Dersleri yüzünden oldukça stresli bir ruh haline sikiş hikayeleri bürünüp özel matematik dersinden önce rahatlayabilmek için amatör pornolar kendisini yatak odasına kapatan genç adam telefonundan porno resimleri açtığı porno filmini keyifle seyir ederek yatağını mobil porno okşar ruh dinlendirici olduğunu iddia ettikleri özel sex resim bir masaj salonunda çalışan genç masör hem sağlık hem de huzur sikiş için gelip masaj yaptıracak olan kadını gördüğünde porn nutku tutulur tüm gün boyu seksi lezbiyenleri sikiş dikizleyerek onları en savunmasız anlarında fotoğraflayan azılı erkek lavaboya geçerek fotoğraflara bakıp koca yarağını keyifle okşamaya başlar
Novel Colonoscopy Preparation Of Organic Coconut Water With Miralax And Dulcolax In Split Doses For Decompensated Cirrhotics: A Randomized Double Blinded Open Labelled Clinical Pilot Single Centered Observational Study. COSMIC Study | 29464
ISSN: 2161-069X

Journal of Gastrointestinal & Digestive System
Open Access

Like us on:

Our Group organises 3000+ Global Conferenceseries Events every year across USA, Europe & Asia with support from 1000 more scientific Societies and Publishes 700+ Open Access Journals which contains over 50000 eminent personalities, reputed scientists as editorial board members.

Open Access Journals gaining more Readers and Citations
700 Journals and 15,000,000 Readers Each Journal is getting 25,000+ Readers

This Readership is 10 times more when compared to other Subscription Journals (Source: Google Analytics)
Google Scholar citation report
Citations : 1499

Journal of Gastrointestinal & Digestive System received 1499 citations as per Google Scholar report

Journal of Gastrointestinal & Digestive System peer review process verified at publons
Indexed In
  • Index Copernicus
  • Google Scholar
  • Sherpa Romeo
  • Open J Gate
  • Genamics JournalSeek
  • China National Knowledge Infrastructure (CNKI)
  • Electronic Journals Library
  • RefSeek
  • Hamdard University
  • OCLC- WorldCat
  • SWB online catalog
  • Virtual Library of Biology (vifabio)
  • Publons
  • Geneva Foundation for Medical Education and Research
  • Euro Pub
Share This Page

Novel colonoscopy preparation of organic coconut water with miralax and dulcolax in split doses for decompensated cirrhotics: A randomized double blinded open labelled clinical pilot single centered observational study. COSMIC study

4th International Conference on Gastroenterology

Basu Patrick P1,3, Shah Niraj James2, Aloysius Mark M3 and Brown Jr. Robert S1

Posters-Accepted Abstracts: J Gastrointest Dig Syst

DOI: 10.4172/2161-069X.S1.026

Background: Screening colonoscopy is routine for patients been evaluated for OLT. Cirrhotics have small bowel and colonic dysmotility due to splenic vasodilatation and on-going low flow ischemia with functional constipation and dyselectrolytemia. During the past 40 years, trials comparing different bowel preparations have used a variety of bowel preparation scales (BPSs) to measure colon cleanliness for colonoscopy. Most aqueous colonoscopy preparations are poorly tolerated and this ultimately leads to poor compliance (approximately 34%) affecting diagnosis and morbidity. Green coconut water had been a main source for rehydration and sterile source of water replacement in the tropics for centuries. Aim: To evaluate the efficacy, safety and utility of coconut water as a vehicle for colon cleansing with Miralax for decompensated cirrhotics Methods: Sixty (n=60) patients aged 45-69 (MELD 16-20, with moderate ascites and MHE on Diuretics, Lactulose and Xifaxan) were recruited- Single center, one gastroenterologist, anesthesiologist, nurse and medical assistant. All were placed on total liquids of 1200 cc along with a semi solid diet: 2 grams sodium, 120 grams protein, 2300 cal/day, ice cream, 1 liter of natural coconut water with 8 oz of Miralax from 4:00 pm till 10:00 pm and 4 tablets of Dulcolax 5 mg each (at bed time). Total mean nocturnal bowel movements were 3-5 in am from 7:00 am till 10:00 am with Miralax 8 oz and 1 liter of coconut water. All diuretics were stopped 2 days prior to the initiation of the spilt doses of prep. Questionnaire was taken post prep in the morning and then again taken post procedure. Conclusions: This study postulates a novel organic coconut water preparation with Miralax compared to traditional preparation to be safe (lesser dyselectrolytemia), well tolerated with wide satisfactory score and greater retention. It has greater efficacy with no side events in special population (decompensated cirrhotics awaiting OLT) HistoScanning? has the potential to become a first line diagnostic test of triage test before biopsy as it is a rather simple, fully available, minimal invasive test that can be done and repeated in the urologists practice.