85286
document
A comparison of the effectiveness and patient tolerance of oral sodium phosphate , castor oil , and standard electrolyte lavage for colonoscopy or sigmoidoscopy preparation . One hundred thirteen patients were randomized to receive either oral sodium phosphate ( Fleet Phospho-Soda ) , lemon-flavored castor oil ( Purge ) , or standard polyethylene glycol-based lavage solution ( GoLYTELY ) before elective colonoscopy . The study purpose was to confirm the efficacy of oral sodium phosphate and extend observations to include castor oil . Overall , patients reported that sodium phosphate and castor oil were easier to complete ( p < 0.05 ) . Scores for cleansing the entire colon as determined by endoscopists who were blinded to the cathartic agent were highest in patients receiving sodium phosphate ( p < 0.02 ) . Scores of left-colon cleansing for flexible sigmoidoscopy were equally high for the three methods . Scores for taste and symptom side effects were similar for each preparation . There were no recognized signs or symptoms of hypocalcemia in the sodium phosphate group . Because of the low cost of oral sodium phosphate combined with the lowest repeat endoscopy rate for inadequate cleansing , patient savings were projected to be $ 5000 per 100 patients at this center . Oral sodium phosphate is a cost-effective colonoscopy preparation that is better tolerated and more effective than the polyethylene glycol-electrolyte lavage solution or castor oil .
85287
Intervention_Pharmacological
oral sodium phosphate ( Fleet Phospho-Soda )
85288
Intervention_Pharmacological
lemon-flavored castor oil ( Purge )
85289
Intervention_Pharmacological
standard polyethylene glycol-based lavage solution ( GoLYTELY )
85290
Intervention_Pharmacological
sodium phosphate
85291
Intervention_Pharmacological
castor oil
85292
Intervention_Pharmacological
sodium phosphate
85293
Intervention_Pharmacological
castor oil
85294
Intervention_Pharmacological
sodium phosphate
85295
Intervention_Pharmacological
sodium phosphate
85296
Intervention_Pharmacological
sodium phosphate
85297
Intervention_Pharmacological
polyethylene glycol-electrolyte lavage solution
85298
Intervention_Pharmacological
castor oil
85299
Outcome_Physical
Scores for cleansing the entire colon
85300
Outcome_Physical
Scores of left-colon cleansing for flexible sigmoidoscopy
85301
Outcome_Physical
Scores for taste
85302
Outcome_Adverse-effects
and symptom side effects
85303
Outcome_Physical
signs or symptoms of hypocalcemia
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Outcome_Mental
patient savings
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Participant_Condition
colonoscopy or sigmoidoscopy preparation .