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Adequate bowel preparation is critical for successful colonoscopy and a large volume of PEG was required for bowel preparation in patients undergoing colonoscopy. The investigators conducted a a prospective, randomized, controlled study to compare low dose of oral magnesium sulfate solution with high dose PEG. The investigators found that patients who took low dose of oral magnesium sulfate solution had similar bowel preparation quality to patients who took PEG,but accompanied with fewer adverse events and better tolerance.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| split-dose of Magnesium Sulfate solution | Experimental | Those assigned to MSS group were instructed to take 30ml of 50% magnesium sulfate solution and then drink 600ml water on the evening before colonoscopy. 70ml of 50% MMS and then 1500ml water was taken at least 4 hours before procedure on the colonoscopy day. |
|
| split-dose of PEG | Placebo Comparator | Patients in PEG group were instructed to take first dose of 1.5L PEG on the evening before colonoscopy and take the second dose of 1.5L PEG at least 4 hours before the colonoscopy procedure on the morning. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| split-dose of Magnesium Sulfate solution | Other | purgative for bowel preparation |
|
| Measure | Description | Time Frame |
|---|---|---|
| The rate of patients with adequate bowel preparation | Defined by each segmental BBPS≥2 | 1 year |
| Measure | Description | Time Frame |
|---|---|---|
| The rate of adenoma detection | The proportion of participants with at least one adenoma in each group | 1 year |
| the numbers of patients with adverse events | eg. Vomiting, nausea, abdominal pain |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Endoscopic center, Xijing Hospital of Digestive Diseases | Xi’an | Shanxi | 710032 | China | ||
| Department of Gastroenterology, The Second Medical Center & National Clinical Research Center for Geriatric Diseases, Chinese PLA General Hospital, |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 35920250 | Derived | Ge F, Kang X, Wang Z, Zhu H, Liao L, Wang M, Jia J, Lou L, Guo X, Pan Y, Wan J. Low-dose of magnesium sulfate solution was not inferior to standard regime of polyethylene glycol for bowel preparation in elderly patients: a randomized, controlled study. Scand J Gastroenterol. 2023 Jan;58(1):94-100. doi: 10.1080/00365521.2022.2106154. Epub 2022 Aug 3. |
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| split-dose of PEG | Other | purgative for bowel preparation |
|
| 1 year |
| The cecal intubation rate | The rate of colonoscopy reaching the cecum | 1 year |
| The time of Cecal intubation | the time between the intubation and visualization of any of the following anatomic landmarks: ileocecal valve, appendiceal orifice, or terminal ileum | during procedure |
| the time during Withdrawal phage | the inspection time from cecum to rectum | during procedure |
| Beijing |
| 100853 |
| China |