Qualidade do preparo intestinal e detecção de adenomas: a dose fracionada faz diferença?
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Resumo
Introduction: Colorectal cancer is responsible for at least 880,000 deaths annually worldwide. Colonoscopy is the gold standard in screening for this cancer, and adequate colonic preparation is essential.
Objective: To evaluate the quality of colonoscopic preparation using the Adenoma Detection Rate (ADR) and Boston Biopsy Score (BBPS), according to the preparation proposed to participants.
Method: Two groups were included. The first, with 32 participants, received a divided dose of sulfate solution with one dose the day before the examination. The second, composed of 19 participants, received the same solution in a single dose only the day before the examination.
Result: ADR was higher in the first group. Participants who received a purgative the day before the examination had greater sleep disturbance. Both the cecal intubation rate and the rate of adequate and excellent examinations (BBPS) were higher in the group receiving the divided dose. There was no significant difference when comparing the tolerability of the preparation between the 2 groups.
Conclusion: Splitting the purgative dose proved effective, improving the cecal intubation rate and ADR.
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