Bowel Preparations -Colonoscopy

[Jaclyn Tran]

Hi everyone,

I was looking for the thread on bowel preparations before colonoscopy in CKD and dialysis.

Is anyone using Pico-Salax in dialysis patients?

I saw in the UK consensus guidelines from 2012 (Connor A, et al., see link) that there is a weak, low level recommendation to use Pico Salax in ESRD patients who are on dialysis.

-Available online: http://gut.bmj.com/content/61/11/1525.full?sid=d44c93b9-6b28-48b0-a4a1-ed7a0f9f7d75

I could not find any studies though to support use.  We currently use Bi-Peglyte (bisacodyl and PEG), but have been asked about if there is an alternative regimen.

 

 

 

[Linda Gross]

We definitely do not use Pico Salax at Regina Qu”appelle Health District, due to the fact that we have had one death from hypermagnesemia secondary to the use of a magnesium containing enema in one of our dialysis patients. We exclusively use the bisacodyl/PEG solution.

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