@article{Ghimire_Limbu_Chakradhar_2018, title={Flexible Sigmoidoscopy: Optimal bowel preparation with enema versus polyethylene glycol}, volume={7}, url={https://www.nepjol.info/index.php/JKMC/article/view/21586}, DOI={10.3126/jkmc.v7i2.21586}, abstractNote={<p><strong>Background: </strong>Lower gastrointestinal endoscopy requires adequate bowel preparation. However there is no unanimous recommendation on choice of agent of bowel preparation for the purpose of screening flexible sigmoidoscopy.</p><p><strong>Objective: </strong>To compare the quality of bowel preparation and patient’s tolerance between Enema (Solution of Glycerin 15% w/v and Sodium Chloride 15% w/v)and Polyethylene glycol for screening flexible sigmoidoscopy.</p><p><strong>Methodology: </strong>All consecutive patients undergoing screening flexible sigmoidoscopy were included in the study. We prospectively divided the patients into two groups. Group A received per rectal enema and group B received oral bowel preparation with polyethylene glycol. Adequacy of bowel preparation and patient’s tolerance between two groups was graded. Data were analysed using Microsoft Excel 2010.</p><p><strong>Results: </strong>Results were comparable regarding quality of bowel preparation between two groups (A and B), excellent in 20% and 33.33% and good in 60% and 50% respectively. Almost all patients could tolerate the preparation agent in Group A (n=28). In-group B, eight patients (26.66%) considered the oral preparation agent difficult to tolerate and two patients (6%) were unable to complete the preparation.</p><p><strong>Conclusion: </strong>Enema (Solution of Glycerin 15% w/v and Sodium Chloride 15% w/v) and Polyethylene glycol have similar quality of bowel preparation and for screening sigmoidos copy. Enema is adequate and much easily tolerable compared to polyethylene glycol.</p><p> <strong>Journal of Kathmandu Medical College,</strong></p><p>Vol. 7, No. 2, Issue 24, Apr.-Jun., 2018, page: 50-54</p>}, number={2}, journal={Journal of Kathmandu Medical College}, author={Ghimire, Roshan and Limbu, Y and Chakradhar, R}, year={2018}, month={Nov.}, pages={50–54} }