Tolerancia y limpieza del colon con dos preparaciones. Polietilenglicol o fosfato sódico
Tolerance and colon cleansing with two preparations. polyethylene glycol versus sodium phosphate
a Servicio de Cirugía. Hospital San Eloy. Baracaldo
b Departamento de Salud Pública (Guipúzcoa). Gobierno Vasco
L. Bujanda
, C. Muñoz, A. Sánchez, C. Iriondo, B. Sánchez Llona
Autor para correspondencia
castro@medynet.com
Correspondencia: Dr. L. Bujanda. Ocharán Mazas, 13, Q-1.o A. 39700 Castro Urdiales. Cantabria.
Correspondencia: Dr. L. Bujanda. Ocharán Mazas, 13, Q-1.o A. 39700 Castro Urdiales. Cantabria.
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"apellidos" => "Alkiza" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Servicio de Cirugía. Hospital San Eloy. Baracaldo" "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Departamento de Salud Pública (Guipúzcoa). Gobierno Vasco" "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] 1 => array:4 [ "autoresLista" => "L. Bujanda, C. Muñoz, A. Sánchez, C. Iriondo, B. Sánchez Llona" "autores" => array:5 [ 0 => array:4 [ "nombre" => "L." "apellidos" => "Bujanda" "email" => array:1 [ 0 => "castro@medynet.com" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "*" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "C." "apellidos" => "Muñoz" ] 2 => array:2 [ "nombre" => "A." "apellidos" => "Sánchez" ] 3 => array:2 [ "nombre" => "C." "apellidos" => "Iriondo" ] 4 => array:2 [ "nombre" => "B. Sánchez" "apellidos" => "Llona" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Servicio de Digestivo" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "*" "correspondencia" => "Correspondencia: Dr. L. Bujanda. Ocharán Mazas, 13, Q-1.o A. 39700 Castro Urdiales. Cantabria." ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Tolerance and colon cleansing with two preparations. polyethylene glycol versus sodium phosphate" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2000-05-19" "fechaAceptado" => "2000-07-20" "tieneResumen" => true "resumen" => array:2 [ "es" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Comparar la limpieza del colon y la tolerancia con dos preparaciones, el polietilenglicol o Golitely® o solución evacuante Bohm-4 l (PEG) y el fosfato sódico (FS).</p> <span class="elsevierStyleSectionTitle">Material y mÉtodos</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Se estudió de forma prospectiva y aleatorizada a 100 pacientes consecutivos que fueron sometidos a endoscopia baja tras tomar PEG (solución evacuante Bohm) o FS (Fosfosoda®). En todos los pacientes se valoró la presencia de efectos secundarios, el grado de incomodidad de las preparaciones (1: leve, 2: moderada y 3: severa) y el grado de limpieza con las preparaciones (1: mala, 2: regular, 3: buena y 4: excelente).</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">La edad, el sexo, la distancia de la exploración y las operaciones previas fueron similares en ambos grupos. La incomodidad en el grupo de FS fue leve en 37 pacientes, moderada en 11 y severa en 2 (puntuación media 1,30 ± 0,54), mientras que en el grupo PEG fue leve en 28 pacientes, moderada en 15 y severa en 7 (puntuación media 1,58 ± 0,73). La limpieza del colon fue mala o regular en 11 sujetos (22%) en el grupo PEG y 8 (16%) en el grupo FS y buenaexcelente en 39 (78%) del grupo PEG frente a 42 (84%) en el grupo FS. De los 50 pacientes preparados con FS, 12 se habían preparado previamente con PEG; de ellos, 11 preferían la preparación con FS. De los 50 pacientes con PEG, 10 se habían preparado previamente, cuatro de ellos con enemas (peor con PEG) y seis con PEG (igual) (p < 0,005). Un paciente del grupo FS no finalizó la preparación y cuatro del grupo PEG, todos por vómitos. Los efectos secundarios fueron similares con ambas preparaciones.