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- W2912013207 abstract "Purpose: To compare adenoma detection rates (ADRs) between patients undergoing colonoscopy after colonic lavage with sodium phosphate solution vs a pegylated electrolyte lavage solution, and subsequently characterize the pathology based on degree of severity. Methods: One thousand consecutive colonoscopies were studied for each bowel lavage group, with retrospective analysis to determine ADR and further characterize pathology. One group underwent pre-colonoscopy lavage with sodium phosphate solution and the other with a pegylated electrolyte lavage solution. All colonoscopies were performed by the same five endoscopists in one University practice group. Comparisons were made of colon cancer detection rates, and ADR with characterization of adenomas greater than or less than 1 cm. Statistical analysis included T test, Chi-square multivariant analysis and Odds ratios. Results: Please see table below. Sodium phosphate lavage solution group = NaP. Pegylated electrolyte lavage solution group = PEG. Conclusion: Bowel lavage preparation with sodium phosphate solution resulted in a significantly higher Adenoma Detection Rate and identified more patients overall with adenomas, compared to bowel lavage with a pegylated electrolyte lavage solution. However, there was no difference in the detection of significant pathology, as defined by adenomas >9 mm or neoplastic lesions. We feel that it is important to recognize that pegylated electrolyte lavage solutions perform as well as the sodium phosphate solutions in the detection of significant pathology, given the concerns regarding nephrotoxicity risks with sodium phosphate." @default.
- W2912013207 created "2019-02-21" @default.
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- W2912013207 date "2007-09-01" @default.
- W2912013207 modified "2023-10-14" @default.
- W2912013207 title "Comparing Adenoma Detection Rates among Colonoscopies Prepped by Bowel Lavage with Sodium Phosphate Solution vs Pegylated Electrolyte Lavage Solution" @default.
- W2912013207 doi "https://doi.org/10.14309/00000434-200709002-01224" @default.
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