<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2444-6483</journal-id>
<journal-title><![CDATA[Endoscopia]]></journal-title>
<abbrev-journal-title><![CDATA[Endoscopia]]></abbrev-journal-title>
<issn>2444-6483</issn>
<publisher>
<publisher-name><![CDATA[Asociación Mexicana de Endoscopia Gastrointestinal A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2444-64832019000600274</article-id>
<article-id pub-id-type="doi">10.24875/end.m19000108</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Eficacia y seguridad de dos estrategias de preparación colónica en pacientes adultos. Estudio piloto, prospectivo, comparativo y aleatorizado]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Betancourt-Ferreyra]]></surname>
<given-names><![CDATA[Jessica Jazmin]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Herrera-Esquivel]]></surname>
<given-names><![CDATA[José de Jesús]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Delano-Alonso]]></surname>
<given-names><![CDATA[Roberto]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[González-Angulo Rocha]]></surname>
<given-names><![CDATA[Jaime Alberto]]></given-names>
</name>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Valenzuela-Salazar]]></surname>
<given-names><![CDATA[Carlos]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Bada-Yllán]]></surname>
<given-names><![CDATA[Orlando]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Vidal-Vázquez]]></surname>
<given-names><![CDATA[Patricia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Moreno-Portillo]]></surname>
<given-names><![CDATA[Mucio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital General Dr. Manuel Gea González Servicio de Endoscopia Gastrointestinal ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2019</year>
</pub-date>
<volume>31</volume>
<fpage>274</fpage>
<lpage>279</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S2444-64832019000600274&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S2444-64832019000600274&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S2444-64832019000600274&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción: El cáncer colorrectal es uno de los cánceres más prevalentes a nivel mundial tanto en hombres como en mujeres. La colonoscopia es el estudio más certero para la detección de neoplasias colorrectales, sin embargo, su precisión puede ser subóptima. La calidad de la preparación intestinal es crítica para garantizar el éxito del procedimiento. Una modalidad alterna que se ha utilizado es el régimen de dosis dividida que ha mostrado una mejoría en las escalas de preparación colónica y un probable aumento de la detección de adenomas. Algunos estudios muestran que uno de los factores más relevantes en la preparación del colon es la educación del paciente.  Objetivo: Determinar la eficacia del uso de régimen de preparación colónica de &#8220;dosis dividida&#8221; versus el régimen de &#8220;dosis única&#8221; en pacientes adultos a quienes se realice colonoscopia evaluado mediante la escala de Boston para preparación colónica.  Material y métodos: Para realizar este estudio piloto, prospectivo y aleatorizado se incluyeron pacientes del Hospital General &#8220;Dr. Manuel Gea González&#8221; que requirieron colonoscopia de manera programada desde mayo del 2019 con fecha límite de enero 2020, mayores de 18 años, cualquier sexo y la muestra total se calculó en 50 pacientes por grupo con asignación aleatoria. Para análisis de los grupos se usó estadística inferencial.  Resultados: Se han incluido 47 pacientes hasta el momento, 29 se incluyeron en el grupo de dosis única y 18 en el grupo de dosis dividida. No se encontraron diferencias estadísticamente significativas en las variables demográficas de la población. Se revisó el grado de adherencia a cada régimen, sin encontrar diferencia estadísticamente significativa. Al analizar los hallazgos endoscópicos, un 64.3% de los pacientes en el grupo de dosis única tuvieron algún tipo de lesión y en el grupo de dosis dividida un 63.2% no tuvieron lesión con una diferencia estadísticamente significativa (p=0.04). El diferimiento fue similar en ambos grupos y en ninguno de los dos grupos se reportaron eventos adversos. La probabilidad de encontrar lesiones con un Boston aceptable (&#8805;6) en pacientes de dosis única fue mayor, con una ORa de 3.03 (IC 95% 0.54 - 17.21), aunque sin diferencia estadísticamente significativa(p=0.21).  Conclusiones: Será necesario esperar los resultados finales del estudio piloto y de acuerdo con ello valorar hacer el estudio con un mayor número de pacientes ya que si se encontró una tendencia hacia mayor detección de lesiones con el régimen de dosis única, aunque por el tamaño de muestra incluido hasta el momento no es posible tener conclusiones definitivas.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction: Colorectal cancer is one of the most prevalent cancers worldwide in men as well as in women. Colonoscopy is the best study in order to detect colorectal neoplasms, however the precision of the study could turn out suboptimal. The quality of bowel preparation is critical in order to guarantee the success of the procedure. An alternative bowel preparation modality is the use of a split-dose regime, which has shown an improvement in the scales of bowel preparation and a probable increase in polyp detection. Some studies have shown that one of the most important factors in bowel preparation is the education of the patient.  Objective: To determine de effectiveness of the split-dose bowel preparation versus the single dose modality in adult patients undergoing a colonoscopy and which will be evaluated using the Boston Bowel Preparation Scale.  Materials and methods: In order to do this prospective and randomized pilot study we included patients from the Hospital General &#8220;Dr. Manuel Gea González&#8221; that had to undergo a colonoscopy from May 2019 with a deadline of January 2020, over the age of 18 years, any sex, calculating a total of 50 patients per group. Inferential statistical analysis was applied.  Results: A total of 47 patients have been recruited up until now, 29 of the are part of the single dose group and 18 are parte of the split-dose group. There was no significant statistical difference when comparing the demographic variables between both groups. The adherence to each regimen was similar in both groups. A total of 64.3% of the patients in the single dose group had lesions identified in comparison with de split dose group in which 63.2% of the patients had no lesions reported, with a significant statistical difference (p=0.04). Deferment was similar in both groups and no adverse events were reported in either group. The probability of finding a lesion with an acceptable Boston score (&gt;= 6) in patients in the single dose group was greater, with an OR of 3.03 (IC 95% 0.54- 17.21), although without significant statistical difference (p=0.21).  Conclusion: It will be necessary to wait for the final results of this pilot study and according to those results evaluate the need to perform a larger study due to the fact that we did find a tendency to detect a greater amount of lesions in the single dose group, but because of the size of the sample up until now we are unable to have definite conclusions.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Colonoscopia]]></kwd>
<kwd lng="es"><![CDATA[Boston]]></kwd>
<kwd lng="es"><![CDATA[Preparación colónica]]></kwd>
<kwd lng="es"><![CDATA[Pólipos]]></kwd>
<kwd lng="en"><![CDATA[Colonoscopy]]></kwd>
<kwd lng="en"><![CDATA[Boston]]></kwd>
<kwd lng="en"><![CDATA[Bowel preparation]]></kwd>
<kwd lng="en"><![CDATA[Polyps]]></kwd>
</kwd-group>
</article-meta>
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