선택 대장절제술에서 Polyethylene Glycol과 Sodium Phosphate의 장세정 효과에 대한 전향적 비교 연구
Mechanical Bowel Preparation for Elective Colorectal Surgery: A Prospective Randomized Study Comparing Polyethylene Glycol and Sodium Phosphate Oral Lavage Solutions
윤성현, 강중구,
소속 상세정보
윤성현 ( Yun Seong-Hyeon )
성균관대학교 의과대학 삼성서울병원 외과학교실
강중구 ( Kang Jung-Gu )
국민건강보험공단 일산병원 외과
KMID : 0356720040200010027
Abstract
Purpose: This study was undertaken to determine whether a mechanical bowel preparation with 90 ml of sodium phosphate (NaP) solution (Group II) increased the acceptability of bowel preparation and reduced discomfort compared with 2 liters of polyethylene glycol (PEG) combined with a bisacodyl 20 mg (Group I).
Methods: We conducted a prospective, randomized, single-blinded study. Forty-four patients undergoing elective colorectal surgery in the National Health Insurance Corporation Ilsan Hospital from March 2002 to November 2002 were included in this study. We assessed the patients´ tolerance and cleansing ability, as well as the surgeon´s satisfaction, by using a structured questionnaire. Postoperative complications were also evaluated.
Results: Patient tolerance to NaP was higher than it was to PEG (P=0.034). The cleansing ability and the surgeon´s satisfaction were not different between the two groups (P=0.217, P=0.349). There is no significant postoperative complication except for 1 case of wound infection in both group.
Conclusions: Both oral solutions proved to be equally effective and safe. However, patient tolerance to the small volume of NaP demonstrated a clear advantage over the traditional PEG solution. J Korean Soc Coloproctol 2004; 20:27-31
키워드
수술전처치;비교연구;폴리에틸렌글리콜;인산염;결장직장수술
Mechanical bowel preparation;Polyethylene glycols;Sodium phosphate;Colorectal surgery;Preoperative care
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