• Pediatric Gastroenterology, Hepatology & Nutrition
• /
• v.24 no.2
• /
• pp.230-237
• /
• 2021

Functional constipation is common in the paediatric population all over the world. Effective disimpaction to evacuate the impacted faecal matter forms an essential initial step in the management of constipation. Though different regimens of polyethylene glycol 3350 with electrolytes (PEG+E) are accepted as the prime medication for disimpaction, response is not always satisfactory. A randomised prospective study was undertaken, in a tertiary paediatric Gastroenterology centre to find out the outcome of a 2-day disimpaction when a stimulant laxative sodium picosulphate was added to PEG3350+E (PEG+E+PS group) and comparing it with the outcome using PEG3350+E (PEG+E group) alone. Hundred and one children were randomised into two groups to receive PEG+E+PS and PEG+E. Results revealed that PEG+E+PS group proved significantly superior to PEG+E group in most of the efficacy-parameters in terms of disimpaction as well as long-term management of constipation. Though stimulant laxatives are being used for disimpaction, comparative data are lacking. This was the 1st such comparative study looking at the efficacy of these two processes of disimpaction along with long term effect on treatment.

• Clinical and Experimental Pediatrics
• /
• v.50 no.8
• /
• pp.752-756
• /
• 2007

Purpose : The aim of this study was to compare 2 laxatives, namely, polyethylene glycol 4000 without electrolytes and lactulose, evaluating the efficacy and safety for the treatment of constipation in children. Methods : Fifty-six children with chronic functional constipation were randomly assigned to receive polyethylene glycol 4000 (24 patients) or lactulose (32 patients). Patients or their parents reported defecation frequency, stool consistency, abdominal pain, stool incontinence and side effects after 1, 3, 6 and 12 months of treatment. Percentage of recovered patients were compared with each group. Results : Defecation frequency, abdominal pain and stool incontinence were improved in each group. At 12 months of follow up, 60% of patients treated with polyethylene glycol and 57.7% of patients treated with lactulose were considered as recovered. Conclusion : In this study, both polyethylene glycol and lactulose were equally effective and safe in the long-term treatment of constipation in children. There were no significant differences in recovery rates between 2 groups.

• Clinical and Experimental Pediatrics
• /
• v.46 no.11
• /
• pp.1089-1094
• /
• 2003

Purpose : Polyethylene glycol(PEG) with electrolytes has been used for intestinal clearance for colonoscopy and operations in children. But its efficacy and safety for disimpaction in children with chronic functional constipation has been studied little. Methods : This study enrolled 26 patients with chronic functional constipation(11 children had failed to disimpaction by conventional management at OPD) who were admitted to the Eul-Ji Hospital between May 2000 and July 2003. PEG with electrolytes was administered per oral and/or rectal enema. We observed the effects for disimpaction by measuring the frequency and consistency of stools, and by simple abdominal X-ray. We evaluated the safety by measuring serum electrolytes and osmolarity in three hours after PEG with electrolytes administration, and by observation of the clinical status of the patients. The protocol of PEG with electrolytes was a dose of 60-80 mL/kg within three hours per oral and/or of 15-25 mL/kg by rectal enema. Results : In all patients, simple abdominal X-ray films showed improvements of fecal impaction. Consistency and frequency of stool were improved in all patients except one. As for side effects, diarrhea developed in three patients(11.5% of all patients). Headaches developed in one patient(3.8% of all patients) but it improved without treatment. Serum electrolytes was checked in 16 patients after PEG with electrolytes management and mild hypernatremia(146 mmol/L) was checked in one patient. Serum osmolarity was checked in 11 patients after PEG with electrolytes management and was normal in all patients. Conclusion : PEG with electrolytes was effective and safe for disimpaction in children with chronic functional constipation, including patients who had failed in disimpaction by conventional management.

