ACG 2006: The American College of
Gastroenterology
Annual Scientific Meeting
Abstract Number: 751814
Primary Author: Joseph Fiorito
Department/Institute:
Gastroenterology, Danbury Hospital
Address: 24 Hospital Ave
City/State/Zip/Country: Danbury, CT, 06810, United States
Phone: 203-707-7506 Fax:
203-796-7974 E-Mail: joseph.fiorito@danhosp.org
Awards: No Award Selected
Abstract Categories: 11 Endoscopy
Presentation Preference: Either oral or poster only
ACG Research Grant: No
Key Words: Colonoscopy,
cathartics, colon preparation.
Title: HYDROTHERAPY
COMPAIRED WITH PEG-ES LAVAGE AND AQUEOUS SODIUM PHOSPHATE AS BOWEL PREPARATION
FOR ELECTIVE COLONOSCOPY: A
PROSPECTIVE, RANDOMIZED, SINGLE BLINDED TRAIL.
Joseph J. Fiorito, MD, Joan A
Culpepper-Morgan, MD, Scott G. Estabrook, MD, Patricia Scofield, LPN, Victor
Usatii, MD and Jodi Cuomo, RpH2. Gastroenterology, Danbury Hospital, Danbury,
CT United States.
Purpose: Hydrotherapy is a method of colon cleansing using
constant warm water lavage using a contained temperature and pressure
controlled device administered by a trained technician. The aim of this study was to compare
the efficacy and patient acceptance of same-day hydrotherapy (HYDRO) with
polyethylene glycol-electrolyte lavage (PEG-ES) and aqueous sodium phosphate
(ASP) in patients undergoing elective colonoscopy.
Methods: Consecutive
outpatients referred for elective colonoscopy were randomly assigned to receive
4 L PEG-ES (n=55), two doses of aqueous sodium phosphate (n=52), or same day
hydrotherapy (n=53), as bowel preparation. The endoscopists were blinded to the method of
preparation. The overall quality
of the colon cleansing was evaluated with respect to the adequacy of
visualization of the right, transverse, and left colon. Patients were asked to rate the
preparation with respect to ease, convenience, and comfort using structured,
validated questionnaire. Results
were analyzed using the chi square test.
Results: Endoscopists rated the quality of colon cleansing as
good for the right: 62% ASP, 49% PEG-ES, and 92% HYDRO (p<0.001). For the transverse colon: 80% Asp, 63% PEG-ES,
and 100% HYDRO (p<0.001). For
the left colon: 84% ASP, 67% PEG-ES, and 98% HYDRO (p<0.001). Patients rated the preparations as
easy: 87% ASP, 56% PEG-ES, 96% HYDRO (p<0.001). Patients rated convenience: 61% ASP, 79% PEG-ES, and 98%
HYDRO (p<0.001). Patients rated
for comfort: 71% ASP, 36% PEG-ES, and 94% HYDRO (p<0.001). Patients were asked if they wanted a
different preparation for the next colonoscopy: 48% ASP, 60% PEG-ES, and 4%
HYDRO (p<0.001).
Conclusion: The
quality of colon cleansing, overall tolerance, comfort, and convenience were
significantly better for HYDRO. In
this study ASP was better than PEG-ES for the same parameters. Hydrotherapy should be further
investigated as a viable alternative to PEG-ES and ASP for bowel preparation
prior to colonoscopy. *Manufacturer’s note: The equipment used in this study was the Toxygen Model BSC-UV, a “closed system” manufactured by Dotolo
Research Corp. The Dotolo Colon
Irrigation system has been cleared by the FDA for the intended use as described
in this study. Our company is based on the belief that our customers' needs are of the utmost importance. Our entire team is committed to meeting those needs. As a result, a high percentage of our business is from rep
