[Bowel preparation for colonoscopy with sodium picosulphate and magnesium citrate in children and adolescents].
BACKGROUND
The efficacy of colonoscopic examination depends directly on bowel cleansing preparation. There are few studies in the medical literature about bowel preparation in children.


OBJECTIVE
To determinate the efficacy of picosulphate sodium with magnesium citrate as a bowel preparation in children and adolescents.


METHODS
In an open prospective and consecutive trial, we included all children above 1 year of age submitted to colonoscopy for different indications. All patients received the drug the day before the procedure and was allowed no solid food but a liberal intake of clear fluids. The adequacy of the preparation was graded as follows: gI--excellent, gII--good, gIII--fair and gIV--poor.


RESULTS
Forty-six patients were included. The age ranged from 12 months to 16.1 years (median = 6.6y), 54.3% were males. Bowel preparation was made according to instructions in 37/46 (80.4%) of patients, 9 patients did not adhere to diet of clear liquids and 22/46 (47.8%) had side effects. The adequacy of the bowel preparation was: gI in 41.3%, gII in 52.2%, gIII in 6.5% and none in gIV.


CONCLUSIONS
Bowel preparation with picosulphate sodium and clear fluids provides an effective, practical method of preparing the bowel for colonoscopy in children and adolescents and could be recommended.
Kawakami
Elisabete
E
Universidade Federal de São Paulo, Escola Paulista de Medicina, UNIFESP-EPM, São Paulo, SP. elkawakami.dped@epm.br
Portorreal
Aurea
A
Scuissiatto
Marini L
ML
Machado
Rodrigo S
RS
Raguza
Daniele
D
Lozano
Liliana
L
D000293:Adolescent; D002400:Cathartics / Q000008:administration & dosage*; D002648:Child; D002675:Child, Preschool; D002951:Citrates; D019343:Citric Acid / Q000008:administration & dosage*; D003106:Colon; D003113:Colonoscopy; D005260:Female; D006801:Humans; D008297:Male; D009942:Organometallic Compounds / Q000008:administration & dosage*; D010847:Picolines / Q000008:administration & dosage*; D011446:Prospective Studies; D007507:Therapeutic Irrigation
D002400:Cathartics; D002951:Citrates; D009942:Organometallic Compounds; D010847:Picolines; D019343:Citric Acid; C005701:picosulfate sodium; C110422:magnesium citrate