Author, years | Study design | No. of subject | Age of patients (years) | No. of patients completed dose | Efficacy | Safety | Tolerability/ acceptability | Need of enema | Diet |
Adamiak et al., 2010 [17] | Retrospective, 1 arm: PEG-3350, 238 or 255 g in 1.9 L of sport drink within 2 hours | 272 | 13.7a, (1.08 - 17.92)b | NA | Cecum reached 97.4%, procedure cancelled 1.1% | NA | NA | 19/253 | Regular meal for breakfast and lunch the day before the colonoscopy and clear liquids up to 3 hrs prior to their schedule |
Abbas et al., 2013 [19] | Prospective, open label trial: PEG-3350, 238 g with 1.5 L Gatorade in a few hours | 46 | 14.50 ± 2.9c (8 - 18)b | 43/46 | Cecum reached 100%, terminal ileum 84%; BBPS 6.16d and BPPS score of least 5 in 33 (77%) | Nausea/ vomiting 60%, abdominal pain/ cramping 44%, fatigue/ weakness 40%, call on call provider 11%; K+, BUN, CO2 statistically decreased# | Likert scale acceptable (3) 64%, palatable (≥3) 73%, volume (≤2) 62%, unacceptable (≤2) 31% | 2/46 | Clear liquid after 1200 hrs the day before |
Walia et al., 2013 [20] | Prospective, 1 arm: PEG-3350 without electrolyte, <45 kg 136 g mixed in 32 ounces of Gatorade >45 kg 255 g mixed in 64 ounces of Gatorade | 45 | 14 ± 3c, (7 - 20)b | 40/45 | Terminal ileum 100%; *excellent 23%, good 52%, fair 23%, poor 21% | Nausea 34%, abdominal pain 23%, vomiting 16%, abdominal distension 20%, bloating 23%, dizziness 7%; serum glucose and CO2 significantly decrease# | *Tolerability 39% or easy 61%, palatable good 14%, Ok 75%, bad 9%, yucky 2% | NA | Clear liquid the day before and NPO 3 hrs prior procedure |
Najafi et al., 2014 [22] | Randomised control trial, 2 arm: PEG, 2 g/kg (17 g in 240 ml of water or another beverage with 5 mg bisacodyl BD × 1 day PEG-3350, 1.5 g/kg with fruit juice for 2 days with 5 mg bisacodyl BD × 2 days | 100 | 6.9 ± 31c vs 8 ± 3c (2 - 14)b | 46/50 vs 47/50 | Boston score excellent 7 vs 7, good 28 vs 29, fair 11 vs 11, poor 4 vs 3 | ^Nausea 1 vs 3, bloating 1 vs 1, abdominal pain 2 vs 4, headache 1 vs 2 | *Full easy and tasty 20 vs 28, easy and tasty 26 vs 20, some tasteless and hard 3 vs 2, tasteless and hard 1 vs 0 ^no significantly difference | ^6/50 vs 9/50 | Fruit juice were allowed |