Please sign in to follow a disease.
A cleaner rectum, a safer surgery? trial pits enema against oral prep
NCT ID NCT05148494
First seen Aug 21, 2026 · Last updated Aug 21, 2026
Summary
This trial compares two standard bowel preparation methods—Fleet enema (given rectally) and Pico-Salax (taken orally)—to see which cleans the rectum better before transanal endoscopic surgery. The study includes adults undergoing this surgery at a single center, and measures cleanliness using a modified Ottawa Bowel Prep Scale. The goal is to find the most effective prep to improve visibility and precision during the procedure, potentially leading to safer and more efficient surgery.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Fleet enema (a liquid given rectally) versus Pico-Salax (an oral laxative solution)
- What this could lead to
- If one method proves better, it could standardize bowel prep for this surgery, potentially improving outcomes and reducing complications.
- What could go wrong
- This is a small, single-center trial, so results may not apply broadly. Both preps have side effects like cramping or discomfort, and the study doesn't measure long-term outcomes.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
-
Phase 4
Runs after approval, following long-term safety and how well the treatment works in everyday use.
- Participants
-
About 66 people
The number the study aims to enrol. It can still change while the study runs.
- Started
-
Mar 2022
- Expected to finish
-
Oct 2027
An estimate. End dates often move.
- Lead sponsor
-
Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
-
18 to 75 years
- Sex
-
Anyone
- Healthy volunteers
-
Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * undergoing transanal endoscopic surgery at the QEII Health Sciences Center in Halifax by one of the colorectal trained surgeons Exclusion Criteria: * chronic constipation not well controlled with diet or stool softening agents * previous pelvic radiation * inflammatory bowel disease * repeat transanal surgery for the same lesion * patient unable to self-administer enemas * patient unable to tolerate either of the 2 bowel preps due to medical reasons * age over 75 * clear diagnosis of congestive heart failure * daily use of Lasix or similar loop diuretic * chronic steroid use * Transanal Endoscopic Surgery combined with another surgical procedure
Get updates
Get notified about this study
Sign up to get updates when this study changes or when new studies for Colorectal neoplasms are added.
By submitting, you agree to our Terms of use
Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
-
The places running it
1 site. The list below names each one and where it is.
-
The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
-
A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
-
Victoria General Hospital
RECRUITINGHalifax, Nova Scotia, B3H 2Y9, Canada
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- An equity focused intervention to improve utilization of guideline concordant extended venous thromboembolism prophylaxis after major cancer surgery
- Propofol vs. inhaled anesthesia: which one spares your recovery?
- Can a Mini-Dose drug combo rescue Post-Surgery sleep for sleep apnea patients?
- Can a platform trial match the right drug combo to each tumor?
- Can a simple grip test predict joint replacement recovery?
- Can a scented spray soothe Post-Surgery throat pain and nausea?