How to achieve a really clean caecum and other stories

BMJ 2013; 346 doi: http://dx.doi.org/10.1136/bmj.f1038 (Published 20 February 2013) Cite this as: BMJ 2013;346:f1038

One dose of loperamide to delay the passage of bile results in a cleaner caecum and more polyps being detected, compared with usual colon preparation. Patients received loperamide (n=98) or placebo (n=102) after gut lavage once the passage of liquid stool had stopped. The placebo group had more “dirty” caecums than the loperamide group (12.7% v 2%; P=0.004). Overall gut appearance was also judged “poor” more often in the placebo group than in the loperamide group (18.6% v 9.2%, P=0.05; Diseases of the Colon and Rectum 2013;56:120-5, doi:10.1097/DCR.0b013e3182707d27).

Students who binge drink are more likely than others to join the United States military. Responses of more than 14 000 high school students in their final year were sought in the 2008 Monitoring the Future survey. Results indicated that those students who intended to join the military after leaving school were significantly more likely to binge drink than were those with no intention to enlist. The association remained significant after controlling for sociodemographic and …

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