Consilium MedicumConsilium Medicum2075-17532542-2170Consilium Medicum9463810.26442/2075-1753_19.8.2.52-54Research ArticleApplication of the combination of polyethyleneglycol and symeticone preparations in the preparation for the route diagnostic and medical colonoscopyPyrkhA. Vdocavp@mail.ruIvinskayaO. Volgaivin@rambler.ruShirokovI. Ishirokov.ilia@mail.ruConsultative Diagnostic Center of the Ministry of Health of the Khabarovsk territory, “Vivea”Far Eastern State Medical University19082017198-2525428122021Copyright © 2017, Consilium Medicum2017Goal. The study of quality of preparation of the colon for diagnostic and therapeutic colonoscopy with a combination of drugs polyethylene glycol (Fortrans) 4 litres two-stage method (2+2) and antifoam SAB Simplex 10 ml with an individual approach to preparation of patients. Materials and methods. The study involved 53 patients. All patients prepared by drug Fortrans 4 litres two-stage method (2+2) with the addition of the last liter 10 ml of simethicone SAB Symplex (time drugs have to be specified individually based on the time of the study). Used video endoscopy system of the company Olimpus Exera II Exera III, the Boston rating scale of quality of preparation of the colon. Results. According to the analysis, 90.6% of patients considered the tolerability of the preparation of satisfactory or good and fully complies with guidelines for training. 26% of patients reported reducing or stopping unwanted effects after taking the last liter of Fortrans in combination with SAB Simplex. The rate of intubation of the dome of the cecum was 92.6%. In the course of the study and 52.8% of the revealed surface epithelial formations in different parts of the colon removed 18 entities. Conclusion. Patient compliance with recommendations for diet, two-step preparation with polyethylene glycol (Fortrans), individual approach in the appointment of preparation time depending on the time of the study, observance of the time interval between the end of preparation and the inspection of 3-5 hours, the indispensable use of antifoaming agent (SAB Simplex) provide high quality training to the studycolonoscopypreparing for colonoscopypreparations for oral cleaning of the colonSAB SimplexFortranssimethiconeколоноскопияподготовка к колоноскопиипрепараты для пероральной очистки толстой кишкиСаб СимплексФортранссиметикон[Иванова Е.В., Селезнев Д.Е., Осипова И.В., Федоров Е.Д. Опыт применения сокращенного объема полиэтиленгликоля (Фортранс) в комбинации с бисакодилом (Дульколакс) в подготовке толстой кишки к колоноскопии. Клин. эндоскопия. 2012; 1 (32): 2-8.][Кашин С.В. Современные аспекты выполнения колоноскопии с целью скрининга полипов и колоректального рака. Доказательная гастроэнтерология. 2012; 2: 89-99.][Веселов В.В., Никифоров П.А., Федоров Е.Д. и др. Клинические рекомендации «Подготовка пациентов к эндоскопическому исследованию толстой кишки». М., 2011; с. 40.][Кашин С.В., Завьялов Д.В., Надежин А.С. и др. Сравнительная оценка современных методик эндоскопического скрининга полипов и раннего рака толстой кишки в условиях эффективной подготовки кишечника Фортрансом. Клин. эндоскопия. 2010; 3 (25): 14-9.][Самедов Б.Х. Подготовка больных к инструментальным исследованиям кишечника и забрюшинного пространства: многолетний клинический опыт применения Фортранса. Клин. эндоскопия. 2009; 4 (21): 18-24.][Щербаков П.Л. К вопросу о подготовке кишечника при колоноскопии. Хирургия (Прил. к журн. Consilium Medicum). 2008; 10 (1).][Park J.J, Lee S.K, Jang J.Y. et al. The effectiveness of simethicone in improving visibility during colonoscopy. Hepatogastroenterology 2009; 56 (94-95): 1321-5.][Poddubny B, Kashin S, Mazurov S. et al. The efficacy, tolerability and safety of peg solution (fortrans) with simeticone vs conventional method of preparation before colonoscopy: a comparative, prospective, multicentre study. Endoscopy 2007; 39 (3, Suppl. 1): A 368.][Colderwood A.H, Jacobson B.C. Comprehensive validation of the Boston Bovel Preparation Scale. Gastrointest End 2010; 72 (4): 686-92.]