The Experts below are selected from a list of 1692 Experts worldwide ranked by ideXlab platform
R. Kaplan - One of the best experts on this subject based on the ideXlab platform.
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Efficacy of bowel preparation with the use of a prepackaged, low fibre Diet with a low sodium, magnesium citrate cathartic vs. a Clear Liquid Diet with a standard sodium phosphate cathartic.
Alimentary Pharmacology & Therapeutics, 2005Co-Authors: Mark H. Delegge, R. KaplanAbstract:Summary Background : A colon free of faecal residue is required for accurate diagnostic colonoscopy. Patient tolerance of his/her colonoscopy cathartic regimen affects patient compliance and willingness to undergo repeated examinations. Aim : To determine whether a meal could be consumed during standard bowel preparation. Methods : This was a randomized, endoscopists’ blinded comparison of the tolerability and efficacy of a prepackaged, low-residue Diet (NutraPrep) combined with the LoSo Prep bowel cleansing system, which contains magnesium citrate, bisocodyl tablets and a bisocodyl suppository (NP-LS regimen), compared with a Clear Liquid Diet and a double-dose sodium phosphate (Fleet Phospho-soda) regimen (2F regimen). Outcome measures included efficacy of bowel preparation, patient preparation tolerability, side-effects and patient safety. Results : A total of 506 patients completed the study, 222 randomized to 2F and 284 to NP-LS. The NP-LS regimen resulted in significantly better colon cleansing in terms of the proportion with good or excellent results (P = 0.025) and in significantly better patient tolerance and willingness to repeat the cathartic preparation (P
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efficacy of bowel preparation with the use of a prepackaged low fibre Diet with a low sodium magnesium citrate cathartic vs a Clear Liquid Diet with a standard sodium phosphate cathartic
Alimentary Pharmacology & Therapeutics, 2005Co-Authors: Mark H. Delegge, R. KaplanAbstract:Summary Background : A colon free of faecal residue is required for accurate diagnostic colonoscopy. Patient tolerance of his/her colonoscopy cathartic regimen affects patient compliance and willingness to undergo repeated examinations. Aim : To determine whether a meal could be consumed during standard bowel preparation. Methods : This was a randomized, endoscopists’ blinded comparison of the tolerability and efficacy of a prepackaged, low-residue Diet (NutraPrep) combined with the LoSo Prep bowel cleansing system, which contains magnesium citrate, bisocodyl tablets and a bisocodyl suppository (NP-LS regimen), compared with a Clear Liquid Diet and a double-dose sodium phosphate (Fleet Phospho-soda) regimen (2F regimen). Outcome measures included efficacy of bowel preparation, patient preparation tolerability, side-effects and patient safety. Results : A total of 506 patients completed the study, 222 randomized to 2F and 284 to NP-LS. The NP-LS regimen resulted in significantly better colon cleansing in terms of the proportion with good or excellent results (P = 0.025) and in significantly better patient tolerance and willingness to repeat the cathartic preparation (P < 0.01). Conclusion : The NP-LS regimen proved superior to the 2F regimen.
Mark H. Delegge - One of the best experts on this subject based on the ideXlab platform.
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Efficacy of bowel preparation with the use of a prepackaged, low fibre Diet with a low sodium, magnesium citrate cathartic vs. a Clear Liquid Diet with a standard sodium phosphate cathartic.
Alimentary Pharmacology & Therapeutics, 2005Co-Authors: Mark H. Delegge, R. KaplanAbstract:Summary Background : A colon free of faecal residue is required for accurate diagnostic colonoscopy. Patient tolerance of his/her colonoscopy cathartic regimen affects patient compliance and willingness to undergo repeated examinations. Aim : To determine whether a meal could be consumed during standard bowel preparation. Methods : This was a randomized, endoscopists’ blinded comparison of the tolerability and efficacy of a prepackaged, low-residue Diet (NutraPrep) combined with the LoSo Prep bowel cleansing system, which contains magnesium citrate, bisocodyl tablets and a bisocodyl suppository (NP-LS regimen), compared with a Clear Liquid Diet and a double-dose sodium phosphate (Fleet Phospho-soda) regimen (2F regimen). Outcome measures included efficacy of bowel preparation, patient preparation tolerability, side-effects and patient safety. Results : A total of 506 patients completed the study, 222 randomized to 2F and 284 to NP-LS. The NP-LS regimen resulted in significantly better colon cleansing in terms of the proportion with good or excellent results (P = 0.025) and in significantly better patient tolerance and willingness to repeat the cathartic preparation (P
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efficacy of bowel preparation with the use of a prepackaged low fibre Diet with a low sodium magnesium citrate cathartic vs a Clear Liquid Diet with a standard sodium phosphate cathartic
Alimentary Pharmacology & Therapeutics, 2005Co-Authors: Mark H. Delegge, R. KaplanAbstract:Summary Background : A colon free of faecal residue is required for accurate diagnostic colonoscopy. Patient tolerance of his/her colonoscopy cathartic regimen affects patient compliance and willingness to undergo repeated examinations. Aim : To determine whether a meal could be consumed during standard bowel preparation. Methods : This was a randomized, endoscopists’ blinded comparison of the tolerability and efficacy of a prepackaged, low-residue Diet (NutraPrep) combined with the LoSo Prep bowel cleansing system, which contains magnesium citrate, bisocodyl tablets and a bisocodyl suppository (NP-LS regimen), compared with a Clear Liquid Diet and a double-dose sodium phosphate (Fleet Phospho-soda) regimen (2F regimen). Outcome measures included efficacy of bowel preparation, patient preparation tolerability, side-effects and patient safety. Results : A total of 506 patients completed the study, 222 randomized to 2F and 284 to NP-LS. The NP-LS regimen resulted in significantly better colon cleansing in terms of the proportion with good or excellent results (P = 0.025) and in significantly better patient tolerance and willingness to repeat the cathartic preparation (P < 0.01). Conclusion : The NP-LS regimen proved superior to the 2F regimen.