</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Los efectos secundarios y la limpieza del colon fueron similares con FS y con PEG. La tolerancia y el grado de comodidad fue mejor con el FS que con el PEG.</p>" ] "en" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">Objective</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">To compare colon cleansing and tolerance with two preparations: polyethylene glycol 4-liters (PEG) and sodium phosphate (FS).</p> <span class="elsevierStyleSectionTitle">Material and methods</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Prospective randomized study of 100 consecutive patients who underwent endoscopy after taking PEG (Bohm lavage solution) or FS (Fosfosoda). All patients were evaluated for the presence of adverse effects, degree of discomfort of the preparations (1: mild, 2: moderate, 3: severe) and the degree of cleansing with the products (1: poor, 2: fair, 3: good, 4: excellent).</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Age, sex, depth of insertion and surgical history were similar for both groups. Discomfort in the FS group was mild in 37, moderate in 11 and severe in 2 (mean score 1.30 ± 0.54); in the PEG group it was mild in 28, moderate in 15 and severe in 7 (mean score 1.58 ± 0.73). Colon cleansing was poor or fair in 11 (22%) patients in the PEG group and in 8 (16%) patients in the FS group and was good or excellent in 39 (78%) in the PEG group in comparison with 42 (84%) in the FS group. Among the 50 patients who took the FS preparation, 12 had previously taken the PEG preparation and 11 of these preferred the FS preparation. Among the 50 patients who took the PEG preparation, 10 had previously taken preparations: 4 had used enemas (considering the present PEG to be worse) and 6 had taken the same PEG as that used in the present study (p < 0.005). One patient in the FS group and four in the PEG group did not complete the preparation because of vomiting. The adverse effects of both preparations were similar.</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">The adverse effects and degree of colon cleansing were similar for FS and PEG. Tolerance and patient comfort were greater with FS than with PEG.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:16 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." 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| año/Mes | Html | Total | |
|---|---|---|---|
| 2024 Noviembre | 1 | 0 | 1 |
| 2024 Octubre | 9 | 18 | 27 |
| 2024 Septiembre | 12 | 31 | 43 |
| 2024 Agosto | 7 | 13 | 20 |
| 2024 Julio | 15 | 22 | 37 |
| 2024 Junio | 9 | 31 | 40 |
| 2024 Mayo | 12 | 17 | 29 |
| 2024 Abril | 12 | 28 | 40 |
| 2024 Marzo | 18 | 38 | 56 |
| 2024 Febrero | 14 | 31 | 45 |
| 2024 Enero | 19 | 35 | 54 |
| 2023 Diciembre | 15 | 21 | 36 |
| 2023 Noviembre | 12 | 30 | 42 |
| 2023 Octubre | 20 | 38 | 58 |
| 2023 Septiembre | 14 | 24 | 38 |
| 2023 Agosto | 10 | 20 | 30 |
| 2023 Julio | 6 | 26 | 32 |
| 2023 Junio | 18 | 16 | 34 |
| 2023 Mayo | 6 | 14 | 20 |
| 2023 Abril | 20 | 5 | 25 |
| 2023 Marzo | 8 | 10 | 18 |
| 2023 Febrero | 22 | 22 | 44 |
| 2023 Enero | 14 | 9 | 23 |
| 2022 Diciembre | 26 | 20 | 46 |
| 2022 Noviembre | 44 | 15 | 59 |
