Abstract
In order to evaluate the usefulness and acceptability of prescribing isotonic magnesium citrate solution (MGP) in increments as a method of colonic preparation for total colonoscopy (TCS), we compared the following two methods:prescribing isotonic MGP in increments and prescribing isotonic MGP in one dose. Seventy-eight patients were randomly allocated to either preparation method. Colonic preparation was graded as excellent, good, suboptimal, or poor. The proportion of patients with colonic preparation graded as “excellent” or “good” for TCS was 82.5% (33/40) in the MGP increment group and 52.6% (20/38) in the MGP one-dose group. Results in the MGP increment group were superior to those in the MGP one-dose group with regard to the cleaning status of the colon and the acceptability of the preparation method by the patients. We conclude that prescribing MGP in increments is effective and safe. Thus it is recommended as a preparation for colonoscopy.