The Study Outcome of Colon Cleansing before Colonoscopy among Patients of Colorectal Cancer Screening Project


  • Nuntiput Putthanachote Department of Clinical microbiology, Roi Et hospital, Roi Et province, Thailand.
  • Achara Srirugsar Devision of surgery, RoiEt Hospital, Roi Et Province, Thailand
  • Narongchai Sangsa Devision of Medicine, RoiEt Hospital, Roi Et Province, Thailand


Colon cleaning preparations; colonoscopy; colorectal cancer


         Objective: The aim of the study was to compare outcome of colon cleansing by Sodiumphosphate solution Swiff® 2 times with soap suds enema and Swiff® 3 times with non-soap suds enema before colonoscopy and cost of 2 methods.

          Methods: This study was a descriptive research. Data were collected from medical records of patients in the colorectal cancer screening project at RoiEt Hospital from 1 to 31 July, 2017. The total numbers of study subjects were 130 cases, divided into 2 groups. Of 72 patients in group one was cleansing colon by Swiff® 45cc. 2 times, 2.00 pm. and 06.00 pm., with soap suds enema. Group two, 58 cases, were cleansing colon by Swiff® 45cc.  3 times, 2.00 pm., 06.00 pm. and 04.00 am. with non-soap suds enema. Descriptive statistics were used in the study for analysis. 

          Results: Of 72 cases in group one, most of them were female 62.50 %, mean age 59.98 years (SD = 6.35). The colonoscopic visualization were: Very poor 1.38%, Poor 12.50%, Fair 37.50%, Good 47.22%, and Excellent 1.38%. Of 58 cases in group two most of them were male 51.72 %, mean age 60.45 years (SD = 6.35). The colon cleansing results were: Poor 1.72%, Fair 17.24%, Good 62.06%, and Excellent 18.96%. The cost per case among patients in group 1 staying in common room was 4,165 Bath, private room 4,127.50 Bath, while the cost per case among patients in group 2, staying in common room, was 4,465 Bath and private room was 4,427.50 Bath. In conclusion, this study revealed that the percentage of good and excellent of colon cleansing preparations by Swiff® 3 times and non-soap suds enema (group 2) were higher than preparations by Swiff® 2 times and soap suds enema (group 1). Whereas, the cost of the two methods were not significant difference.


Download data is not yet available.


