gnckКолопроктологияKoloproktologia2073-75562686-7303Russian Association of Coloproctology10.33878/2073-7556-2020-19-3-65-71gnck-1575Research ArticleОРИГИНАЛЬНЫЕ СТАТЬИORIGINAL ARTICLESЭФФЕКТИВНАЯ ПОДГОТОВКА КИШЕЧНИКА К СКРИНИНГОВОЙ КОЛОНОСКОПИИEFFECTIVE BOWEL CLEANSING FOR SCREENING COLONOSCOPYВологжанинаЛ. Г.VologzhaninaL. G.

Петропавловская улица, ул. 26, Пермский край, г. Пермь, 614990

Lyudmila G. Vologzhanina

Petropavlovskaya str., 26, Perm, 614990

ИгумноваО. А.IgumnovaO. A.

Игумнова Оксана Александровна

Петропавловская улица, ул. 26, Пермский край, г. Пермь, 614990

Oksana A. Igumnova

Petropavlovskaya str., 26, Perm, 614990

doktorgastro@mail.ruПетуховаИ. В.PetukhovaI. V.

Петропавловская улица, ул. 26, Пермский край, г. Пермь, 614990

Irina V. Petukhova

Petropavlovskaya str., 26, Perm, 614990

СанниковП. К.SannikovP. K.

Петропавловская улица, ул. 26, Пермский край, г. Пермь, 614990

Pavel K. Sannikov

Petropavlovskaya str., 26, Perm, 614990

ФГБОУ ВО «Пермский государственный медицинский университет им. акад. Е.А. Вагнера» Минздрава РоссииРоссияAcademician Ye.A. Vagner Perm State Medical UniversityRussian Federation2020210920201936571Copyright © Вологжанина Л.Г., Игумнова О.А., Петухова И.В., Санников П.К., 20202020Вологжанина Л.Г., Игумнова О.А., Петухова И.В., Санников П.К.Vologzhanina L.G., Igumnova O.A., Petukhova I.V., Sannikov P.K.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.ruproctology.com/jour/article/view/1575ЦЕЛЬ

ЦЕЛЬ: определение эффективности и безопасности натрия пикосульфата, используемого в качестве подготовки к проведению скрининговой колоноскопии.

ПАЦИЕНТЫ И МЕТОДЫ

ПАЦИЕНТЫ И МЕТОДЫ: в ретроспективное исследование было включено 299 пациентов, средний возраст 54±14 лет, проходивших скрининговую колоноскопию. Все пациенты в качестве подготовки кишки к исследованию получали слабительный препарат на основе натрия пикосульфата. Качество очищения кишечника оценивалось в соответствии с Бостонской международной шкалой. Также были оценены органолептические и субъективные ощущения пациентов.

РЕЗУЛЬТАТЫ

РЕЗУЛЬТАТЫ: качество подготовки кишечника по Бостонской шкале, в среднем, составило 8,5±1,0 баллов. В результате скрининговой колоноскопии у 96 (32,1%) пациентов были выявлены полипы прямой, сигмовидной, ободочной и подвздошной кишки, в 11%, 8%, 11% и 2% случаев, соответственно. По результатам морфологического исследования у 78 (26%) из них имелись аденоматозные полипы. У 13 (4%) пациентов была выявлена аденокарцинома толстой кишки. Все пациенты отметили легкость приема препарата.

ЗАКЛЮЧЕНИЕ

ЗАКЛЮЧЕНИЕ: препарат натрия пикосульфата полностью удовлетворяет требованиям к слабительному препарату, используемому для подготовки кишечника к колоноскопии.

AIM

AIM: to assess the effectiveness and safety of sodium picosulfate for screening colonoscopy.

PATIENTS AND METHODS

PATIENTS AND METHODS: the retrospective study included 299 patients at mean age of 54±14 years who had screening colonoscopy, . All patients received sodium pikosulfate for bowel cleansing. The quality of bowel cleansing was evaluated by the Boston international scale. Organoleptic and subjective sensations were also evaluated.

RESULTS

RESULTS: the quality of bowel cleansing was 8.5±1.0 point by Boston scale. As a result of screening colonoscopy in 96 (32.1%) patients, polyps of the rectum, sigmoid, colon and ileum were detected in 11%, 8%, 11% and 2% of cases respectively. Pathology showed that 78 (26%) patients had adenomatous polyps, 13 (4%) – adenocarcinoma. All patients reported comfortable use of the agent.

CONCLUSION

CONCLUSION: sodium picosulfate fully meets the requirements for the drug used for bowel cleansing for colonoscopy.

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The authors declare that there are no conflicts of interest present.