Comparing to see if picosalax in combination with low residue diet is as good for bowel cleanliness and better tolerated than current bowel preparations used for morning colonoscopies.
A Single-blind, randomised non inferiority study of the effectiveness and tolerability of picosalax and low residue diet compared to standard bowel preparation prior to morning colonoscopy
Alfred Hospital
250 participants
May 20, 2013
Interventional
Conditions
Summary
Primary purpose of the study is to examine if a low volume bowel preparation in conjunction with a white diet will have the same cleansing effect as current bowel preparations.
Eligibility
Inclusion Criteria2
- Consenting adult patients (aged 18 years and greater) undergoing outpatient colonoscopy for clinically accepted indications.
- Clinically accepted indications generally include but are not restricted to iron deficiency anaemia, surveillance of bowel polyps, colorectal cancer screening, assessment of symptoms such as abdominal pain, diarrhoea and constipation, assessment or investigation of inflammatory bowel disease.
Exclusion Criteria3
- They are suspected bowel perforation, gastric outlet obstruction, toxic megacolon, severe colitis, and pregnancy or lactation.
- For additional safety, will also exclude patients with the relative contraindications of significant renal failure (eGFR<30) significant heart failure (New York Heart Association Class III or IV).
- Prep-Kit C is contraindicated in individuals with phenylketonuria, due to the presence of aspartame and patients with Glucose-6-Phosphate Dehydrogenase (G6PD) deficiency given it contains ascorbic acid (vitamin C) which is an oxidant. Any person with a known hypersensitivity to a constituent of Picoprep, Glycoprep or Picosalax will also be excluded.
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Interventions
Picosalax bowel preparation in combination to low residue diet Picosalax Two sachets, each to be mixed in 250ml of water *One to be taken 9pm the day prior to the colonoscopy *One to be taken 4am on the day of the colonoscopy The low residue diet is to start 2 days prior to the colonoscopy and cease when bowel preparation starts * Examples include : *Milk (regular, low fat, skim), water, lemonade, soda or mineral water, clear (not coloured) Gatorade or other sports drinks *Regular white bread/toast, rice bubbles, white rice, regular pasta, potatoes (peeled), rice noodles, plain rice crackers, white flour, sugar *Eggs, Chicken breast (no skin), white fish fillet (no skin) *Plain cream cheese, cheddar cheese, ricotta, fetta, cottage, parmesan or mozzarella cheese, white sauce *White coloured yoghurt (no added fruit or inulin), mayonnaise, cream, sour cream, butter and margarine, oil for cooking *White chocolate, vanilla ice cream, lemonade icypole, clear jelly, custard, “milk bottles”(confectionery Adherence will be assessed through a food diary that the patient fills up during the two days prior to the colonoscopy
Locations(1)
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ACTRN12613000765729