• Bulletin of the Korean Chemical Society
• /
• v.23 no.5
• /
• pp.683-687
• /
• 2002

We have investigated the effect of the number of ethylene oxide (EO) units inside poly(ethylene glycol)dimethacrylate (PEGDMA) on the ionic conductivity of its gelled polymer electrolyte, whose content ranges from 50 to 80 wt%. PEGDMA gelled polym er electrolytes, a crosslinked structure, were prepared using simple photo-induced radical polymerization by ultraviolet light. The effect of the number of EO on the ionic conductivity was clearly shown in samples of lower liquid electrolyte content. We have concluded that the ionic conductivity increased in proportion to both the number of EO units and the plasticizer content. We have also studied the electrochemical properties of 13PEGDMA (number of EO units is 13) gelled polymer electrolyte.

• Journal of Yeungnam Medical Science
• /
• v.32 no.1
• /
• pp.55-59
• /
• 2015

The widely used polyethylene glycol (PEG)-based solutions have been proven effective for bowel preparation when 4 L of the solution is administered before colonoscopy. However, large volumes of the solutions are generally poorly tolerated. A new PEG-based solution consisting of 2 L of PEG and a high dose of ascorbic acid has recently become available. Electrolyte abnormalities caused by PEG-based solutions have rarely been reported. We report on a case of acute severe hyponatremia with associated generalized tonic-clonic seizures after bowel preparation with a low-volume PEG plus ascorbic acid solution in a 74-year-old woman with no history of seizures. She took a beta blocker, an angiotensin-converting enzyme inhibitor, and glimepiride for hypertension and diabetes mellitus. She showed general weakness, nausea, agitation, muscle cramping, and seizures after ingestion of the PEG plus ascorbic acid solution. Her serum sodium level was 112 mEq/L. Her symptoms improved after intravenous administration of hypertonic saline. Physicians should pay attention to screening for electrolytes and development of neurological symptoms during bowel preparation.

• Archives of Pharmacal Research
• /
• v.7 no.1
• /
• pp.1-9
• /
• 1984

Polyethylene glycol 20, 000 and 6, 000 were found to have an upper consolute temperature, called "cloud point", and the effects of various additives on the polythylene glycols were investigated in this study. Electrolytes lowered the cloud point in proportion to their concentrations through dehydration and electrostriction. It was found that anions played a more important role than cations and the effects of both the cations and the anions clearly followed the classical Hofmeister series. However, the Schultze Hardy rule holds for the effect of anions, and fails for the effect of cations. Salts of large polarizable anions such as iodide and thiocynate rather raised the cloud point, and their effects were ascribed to the fact that they break the water structure and weaken hydrophobic bonding of the polyxyethylene moiety. Nitrates of polyvalent cations also raised the cloud point. This was ascribed to the complex formation between the polyvalent cations and ether oxygens of the polyoxyethylenes. This explained the failure 'of the Schultz-Hardy rule for cations. Uncharged aromatic compounds drastically lowered the clound point, while aliphatic alcohols slightly lowered the cloud point, This result suggests that there might be some interaction between ether oxygens and aromatic nucleus.c nucleus.

• Pediatric Gastroenterology, Hepatology & Nutrition
• /
• v.20 no.4
• /
• pp.244-251
• /
• 2017

Purpose: We evaluated the efficacy and safety of combined oral and enema therapy using polyethylene glycol (PEG) 3350 with electrolyte solution for disimpaction in hospitalized children. Methods: We retrospectively studied 28 children having functional constipation who received inpatient treatment between 2008 and 2016. The amount of oral PEG 3350 electrolyte solution administered was 50-70 mL/kg/d (PEG 3350, 3-4.1 g/kg/d), and an enema solution was administered 1-2 times a day as a single dose of 15-25 mL/kg (PEG 3350, 0.975-1.625 g/kg/d). A colon transit time (CTT) test based on the Metcalf protocol was performed in some patients. Results: Administration of oral and enema doses of PEG 3350 electrolyte solution showed $2.1{\pm}0.3$ times and $2.9{\pm}0.4$ times, respectively. After disimpaction, the frequency of defecation increased from $2.2{\pm}0.3$ per week to once a day ($1.1{\pm}0.1$ per day). The number of patients who complained of abdominal pain was reduced from 15 (53.6%) to 4 (14.3%). Before hospitalization, nine patients underwent a CTT test, and 5 of 9 patients (55.6%) were classified as belonging to a group showing abnormalities. And in some patients, mild adverse effects were noted. We examined electrolytes and osmolality before and after disimpaction in 16 of 28 patients, and no abnormalities were noted. Conclusion: In terms of therapeutic efficacy and safety, combined oral and enema therapy using high-dose PEG 3350 with electrolytes is considered superior to conventional oral monotherapy or combined oral and enema therapy on an outpatient basis.