| 2022 Octubre | 28 | 21 | 49 |
| 2022 Septiembre | 29 | 38 | 67 |
| 2022 Agosto | 23 | 21 | 44 |
| 2022 Julio | 17 | 14 | 31 |
| 2022 Junio | 9 | 8 | 17 |
| 2022 Mayo | 24 | 18 | 42 |
| 2022 Abril | 17 | 16 | 33 |
| 2022 Marzo | 19 | 12 | 31 |
| 2022 Febrero | 14 | 5 | 19 |
| 2022 Enero | 14 | 12 | 26 |
| 2021 Diciembre | 27 | 14 | 41 |
| 2021 Noviembre | 26 | 9 | 35 |
| 2021 Octubre | 23 | 14 | 37 |
| 2021 Septiembre | 15 | 12 | 27 |
| 2021 Agosto | 18 | 4 | 22 |
| 2021 Julio | 21 | 10 | 31 |
| 2021 Junio | 21 | 12 | 33 |
| 2021 Mayo | 17 | 9 | 26 |
| 2021 Abril | 65 | 38 | 103 |
| 2021 Marzo | 47 | 7 | 54 |
| 2021 Febrero | 34 | 10 | 44 |
| 2021 Enero | 32 | 17 | 49 |
| 2020 Diciembre | 37 | 14 | 51 |
| 2020 Noviembre | 31 | 12 | 43 |
| 2020 Octubre | 32 | 9 | 41 |
| 2020 Septiembre | 31 | 13 | 44 |
| 2020 Agosto | 32 | 11 | 43 |
| 2020 Julio | 30 | 13 | 43 |
| 2020 Junio | 12 | 19 | 31 |
| 2020 Mayo | 23 | 22 | 45 |
| 2020 Abril | 9 | 15 | 24 |
| 2020 Marzo | 26 | 12 | 38 |
| 2020 Febrero | 30 | 8 | 38 |
| 2020 Enero | 27 | 29 | 56 |
| 2019 Diciembre | 28 | 24 | 52 |
| 2019 Noviembre | 20 | 21 | 41 |
| 2019 Octubre | 24 | 18 | 42 |
| 2019 Septiembre | 22 | 38 | 60 |
| 2019 Agosto | 27 | 16 | 43 |
| 2019 Julio | 35 | 42 | 77 |
| 2019 Junio | 76 | 77 | 153 |
| 2019 Mayo | 167 | 117 | 284 |
| 2019 Abril | 50 | 67 | 117 |
| 2019 Marzo | 18 | 20 | 38 |
| 2019 Febrero | 17 | 19 | 36 |
| 2019 Enero | 7 | 16 | 23 |
| 2018 Diciembre | 13 | 12 | 25 |
| 2018 Noviembre | 18 | 18 | 36 |
| 2018 Octubre | 31 | 19 | 50 |
| 2018 Septiembre | 23 | 11 | 34 |
| 2018 Agosto | 4 | 22 | 26 |
| 2018 Julio | 11 | 20 | 31 |
| 2018 Junio | 0 | 15 | 15 |
| 2018 Mayo | 7 | 29 | 36 |
| 2018 Abril | 12 | 11 | 23 |
| 2018 Marzo | 8 | 10 | 18 |
| 2018 Febrero | 7 | 6 | 13 |
| 2018 Enero | 10 | 3 | 13 |
| 2017 Noviembre | 15 | 3 | 18 |
| 2017 Octubre | 9 | 4 | 13 |
| 2017 Septiembre | 14 | 5 | 19 |
| 2017 Agosto | 9 | 1 | 10 |
| 2017 Julio | 17 | 2 | 19 |
| 2017 Junio | 13 | 24 | 37 |
| 2017 Mayo | 16 | 4 | 20 |
| 2017 Abril | 24 | 8 | 32 |
| 2017 Marzo | 16 | 36 | 52 |
| 2017 Febrero | 27 | 5 | 32 |
| 2017 Enero | 19 | 3 | 22 |
| 2016 Diciembre | 33 | 3 | 36 |
| 2016 Noviembre | 24 | 7 | 31 |
| 2016 Octubre | 54 | 1 | 55 |
| 2016 Septiembre | 19 | 4 | 23 |
| 2016 Agosto | 8 | 2 | 10 |
| 2016 Julio | 22 | 2 | 24 |
| 2016 Junio | 34 | 5 | 39 |
| 2016 Mayo | 20 | 1 | 21 |
| 2016 Abril | 28 | 2 | 30 |
| 2016 Marzo | 26 | 4 | 30 |
| 2016 Febrero | 44 | 1 | 45 |
| 2016 Enero | 25 | 1 | 26 |
| 2015 Diciembre | 16 | 3 | 19 |
| 2015 Noviembre | 33 | 4 | 37 |
| 2015 Octubre | 43 | 2 | 45 |
| 2015 Septiembre | 37 | 3 | 40 |
| 2015 Agosto | 44 | 5 | 49 |
| 2015 Julio | 35 | 3 | 38 |
| 2015 Junio | 24 | 0 | 24 |
| 2015 Mayo | 21 | 1 | 22 |
| 2015 Abril | 29 | 6 | 35 |
| 2015 Marzo | 37 | 4 | 41 |
| 2015 Febrero | 20 | 3 | 23 |
| 2015 Enero | 19 | 1 | 20 |
| 2014 Diciembre | 20 | 2 | 22 |
| 2014 Noviembre | 20 | 3 | 23 |
| 2014 Octubre | 17 | 1 | 18 |
| 2014 Septiembre | 22 | 3 | 25 |
| 2014 Agosto | 21 | 5 | 26 |
| 2014 Julio | 9 | 2 | 11 |
| 2014 Junio | 21 | 1 | 22 |
| 2014 Mayo | 7 | 1 | 8 |
| 2014 Abril | 9 | 1 | 10 |
| 2014 Marzo | 16 | 1 | 17 |
| 2014 Febrero | 5 | 3 | 8 |
| 2014 Enero | 10 | 1 | 11 |
| 2013 Diciembre | 8 | 2 | 10 |
| 2013 Noviembre | 9 | 6 | 15 |
| 2013 Octubre | 14 | 0 | 14 |
| 2013 Septiembre | 14 | 0 | 14 |
| 2013 Agosto | 13 | 1 | 14 |
| 2013 Julio | 1 | 0 | 1 |
| 2001 Enero | 1297 | 0 | 1297 |
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