Vicente Pons Beltrán - One of the best experts on this subject based on the ideXlab platform.
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Evaluation of different bowel preparations for small bowel capsule endoscopy: a prospective, randomized, controlled study.
Digestive diseases and sciences, 2011Co-Authors: Vicente Pons Beltrán, Begoña González Suárez, Cecilia González Asanza, Enrique Pérez-cuadrado, Servando Fernández Diez, Iñaqui Fernandez-urien, Alfredo Mata Bilbao, Jorge Carlos Espinós Pérez, María José Pérez Grueso, Lidia Argüello ViudezAbstract:Background and Study Aims To obtain an adequate view of the whole small intestine during capsule endoscopy (CE) a Clear Liquid Diet and overnight fasting is recommended. However, intestinal content can hamper vision in spite of these measures. Our aim was to evaluate tolerance and degree of intestinal cleanliness during CE following three types of bowel preparation.
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Intestinal preparation prior to capsule endoscopy administration.
World journal of gastroenterology, 2008Co-Authors: Vicente Pons Beltrán, Iñaqui Fernandez-urien, Cristina Carretero, Begoña González-suárez, Miguel Muñoz-navasAbstract:In order to have an adequate view of the whole small intestine during capsule endoscopy, the preparation recommended consists of a Clear Liquid Diet and an overnight fast. However, visualization of the small bowel during video capsule endoscopy can be impaired by intestinal contents. To improve mucosal visualization, some authors have evaluated different regimens of preparation. There is no consensus about the necessity of intestinal preparation for capsule endoscopy and it should be interesting to develop adequate guidelines to improve its efficacy and tolerability. Moreover, the effect of preparation type (purgative) on intestinal transit time is not Clear. Since a bowel preparation cannot definitively improve its visibility (and theoretically the yield of the test), it is not routinely recommended.
Jan J. Koornstra - One of the best experts on this subject based on the ideXlab platform.
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Bowel preparation before small bowel capsule endoscopy: what is the optimal approach?
European journal of gastroenterology & hepatology, 2009Co-Authors: Jan J. KoornstraAbstract:The usefulness of bowel preparation before small bowel capsule endoscopy is surrounded with controversy. In this concise review, the available literature is discussed. Current evidence indicates that bowel preparation with purgative agents increases the diagnostic yield of the procedure by improving small bowel mucosal visualization compared with a Clear Liquid Diet or overnight fast. With respect to the type of purgative, most evidence supports the use of polyethylene glycol (PEG). The optimal dose of PEG that needs to be administered before capsule endoscopy is not entirely Clear, but 2 l appears to be sufficient.
D. N. Reddy - One of the best experts on this subject based on the ideXlab platform.
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Clinical trial: oral feeding with a soft Diet compared with Clear Liquid Diet as initial meal in mild acute pancreatitis
Alimentary pharmacology & therapeutics, 2008Co-Authors: E. Sathiaraj, Shruti Murthy, M. J. Mansard, S. Mahukar, D. N. ReddyAbstract:Summary Background In mild acute pancreatitis, traditional treatment has been initial fasting and oral refeeding with Clear Liquids to prevent adverse gastrointestinal events such as pain. The Diet is gradually progressed to soft solids and hospital discharge is planned based on patients’ tolerance to a solid Diet. Aim To determine the length of hospitalization and tolerance to oral refeeding when initiated on a soft Diet as compared to a Clear Liquid Diet. Methods One hundred and one patients with mild acute pancreatitis were randomized to receive either a Clear Liquid Diet or soft Diet when oral feeding was initiated. Frequency of pain, total and postrefeeding length of hospitalization, and Dietary intake were monitored. Hospital discharge was decided by the medical team without input from the study coordinators. Results A statistically significant decrease in the length of hospitalization (total and postrefeeding) of a median of 2 days was seen in patients receiving a soft Diet (P
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clinical trial oral feeding with a soft Diet compared with Clear Liquid Diet as initial meal in mild acute pancreatitis
Alimentary Pharmacology & Therapeutics, 2008Co-Authors: E. Sathiaraj, M. J. Mansard, S. Mahukar, S S Murthy, G V Rao, D. N. ReddyAbstract:Summary Background In mild acute pancreatitis, traditional treatment has been initial fasting and oral refeeding with Clear Liquids to prevent adverse gastrointestinal events such as pain. The Diet is gradually progressed to soft solids and hospital discharge is planned based on patients’ tolerance to a solid Diet. Aim To determine the length of hospitalization and tolerance to oral refeeding when initiated on a soft Diet as compared to a Clear Liquid Diet. Methods One hundred and one patients with mild acute pancreatitis were randomized to receive either a Clear Liquid Diet or soft Diet when oral feeding was initiated. Frequency of pain, total and postrefeeding length of hospitalization, and Dietary intake were monitored. Hospital discharge was decided by the medical team without input from the study coordinators. Results A statistically significant decrease in the length of hospitalization (total and postrefeeding) of a median of 2 days was seen in patients receiving a soft Diet (P < 0.001). No significant difference in the need for cessation of Diet because of pain was observed between the two groups. Patients initiated on a soft Diet consumed significantly more calories and fats on study day 1 (P < 0.001). Conclusion Oral refeeding with a soft Diet in patients with mild acute pancreatitis can be considered safe and can result in shorter length of hospitalization.