• Membrane Journal
• /
• v.31 no.5
• /
• pp.333-342
• /
• 2021

A flexible electrochromic device (ECD) is a promising technology that is expected to be applied in various fields such as smart windows. Polymer electrolyte is an important component that determines the bleaching-coloration performance and physical stability of flexible ECDs. In this study, a pore-filled polymer electrolyte membrane (PFPEM) with excellent dimensional stability was developed to effectively fabricate flexible ECDs and improve durability. Polyvinyl acetate, which has excellent adhesion, and polyethylene glycol, which can improve ionic conductivity, were filled in the pores of a porous substrate made of polyethylene, which is inexpensive and has excellent physical and chemical stability. The optimal lithium salt (LiTFSI) content of the prepared PFPEM was determined at about 27 wt%, and it was confirmed to possess excellent dimensional stability, adhesive strength, and ion conductivity close to that of conventional polymer electrolytes. Although the visible light transmittance was lowered by the use of the porous substrate, it was expected to act as an advantage in the colored state.

• Pediatric Gastroenterology, Hepatology & Nutrition
• /
• v.12 no.sup1
• /
• pp.111-117
• /
• 2009

Constipation is one of the most common symptoms that a child visits pediatrician. The general approach to the child with functional constipation includes the following steps; disimpaction, maintenance and withdrawal of medication. There are many drugs which can be applied to children; osmotic agents (lactulose, sorbitol, magnesium hydroxide/citrate, polyethylene glycol with/without electrolytes, sodium phosphate, glycerin), stimulants (senna, bisacodyl, caster oil), lubricant (mineral oil), bulking agent (psyllium, cellulose, glucomannan). At each stage of treatment, one or some of these drug can be applied to the purpose. The author tries to summarize recent studies on drugs for constipation in child, and finally introduces new dugs for constipation which is under investigation.

• Journal of the Korean Chemical Society
• /
• v.12 no.1
• /
• pp.4-11
• /
• 1968

With the selected emulsifiers for the emulsion polymerization of methyl methacrylate, the HLB of the emulsifier in the reaction system has been studied on the effect of the ratio of tetra sodium-N-(1,2-dicarboxy ethyl)-N-octadecyl sulfosuccinamate(Aerosol 22) to polyethylene glycol nonyl phenyl ether (Noigen EA 160), and also sodium lauryl sulfate(Quolac EX-UB), Disodium-N-octadecyl sulfosuccinamate (Aerosol 18) and Aerosol 22 as emulsifiers having various hydrophilic groups in the molecules have been studied. Results are as follows; 1) The viscosity of the emulsions and the molecular weight of the polymers have maximum values at a constant HLB value of emulsifiers, but their stabilities show minimum point at the value with the titration with the three kinds of mono, bi, tri-valent electrolytes. These results are agreed on the theory of Greth & Wilson in which the properties of polymer emulsions depend upon the HLB system of emulsifiers. 2) The viscosity of the emulsions and the molecular weights of the produced polymers increase more in the case of blending of Aerosol 22 to Noigen EA-160 than of the separate using. 3) The coagulation effects of the divalent electrolytes($ex,\;Ca^{++},\;Zn^{++}$) are contrast to the effects of monovalent($ex,\;Na^+$) and trivalent($ex,\;Al^{+++}$) in the emulsions with Aerosol 18 or Aerosol 22 which have more than two hydrophilic groups. It seems that the stability of the O/W emulsions by electrolytes is directly related to the parameters of surface physical chemistry such as surface geometry of surface chemical constitution of polymer particles.