Glycols |
| D000438 | Alcohols |
| D011108 | Polymers |
| D046911 | Macromolecular Substances |
| D001697 | Biomedical and Dental Materials |
| D008420 | Manufactured Materials |
| D013676 | Technology, Industry, and Agriculture |
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