title: The efficacy of a through-the-scope sodium phosphate solution with completion colonoscopy on the same day as a salvage option for inadequate bowel cleansing.
abstract: OBJECTIVE
  The aim of this study was to investigate the efficacy of a through- the-scope sodium phosphate solution with completion colonoscopy on the same day as a salvage option for inadequate bowel preparation.
  
  
  METHODS
  All participants were instructed to eat a low residual diet for 3 days before the scheduled colonoscopy and a clear liquid diet 18 h before the colonoscopy. The patients were asked to take split doses of an oral sennoside solution at 1800 and 2200 in the evening before the colonoscopy. In cases of inadequate bowel preparation detected during routine colonoscopy, a sodium phosphate solution was administered through the scope on the day of the colonoscopy procedure. The degree of bowel cleansing was assessed by the Boston Bowel Preparation Scale (BPS: 0-9).
  
  
  RESULTS
  Almost excellent bowel cleansing was obtained with a statistically significant difference between the degree of bowel cleansing before and after the application of the sodium phosphate (Boston BPS: 5.48 ± 1.01 vs. 8.88 ± 0.33 respectively, P < 0.001).
  
  
  CONCLUSIONS
  Through-the-scope sodium phosphate with completion colonoscopy on the same day was shown to be an efficacious and acceptable method for inadequate bowel preparation.
authors: Department of Gastroenterology, Faculty of Medicine, Gazi University Hospital, Ankara, Turkey.
authors: Mehmet
authors: M
authors: İbiş
authors: Department of Gastroenterology, Faculty of Medicine, Gazi University Hospital, Ankara, Turkey.
authors: İbrahim Koral
authors: İK
authors: Önal
authors: Department of Gastroenterology, Faculty of Medicine, Gazi University Hospital, Ankara, Turkey.
authors: Mehmet
authors: M
authors: Arhan
authors: Department of Gastroenterology, Faculty of Medicine, Gazi University Hospital, Ankara, Turkey.
authors: Tarkan
authors: T
authors: Karakan
authors: Department of Gastroenterology, Faculty of Medicine, Gazi University Hospital, Ankara, Turkey.
authors: Eylem
authors: E
authors: Karatay
authors: Department of Gastroenterology, Faculty of Medicine, Gazi University Hospital, Ankara, Turkey.
authors: Özlem Gül
authors: ÖG
authors: Utku
authors: Department of Gastroenterology, Faculty of Medicine, Gazi University Hospital, Ankara, Turkey.
authors: Harun
authors: H
authors: Erdal
authors: Department of Gastroenterology, Faculty of Medicine, Gazi University Hospital, Ankara, Turkey.
authors: İbrahim
authors: İ
authors: Doğan
mesh_terms: D002400:Cathartics; D003113:Colonoscopy; D006801:Humans; D010710:Phosphates; D011092:Polyethylene Glycols
chemical_list: D002400:Cathartics; D010710:Phosphates; D011092:Polyethylene Glycols; C018279:sodium phosphate
keywords: Bowel preparation; colonoscopy; constipation; sodium phosphate