Mytyk Aleksandra, Lazowska-Przeorek Izabella, Karolewska-Bochenek Katarzyna, Kakol Dariusz, Banasiuk Marcin, Walkowiak Jaroslaw, Albrecht Piotr, Banaszkiewicz Aleksandra
Department of Paediatric Gastroenterology and Nutrition, Medical University of Warsaw.
Gastroenterology Unit, Bielanski Hospital, Warsaw.
J Pediatr Gastroenterol Nutr. 2018 May;66(5):720-724. doi: 10.1097/MPG.0000000000001832.
In light of a paucity of data on the role of diet in colonoscopy preparation in paediatric population, the present study was designed to compare the effectiveness of clear liquid and low-fibre diets for breakfast and lunch on the day preceding colonoscopy in children.
This prospective, randomised trial was conducted at the Department of Paediatric Gastroenterology and Nutrition in Warsaw, Poland. Eligible patients, referred for colonoscopies, were 6 to 18 years old. Patients were randomly divided into 2 groups: the first received a clear liquid diet and the second a low-fibre diet on the day before colonoscopy. In the afternoon, all participants were asked to drink polyethylene glycol with electrolytes at a dose of 66 mL/kg to a maximum of 4 L. The effectiveness of bowel cleansing was measured using the Boston Bowel Preparation Scale (BBPS). The preparation tolerance was assessed by parents and children using a visual analogue scale. Adverse effects were reported.
In total, 184 patients were enrolled. Of those, 96 received the clear liquid diet and 88-the low-fibre diet. The mean age of both groups was 15 years. There were no differences between the 2 study groups in age, weight, and sex, as well as in total BBPS score (BBPS ≥ 5 96.6% vs 95.1%, P = 0.5). The frequency of adverse effects was similar in both groups; nausea was the most common (P = 0.8).
Clear liquid and low-fibre diets administered to children the day before colonoscopy demonstrated similar bowel cleansing effectiveness.
鉴于关于饮食在儿科人群结肠镜检查准备中的作用的数据匮乏，本研究旨在比较结肠镜检查前一天早餐和午餐时清流食和低纤维饮食对儿童的有效性。
这项前瞻性随机试验在波兰华沙的儿科胃肠病学和营养科进行。符合条件的接受结肠镜检查的患者年龄在6至18岁之间。患者被随机分为两组：第一组在结肠镜检查前一天接受清流食，第二组接受低纤维饮食。下午，所有参与者被要求按66 mL/kg的剂量饮用含电解质的聚乙二醇，最大剂量为4 L。使用波士顿肠道准备量表（BBPS）测量肠道清洁效果。家长和孩子使用视觉模拟量表评估准备耐受性。报告不良反应。
总共招募了184名患者。其中，96人接受清流食，88人接受低纤维饮食。两组的平均年龄均为15岁。两个研究组在年龄、体重、性别以及总BBPS评分方面均无差异（BBPS≥5：96.6%对95.1%，P = 0.5）。两组的不良反应发生率相似；恶心是最常见的（P = 0.8）。
结肠镜检查前一天给儿童食用清流食和低纤维饮食，其肠道清洁效果相似。
