@article{oai:nagoya.repo.nii.ac.jp:02001660, author = {Tajika, Masahiro and Tanaka, Tsutomu and Ishihara, Makoto and Hirayama, Yutaka and Onishi, Sachiyo and Mizuno, Nobumasa and Kuwahara, Takamichi and Okuno, Nozomi and Matsumoto, Shinpei and Toriyama, Kazuhiro and Obata, Masahiro and Kurita, Yusuke and Kondo, Shinya and Hara, Kazuo and Bhatia, Vikram and Ando, Masahiko and Niwa, Yasumasa}, issue = {4}, journal = {Nagoya Journal of Medical Science}, month = {Nov}, note = {Currently, the same-day polyethylene glycol-electrolyte lavage solution (PEG-ELS) regimen is particularly recommended for afternoon colonoscopy as an alternative to the split-dose regimen in western countries. However, in Japan, the split-dose regimen has never been used as a standard colonoscopy preparation regimen. The aim of this study was to compare the efficacy and tolerability of split-dose PEG containing ascorbic acid (ASC) with same-day single dose PEG-ASC in Japan. This was a single-blinded, non-inferiority, two-center, randomized, controlled study. In-hospital patients were randomized to the same-day regimen or the split regimen using a web-based registry system. The same-day group was instructed to take 5 mL of sodium picosulfate in the evening, and on the day of the colonoscopy, they took 1.5 L of PEG-ASC. The split group was instructed to take 1 L of PEG-ASC before the day of colonoscopy, followed by another 1 L of PEG-ASC on the day of colonoscopy. Bowel cleansing was evaluated by the Boston Bowel Preparation Scale. A total of 153 patients were randomized to either the same-day group (n=78, males 60.0%, mean age 62.7 years) or the split group (n=75, 61.3%, 61.9 years). The rates of successful bowel cleansing were 83.3% in the same-day group vs. 92.0% (83.4%–97.0%) in the split group, P=0.10). No serious adverse events occurred in the study population. However, more patients in the same-day group were willing to repeat the same preparation regimen (P<0.001). The split-dose regimen was not inferior to the same-day regimen with respect to the efficacy of bowel preparation, but the patients preferred the same-day regimen.}, pages = {787--799}, title = {Split-dose low-volume polyethylene glycol is non-inferior but less preferred compared with same-day bowel preparation for afternoon colonoscopy}, volume = {83}, year = {2021} }