Akhter, M., Kuriyama, S., Nakaya, N., Shimazu, T., Ohmori, K., Nishino, Y., … Tsuji, I. (2007). Alcohol consumption is associated with an increased risk of distal colon and rectal cancer in Japanese men: the Miyagi Cohort Study. European Journal of Cancer (Oxford, England: 1990), 43(2), 383–390.
Andrieu, N., Launoy, G., Guillois, R., Ory-Paoletti, C., & Gignoux, M. (2003). Familial relative risk of colorectal cancer: a population-based study. European Journal of Cancer (Oxford, England: 1990), 39(13), 1904–1911.
Andrieu, N., Launoy, G., Guillois, R., Ory-Paoletti, C., & Gignoux, M. (2004). Estimation of the familial relative risk of cancer by site from a French population based family study on colorectal cancer (CCREF study). Gut, 53(9), 1322–1328.
Bongaerts, B. W. C., de Goeij, A. F. P. M., Wouters, K. A. D., van Engeland, M., Gottschalk, R. W. H., Van Schooten, F. J., … Weijenberg, M. P. (2011). Alcohol consumption, alcohol dehydrogenase 1C (ADH1C) genotype, and risk of colorectal cancer in the Netherlands Cohort Study on diet and cancer. Alcohol (Fayetteville, N.Y.), 45(3), 217–225.
Bray, F., Jemal, A., Grey, N., Ferlay, J., & Forman, D. (2012). Global cancer transitions according to the Human Development Index (2008-2030): a population-based study. The Lancet. Oncology, 13(8), 790–801.
Chan, A. T., Ogino, S., Giovannucci, E. L., & Fuchs, C. S. (2011). Inflammatory markers are associated with risk of colorectal cancer and chemopreventive response to anti-inflammatory drugs. Gastroenterology, 140(3), 799–808, quiz e11.
Khorasanynejad, R., Norouzi, A., Roshandel, G., & Besharat, S. (2017). Bowel Preparation for a Better Colonoscopy Using Polyethylene Glycol or C-lax: A Double Blind Randomized Clinical Trial. Middle East Journal of Digestive Diseases, 9(4), 212–217.
Kwon KH, Lee JA, Lim YJ, Lee BJ, Joo MK, Sim YR, et al. A prospective randomized clinical study evaluating the efficacy and compliance of oral sulfate solution and 2-L ascorbic acid plus polyethylene glycol. Korean J Intern Med 2019;30:125-136
Leufkens AM, Van Duijnhoven FJB, Siersema PD, Boshuizen HC, Vrieling A, Agudo A, et al. Cigarette smoking and colorectal cancer risk in the European Prospective Investigation into Cancer and Nutrition study. Clin Gastroenterol Hepatol Off Clin Pract J Am Gastroenterol Assoc 2011;9:137–44.
Limburg, P. J., Vierkant, R. A., Cerhan, J. R., Yang, P., Lazovich, D., Potter, J. D., & Sellers, T. A. (2003). Cigarette smoking and colorectal cancer: long-term, subsite-specific risks in a cohort study of postmenopausal women. Clinical Gastroenterology and Hepatology: The Official Clinical Practice Journal of the American Gastroenterological Association, 1(3), 202–210.
Mytyk, A., Lazowska-Przeorek, I., Karolewska-Bochenek, K., Kakol, D., Banasiuk, M., Walkowiak, J., … Banaszkiewicz, A. (2018). Clear Liquid Versus Low-fibre Diet in Bowel Cleansing for Colonoscopy in Children: A Randomized Trial. Journal of Pediatric Gastroenterology and Nutrition, 66(5), 720–724.
Parkin, D. M. (2001). Global cancer statistics in the year 2000. The Lancet. Oncology, 2(9), 533–543.
Parkin, D. M., Bray, F. I., & Devesa, S. S. (2001). Cancer burden in the year 2000. The global picture. European Journal of Cancer (Oxford, England: 1990), 37 Suppl 8, S4-66.
Pham, T.-M., Fujino, Y., Kikuchi, S., Tamakoshi, A., Matsuda, S., & Yoshimura, T. (2010). Dietary patterns and risk of stomach cancer mortality: the Japan collaborative cohort study. Annals of Epidemiology, 20(5), 356–363.
Pontone, S., Palma, R., Panetta, C., Eberspacher, C., Angelini, R., Pironi, D., … Pontone, P. (2018). Polyethylene glycol-based bowel preparation before colonoscopy for selected inpatients: A pilot study. Journal of Digestive Diseases, 19(1), 40–47.
Rex, D. K., McGowan, J., Cleveland, M. vB, & Di Palma, J. A. (2014). A randomized, controlled trial of oral sulfate solution plus polyethylene glycol as a bowel preparation for colonoscopy. Gastrointestinal Endoscopy, 80(3), 482–491.
Suwanrungruang, K., Wiangnon, S., Sriamporn, S., Sookprasert, A., Rangsrikajee, D., Kamsa-Ard, S., … Usantia, P. (2006). Trends in incidences of stomach and colorectal cancer in Khon Kaen, Thailand 1985-2004. Asian Pacific Journal of Cancer Prevention: APJCP, 7(4), 623–626.
Yang BH, Parkin DM, Cai L, Zhang ZF. Cancer burden and trends in the asian pacific RIM region. Ann Epidemiol 2004;14:596.
Van Lieshout, I., Munsterman, I. D., Eskes, A. M., Maaskant, J. M., & van der Hulst, R. (2017). Systematic review and meta-analysis: Sodium picosulphate with magnesium citrate as bowel preparation for colonoscopy. United European Gastroenterology Journal, 5(7), 917–943.
Vatanasapt, V., Martin, N., Sriplung, H., Chindavijak, K., Sontipong, S., Sriamporn, H., … Ferlay, J. (1995). Cancer incidence in Thailand, 1988-1991. Cancer Epidemiology, Biomarkers & Prevention: A Publication of the American Association for Cancer Research, Cosponsored by the American Society of Preventive Oncology, 4(5), 475–483.




How to Cite

Putthanachote, N., Srirugsar, A., & Sangsa, N. (2019). The Study Outcome of Colon Cleansing before Colonoscopy among Patients of Colorectal Cancer Screening Project. Journal of Vongchavalitkul University, 32(2), 19–29. Retrieved from



Research Articles