Use of polyethylene glycol with electrolytes as preparation for colonoscopy in pediatric patients

Authors

  • Bárbara Pascau Illas
  • Elsa F. García Bacallao
  • Nélcido Luis Sánchez García Instituto de Gastroenetrología https://orcid.org/0000-0002-2061-2085
  • Enrique Galbán García
  • Idalmis Aguilera Matos
  • Madelaine Leyva Socarrás
  • Liliam Avila Rosabal

Keywords:

colonoscopy in pediatrics, colon cleansing, polyethylene glycol

Abstract

Introduction: Colonoscopy allows visualization of the colon and terminal ileum. Poor preparation prevents adequate exploration, reduces the detection of lesions and lengthens the procedure time.

Objectives: To describe the characteristics of colonoscopy preparation in pediatric patients.

Method: Descriptive, retrospective, cross-sectional study, with an analytical component. Universe: pediatric patients, with an indication for colonoscopy, seen at the Institute of Gastroenterology during January 2020 to December 2021. Sample: 58 patients.

Results: The average age was 12.84 years, 18 female and 40 male. The predominant defecation habit was diarrhea (56.7%). The most common reason for indicating colonoscopy was chronic diarrhea (25.9%) and abdominal pain (24.3%). The cecal intubation rate was 100%, one patient reported nausea during preparation. The endoscopic diagnosis was: lesions suggestive of lymphoid hyperplasia (55.2%), normal colonoscopies (22.4%) and inflammatory bowel diseases (15.5%). The quality of cleaning was: excellent (62.1%), good (31.0%) of the cases.   The age of the patients influenced the quality of the preparation (p=0.01). Sex, defecation habit, reason for indication and endoscopic diagnosis were not related to the quality of the preparation. Conclusions: Preparation with PEG 3350 with electrolytes was effective in most cases, achieving adequate tolerance and a cecal intubation rate according to the established quality criteria. There was no association between colon cleansing and the variables studied, except with the age of the patients.

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Published

2025-05-07

How to Cite

1.
Pascau Illas B, García Bacallao EF, Sánchez García NL, Galbán García E, Aguilera Matos I, Leyva Socarrás M, et al. Use of polyethylene glycol with electrolytes as preparation for colonoscopy in pediatric patients. Arch.cuba.gastroenterol. [Internet]. 2025 May 7 [cited 2025 May 10];4:e176. Available from: https://revgastro.sld.cu/index.php/gast/article/view/176

Issue

Vol. 4 (2025): Publicación contínua

Section

ARTÍCULOS ORIGINALES

License

Copyright (c) 2025 Archivos Cubanos de Gastroenterología

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