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Purging the colon and Preserving the kidneys!

April 6, 2008

Clean bowel preparation is essential for proper colonic study. OSP solutions or tablets are better tolerated but recent concern is electrolyte imbalances and worsening renal function especially in elderly.Besides causing acute renal failure in some patients, the high phosphorus content can potentially cause chronic kidney damage to patients undergoing colonoscopy.

This retrospecive study is published in Archives in Internal Medicine. They conclude Oral sodium phosphate solution preparation is associated with decline in GFR in elderly patients with creatinine levels in the normal range. Its routine use for elective and screening procedures should be discouraged in the elderly population.

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