Copyright: ©Author(s) 2026.
World J Gastrointest Surg. Jun 27, 2026; 18(6): 119538
Published online Jun 27, 2026. doi: 10.4240/wjgs.119538
Published online Jun 27, 2026. doi: 10.4240/wjgs.119538
Table 1 Comparison of general information between the two groups of population
| Groups | 3 L PEG group (n = 81) | 3 L PEG + L group (n = 80) | P value |
| Age | 0.183 | ||
| < 70 years | 16 | 23 | |
| ≥ 70 years | 65 | 57 | |
| Gender | 0.820 | ||
| Male | 47 | 45 | |
| Female | 34 | 35 | |
| BMI | 0.238 | ||
| < 25 kg/m2 | 55 | 61 | |
| ≥ 25 kg/m2 | 26 | 19 | |
| Cigarette smoking | 20 | 13 | 0.185 |
| Alcohol drinking | 15 | 12 | 0.550 |
| Comorbidity | |||
| Diabetes mellitus | 21 | 30 | 0.115 |
| Hypertension | 41 | 42 | 0.811 |
| Coronary heart disease | 17 | 16 | 0.877 |
| Hyperlipemia | 21 | 18 | 0.612 |
| Indication for colonoscopy | 0.061 | ||
| Screening | 27 | 16 | |
| Post-polypectomy surveillance | 12 | 8 | |
| Diagnosis | 42 | 56 | |
| History of abdominal surgery | 19 | 21 | 0.682 |
| History of constipation | 9 | 16 | 0.120 |
| History of colonoscopy | 22 | 20 | 0.755 |
Table 2 Comparison of the Boston score between the two groups, mean ± SD
| Segment | 3 L PEG (n = 81) | Linaclotide + 3 L PEG (n = 80) | Difference between groups (95%CI) | P value |
| Right colon | 1.642 ± 0.577 | 1.938 ± 0.512 | 0.296 (0.126-0.465) | < 0.001 |
| Transverse colon | 1.938 ± 0.659 | 2.350 ± 0.618 | 0.412 (0.213-0.611) | < 0.001 |
| Left colon | 2.012 ± 0.581 | 2.513 ± 0.595 | 0.500 (0.317-0.683) | < 0.001 |
| Total BBPS | 5.593 ± 1.579 | 6.800 ± 1.444 | 1.207 (0.736-1.679) | < 0.001 |
| Adequate prep (%) | 58.025 | 86.250 | 28.230 (15.100-42.840) | < 0.001 |
Table 3 Comparison of polyp detection rates and adenoma detection rates between the two groups, n (%)
| Groups | 3 L PEG (n = 81) | Linaclotide + 3 L PEG (n = 80) | Difference between groups (95%CI) | P value |
| PDR | 50 (61.728) | 53 (66.250) | 4.522 (-10.690 to 20.040) | 0.550 |
| ADR | 33 (40.741) | 36 (45.000) | 4.259 (-11.380 to 20.170) | 0.585 |
Table 4 Comparison of polyp characters in patients with detected polyps between the two groups, mean ± SD
| Groups | 3 L PEG (n = 50) | Linaclotide + 3 L PEG (n = 53) | Difference between groups (95%CI) | P value |
| Number of polyps | 2.580 ± 1.808 | 2.528 ± 1.772 | -0.052 (-0.752 to 0.648) | 0.829 |
| Size of polyps | 1.034 ± 0.920 | 1.066 ± 0.864 | 0.032 (-0.317 to 0.381) | 0.723 |
| Number of adenoma | 1.620 ± 1.872 | 1.528 ± 1.612 | -0.092 (-0.774 to 0.590) | 0.988 |
Table 5 Comparison of adverse events between the two groups
| Rates of adverse events | 3 L PEG (n = 81) | Linaclotide + 3 L PEG (n = 80) | P value |
| Nausea | 16 | 13 | 0.563 |
| Vomiting | 6 | 4 | 0.760 |
| Abdominal pain | 7 | 5 | 0.781 |
| Abdominal bloating | 10 | 7 | 0.627 |
| Dizziness | 5 | 4 | 0.985 |
| Headache | 4 | 2 | 0.689 |
- Citation: Li WM, Wang XP, Li YX, Wang YD, Sun YJ, Li GD, Wu JQ. Efficacy of linaclotide with polyethylene glycol at high risk of inadequate bowel preparation: A randomized controlled trial. World J Gastrointest Surg 2026; 18(6): 119538
- URL: https://www.wjgnet.com/1948-9366/full/v18/i6/119538.htm
- DOI: https://dx.doi.org/10.4240/wjgs.119538