Effect and Tolerability of Same-Day Repeat Colonoscopy

Purpose/Aim of the study: The main purpose of the colonoscopy is screening for colorectal cancers and diagnosis of colorectal disease The cost-effectiveness of colonoscopy directly depend on the adequate bowel preparation. Inadequate colonoscopy is recommended to be re-scheduled within 1 year. Re-scheduling is an economic and patient burden. Thus instead of re-scheduling, another strategy may be attempted. The purpose of this study was to examine the usefulness and effect of the same day repeat colonoscopy after administration of an additional laxative dose. Materials and Methods: Patients with inadequate colonoscopy were enrolled in the study. The patients eligible for the enrollment were instructed to consume an additional laxative and scheduled in afternoon. The demographic data of the patient, the details of the index and repeat procedures were obtained by a questionnaire. Results: A total of 60 patients were enrolled in the study. The rate of adequate colonoscopy was 80%. Cecum intubation rate was 83.3%. There were no complications due to colonoscopy itself and additional laxatives. The polyp detection rate was 26.6%. The withdrawal time was 6.7 ± 1.34 min. Conclusion: The results of the present study showed that same day repeat colonoscopy with additional laxative dose can be a safe and effective method for repeat procedure of an inadequate colonoscopy. The patients tolerated and were satisfied with the same day protocol. Quality indicators of colonoscopy such as adenoma detection rate and cecum intubation rate were achieved. Same day bowel cleansing method may be considered as an alternative way rather than re-scheduling inadequate colonoscopy for a later time

Aromatic Plants: use and nutraceutical properties

In the last years it has progressively been observed a substantial increase in the use of aromatic herbs and essential oils. Mediterranean area represents a particular environment in which many constraint factors (high light, temperature, drought, salinity, air pollution, etc.) induce a wide range of secondary metabolites in plants. These compounds can be useful utilized by humans for different applications: antibiotics, antimycotic, animal nutrition, cosmetics, food additives, biorepellents, etc. This paper reviews the literature on recent agro-industrial applications of Mediterranean plant species and medicinal plants used for the treatment of infectious diseases. The review includes accounts of extracts, essential oils and other active principles isolated from plants that have been used by folk medicine as antimicrobial agents. The name and part of the studied plants, spectrum of activity, type of active compounds and methods used are discussed and their mechanisms of action as well