<i>Piper guineense</i> (Schum and Thonn) Seed Extract Exhibits Efficient Bowel Cleansing Efficacy for Radiographic Imaging in Female Wistar rats

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Samuel A. Efanga
Emmanuel O. Esien-Umo
Affiong I. Ngaji
Samson O. Paulinus
Daniel U. Owu
Itoro Efanga
Akintunde O. Akintomide

Abstract

Radiographic imaging of the gastrointestinal tract for diagnostic screening procedures is dependent on efficient bowel cleansing. Dulcolax has been the choice agent for bowel cleansing though with some undesirable results. The aim was to study the propensity of Piper guineense seed extract to vigorously clean bowel loops in comparison with dulcolax for radiological procedures. Twenty female Wistar rats weighing 140 to 150 g were used for this study. Five rats each were allocated into four groups. Group 1 was the control group and had food and water, Group 2 was treated with 0.75 mg/kg dulcolax, Group 3 and 4 were treated with low dose (4 mg/kg) and high dose (6 mg/kg) of Piper guineense aqueous seed extract respectively. An oral acute toxicity test was conducted using the up-and-down method. Radiographic images were obtained and used to assess the bowel-cleansing suitability using the 4-point scale grading system. Mean bowel cleansing efficacy of Piper guineense in Group 4 was significantly higher than the mean bowel cleansing efficacy in Group 2 and Group 3 (p< 0.01). Three-quarters of Group 2 rats were observed to have dehydration and postural dizziness more than the other groups and the mean body weight loss recorded in Group 2 was significantly (p < 0.01) greater than the mean body weight loss in Group 3. The results of this study suggest that Piper guineense at 6 mg/kg has a high bowel cleansing efficacy with minimal side effects than dulcolax in female Wistar rats.

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<i>Piper guineense</i> (Schum and Thonn) Seed Extract Exhibits Efficient Bowel Cleansing Efficacy for Radiographic Imaging in Female Wistar rats. (2025). Tropical Journal of Natural Product Research , 9(10), 5138 – 5143. https://doi.org/10.26538/tjnpr/v9i10.59

References

1.Ahmad A, Marshall S, Bassett P, Thiruvilangam K, Dhillon A, Saunders BP. Evaluation of bowel preparation regimens for colonoscopy including a novel low volume regimen (Plenvu): CLEANSE study. BMJ Open Gastroenterol. 2023; 10(1): e001070. https://doi.org/10.1136/bmjgast-2022-001070

2.Liu FX, Wang L, Yan WJ, Zou LC, Cao YA, Lin XC. Cleansing efficacy and safety of bowel preparation protocol using sodium picosulfate/magnesium citrate considering subjective experiences: An observational study. World J Clin Cases. 2021; 9(15): 3586-3596. https://doi.org/10.12998/wjcc.v9.i15.3586

3.Ghazikhanlou Sani K, Jafari MR, Shams SA. A comparison of the efficacy, adverse effects, and patient compliance of the sena-graph®syrup and castor oil regimens for bowel preparation. Iran J Pharm Res. 2010 Spring; 9(2): 193-198.

4.Tangvoraphonkchai K, Manasirisuk W, Sawadpanich K, Suttichaimongkol T, Mairiang P. Lubiprostone plus polyethylene glycol electrolyte lavage solution (PEG-ELS) versus PEG-ELS for bowel preparation in chronic constipation: a randomized controlled trial. Sci Rep. 2023; 13(1): 16265. https://doi.org/10.1038/s41598-023-43598-6

5.Kesavelu D Sr. The efficacy and safety of combined senna and probiotic-based bowel preparation for colonoscopy in children. Cureus. 2020; 12(9): e10180. https://doi.org/10.7759/cureus.10180

6.Hung SY, Chen HC, Chen WT. A randomized trial comparing the bowel cleansing efficacy of sodium picosulfate/magnesium citrate and polyethylene glycol/bisacodyl (The Bowklean Study). Sci Rep. 2020; 10(1): 5604. https://doi.org/10.1038/s41598-020-62120-w

7. Alkan Ş, Kula Şahin S. Comparison of patients’ compliances, tolerances, and experiences of different colonoscopic bowel preparation agents: A prospective observational study. Turk J Colorectal Dis. 2023;33(3):64-71. https://doi.org/10.4274/tjcd.galenos.2023.2022-12-2.

8.Kim HG, Huh KC, Koo HS, Kim SE, Kim JO, Kim TI, Kim HS, Myung SJ, Park DI, Shin JE, Yang DH, Lee SH, Lee JS, Lee CK, Chang DK, Joo YE, Cha JM, Hong SP, Kim HJ. Sodium picosulfate with magnesium citrate (SPMC) plus laxative is a good alternative to conventional large volume polyethylene glycol in bowel preparation: A multicenter randomized single-blinded trial. Gut Liver. 2015; 9(4): 494-501. https://doi.org/10.5009/gnl14010.

