THE BARRIER TO PEDIATRIC PATIENTS' COLONOSCOPY PREPARATION REGIMEN AT THE TERTIARY CARE CENTER

Abstract

Colonoscopy is essential for identifying gastrointestinal disorders in children and adolescents. In individuals with colonic polyps or lower gastrointestinal tract hemorrhage, colonoscopy is an important procedure. Traditional bowel preparation for children undergoing colonoscopy includes a clear liquid diet for 2–3 days, laxatives, and multiple enemas the night before and morning of the procedure. Bowel preparation with balanced lavage solutions is safe and effective in children but rare in adults. For best visualization, colonoscopy, radiography, and colorectal surgery need a clean luminal environment. Small intestine sodium absorption is considerably reduced by sodium sulfate preparations without chloride, the anion essential for active absorption against electrochemical gradient.Currently, a number of bowel preparations are commonly used for pediatric colonoscopies; nevertheless, none of them comply with all of the prerequisites.A cross sectional research conducted. It investigated impediments to colonoscopy preparation among patients of Children Medical Center in Tehran. The participants were studied as adequatebowel preparation andinadequate bowel preparation measured by Ottawa bowel preparation scale. Demographic and indicators analysis was drawn between these bowel preparations to infer any association between them.On analysis, 62(82%) patients had adequate bowel preparation than 14(18%) patients who had inadequate bowel preparation. There was insignificant relationship between age, gender, medication before colonoscopy(p-value<0.05). To conclude it was found that all probiotics and medications before colonoscopy for bowel preparation showed important role. Although there is not any relation between meal precautions, age, gender and bowel preparation before colonoscopy.