INTRODUCTION: A single high dose of sennosides is often used to optimize bowel preparation for diagnostic procedures. From previous studies it is suspected that sennosides in such a dose cause acute damage to the colonic mucosa. This study was designed to determine any effects of sennosides on histology of colonic mucosa and on bowel preparation. RESULTS: In a prospective study 171 patients were randomized for bowel preparation. 84 patients received1 ml/kg (maximal 75 ml) of a syrup containing 2.0 mg/ml sennoside A and B and 3-5 l of a lavage solution (Sen), 87 patients only received 3-5 l lavage solution (NSen). All patients completed a questionnaire on which patient tolerance was scored. Another questionnaire was completed by the endoscopist, recording quality of the preparation. From the 40 patients with a normal colon (19 Sen, 21 NSen) a biopsy was taken from the sigmoid colon and analyzed for morphological abnormalities. No difference could be demonstrated in tolerance or quality of bowel preparation between the two groups. A marked increase of mononuclear infiltrate in the lamina propria was observed in Sen compared to NSen: in 10/19 vs. 2/21 patients respectively, p < 0.0005. CONCLUSION: As these microscopic effects could hamper the interpretation of colonic biopsies, bowel preparation without sennosides is to be recommended.
RCT Entities:
INTRODUCTION: A single high dose of sennosides is often used to optimize bowel preparation for diagnostic procedures. From previous studies it is suspected that sennosides in such a dose cause acute damage to the colonic mucosa. This study was designed to determine any effects of sennosides on histology of colonic mucosa and on bowel preparation. RESULTS: In a prospective study 171 patients were randomized for bowel preparation. 84 patients received 1 ml/kg (maximal 75 ml) of a syrup containing 2.0 mg/ml sennoside A and B and 3-5 l of a lavage solution (Sen), 87 patients only received 3-5 l lavage solution (NSen). All patients completed a questionnaire on which patient tolerance was scored. Another questionnaire was completed by the endoscopist, recording quality of the preparation. From the 40 patients with a normal colon (19 Sen, 21 NSen) a biopsy was taken from the sigmoid colon and analyzed for morphological abnormalities. No difference could be demonstrated in tolerance or quality of bowel preparation between the two groups. A marked increase of mononuclear infiltrate in the lamina propria was observed in Sen compared to NSen: in 10/19 vs. 2/21 patients respectively, p < 0.0005. CONCLUSION: As these microscopic effects could hamper the interpretation of colonic biopsies, bowel preparation without sennosides is to be recommended.
Authors: Sebastián Videla; Aurelia Lugea; Jaime Vilaseca; Francisco Guarner; Francesc Treserra; Antonio Salas; Ernesto Crespo; Carlos Medina; Juan R Malagelada Journal: Int J Colorectal Dis Date: 2006-10-24 Impact factor: 2.571
Authors: Mohammed M Alshehri; Cristina Quispe; Jesús Herrera-Bravo; Javad Sharifi-Rad; Sena Tutuncu; Elif Feyza Aydar; Cansu Topkaya; Zehra Mertdinc; Beraat Ozcelik; Mahima Aital; N V Anil Kumar; Natallia Lapava; Jovana Rajkovic; Andrea Ertani; Silvana Nicola; Prabhakar Semwal; Sakshi Painuli; Carlos González-Contreras; Miquel Martorell; Monica Butnariu; Iulia Cristina Bagiu; Radu Vasile Bagiu; Mrunal D Barbhai; Manoj Kumar; Sevgi Durna Daştan; Daniela Calina; William C Cho Journal: Oxid Med Cell Longev Date: 2022-02-04 Impact factor: 6.543
Authors: S Schanz; W Kruis; O Mickisch; B Küppers; P Berg; B Frick; G Heiland; D Hüppe; B Schenck; H Horstkotte; A Winkler Journal: Diagn Ther Endosc Date: 2008