9.Johnson DA, Barkun AN, Cohen LB, Dominitz JA, Kaltenbach T, Martel M, Robertson DJ, Boland CR, Giardello FM, Lieberman DA, Levin TR, Rex DK. US Multi-Society Task Force on Colorectal Cancer. Optimizing adequacy of bowel cleansing for colonoscopy: recommendations from the US multi-society task force on colorectal cancer. Gastroenterology. 2014; 147(4): 903-924. https://doi.org/10.1053/j.gastro.2014.07.002

10.Patel N, Kashyap S, Mori A. Bowel Preparation. 2023. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024.

11.Adams WJ, Meagher AP, Lubowski DZ, King DW. Bisacodyl reduces the volume of polyethylene glycol solution required for bowel preparation. Dis Colon Rectum. 1994; 37(3): 229-233; discussion 233-234. https://doi.org/10.1007/BF02048160

12.Besong EE, Balogun ME, Djobissie SF, Mbamalu OS, Obimma JN. A review of Piper guineense (African black pepper). Int. J. Pharm. Pharm. Res. 2016; 6(1): 368-384.

13.Achukwu NO, Ebede SO, Emenuga VN. Time kill assay evaluation of Piper guineense leaf and seed extracts against enteric pathogen. Trop. J. Nat Prod. Res. 2023; 7(12), 5684-5689. https://doi.org/10.26538 Tjnpr V7i12.47

14.Saba AB, Tomori OA. The contractile effect of ethanolic extract of West African black pepper (Piper guineense) on isolated guinea pig ileum. Pak. J. Nutr. 2007; 6(4): 366-369.

15.Ughegbu FO, Imo C, Ugbogu AE. Effect of aqueous extract of Piper guineense seeds on some liver enzymes, antioxidant enzymes and some hematological parameters in albino rats. Int. J. Plant Sci. Ecol. 2015; 1(4):167-171.

16.Alam N, Najnin H, Islam M, Shakya S, Khan IM, Zaidi R. (2021). Biochemical and histopathological analysis after sub-chronic administration of oxyresveratrol in Wistar rats. Drug Chem Toxicol. 2021; 46(1): 166-175. https://doi.org/10.1080/01480545.2021.2015243

17.Widjanarko SB, Wijayanti N, Sutrisno A. Laxative potential of the konjac flour (Amorphophallus muelleri Blume) in treatment of loperamide induced constipation on Sprague Dawley rats. Int. J. Med. Health Sci. 2013; 7(11): 729-733.

18.Bulmer F, Frances M. Bowel Preparation for Rectal and Colonic Investigation. Nurs Stand. 2000; 14(23): 32-35.

19.Roldán-Molina LF, Roldán-Delfino LM, León-Ramírez SM, Núñez-Cabarcas EE, Pérez-Useche HM, Restrepo-Peláez AJ, Saffón-Abad MA, Zuleta-Muñoz JE. Effectiveness and tolerability of three types of colonoscopy preparation products. Revista Colomb. de Gastroenterol. 2021; 36(3): 334-340. https://doi.org/10.22516/25007440.679

20.Oh SJ, Shin JY. Effectiveness of minimal bowel preparation with oral Bisacodyl before laparoscopic radical proctectomy: case-control comparison of Bisacodyl and Polyethylene Glycol as oral laxative agents. Int Surg. 2017; 102(1-2): 2-9. https://doi.org/10.9738/INTSURG-D-16-00008.1

21.Hung SY, Chen HC, Ke TW, Chen JH, Hsiao KH, Wang HM, Chiang HC, Chang SC, Chen YC, Hsieh MH, Tsai YY. Noninferiority clinical trial comparing the bowel cleansing efficacy of sodium phosphate tablets (Quiklean®) with a polyethylene glycol/bisacodyl kit. World J. Gastroenterol. 2021; 27(5): 428.

22.AlSamman MA, Leung S, Moustafa A, Abeid M, Baird GL, Shah SA. Adequacy rate of magnesium citrate bowel preparation in a large retrospective cohort. R I Med J (2013). 2022; 105(2): 46-50.

23.LoVecchio F, Curry SC, Bagnasco T. Butyrolactone-induced central nervous system depression after ingestion of RenewTrient, a dietary supplement. N Engl J Med. 1998; 339: 847-848.

24. Schep LJ, Knudsen K, Slaughter RJ, Vale JA, Megarbane B. The clinical toxicology of γ-hydroxybutyrate, γ-butyrolactone and 1,4-butanediol. Clin Toxicol (Phila). 2012; 50(6): 458-470.

25.Ma Q, Wang CZ, Sawadogo WR, Bian ZX, Yuan CS. Herbal medicines for constipation and phytochemical comparison of active components. Am. J. Chinese Med. 2022; 50(03): 723-732.

26.Kpomah E, Monday D, Kpomah B. GCMS analysis of leaves and seeds of Piper guineense shumach & thoon. Afri. Scientist. 2019; 20(3): 127-138.

27.Ogunmefun O, Akharaiyi F, Adegunle S, Ogunmefun O. Phytochemical and antimicrobial properties of Piper guineense (Shumach and Thonn) on selected human pathogens. J. Chem. Pharma. Res. 2020; 9: 180-186.

28.Ohemu TL, Bello HO, Datok T, Dafam DG. Piper guineense Schum. & Thonn. (Piperaceae)-a review of its pharmacognostic, phytochemical, ethnomedicinal and pharmacological properties. J. Pharm. Bioresources. 2024; 21(2): 42-50.