Bowel preparation methods for paediatric colnoscopy
| Method | Major limitations | Reference | ||
|---|---|---|---|---|
| Oral bisacodyl, phosphate enema | Efficacy of preparation/need for enema | Abubakaret al (1995)1 | ||
| Electrolyte lavage solution (polyethylene glycol/electrolyte mixture) | Nasogastric tube often required | Toliaet al (1984)2 | ||
| Nausea and vomiting common | Sondheimer et al(1991)3 | |||
| Abdominal cramps | Gremseet al (1996)4 | |||
| Risk of hypothermia unless warmed | da Silva et al(1997)5 | |||
| Clear fluids, senna, and oral bisacodyl, or polyethylene glycol lavage solution via nasogastric tube, and saline enemas | Combined disadvantages (see above) | Israel et al(1994)6 | ||
| Picolax, senna, and clear fluids (± enema) | Lack of solid food and tendency to vomit | Evanset al (1989)7 | ||
| Williams and Nicholls (1994)8 | ||||
| Oral sodium phosphate solution | Hyperphosphataemia | Gremse et al(1996)4 | ||
| da Silva et al(1997)5 | ||||
| Senna syrup (X-prep) and enema(s) ± clear fluids | Need for enema | Williams et al(1982)9 | ||
| ± Lack of solid food | Trautweinet al (1996)10 | |||
| Senna syrup and magnesium citrate, or polyethylene glycol electrolyte solution, or isotonic mannitol (5%) | Risk of explosion with mannitol (contraindicated with polypectomy) | Milla and Williams (1995)11 | ||