Study of the impact of one day versus three days of diet on bowel preparation quality before colonoscopy

2021 ◽  
Author(s):  
Paola Iovino
Keyword(s):  
Bowel Preparation ◽  
The Impact

scholarly journals The Impact of Patient Education Level on Split-Dose Colonoscopy Bowel Preparation for CRC Prevention

2021 ◽  
Author(s):  
Katherine Donovan ◽  
Nihita Manem ◽  
David Miller ◽  
Michael Yodice ◽  
Ghassan Kabbach ◽  
...  
Keyword(s):  
Patient Education ◽  
Bowel Preparation ◽  
Education Level ◽  
Split Dose ◽  
The Impact

scholarly journals Impact of simple, specific, verbal instructions on the quality of bowel preparation in hospitalized patients undergoing colonoscopy: a multicenter randomized controlled trial

2021 ◽  
Vol 09 (03) ◽  
pp. E378-E387
Author(s):  
Konstantinos Triantafyllou ◽  
Paraskevas Gkolfakis ◽  
Alexandros Skamnelos ◽  
Georgia Diamantopoulou ◽  
Athanasios Dagas ◽  
...  
Keyword(s):  
Bowel Preparation ◽  
Controlled Trial ◽  
Statistical Significance ◽  
Intervention Group ◽  
Standard Of Care ◽  
Hospitalized Patients ◽  
Verbal Instructions ◽  
Multicenter Randomized Controlled Trial ◽  
The Impact

Abstract Background and study aims Bowel preparation for colonoscopy is frequently inadequate in hospitalized patients. We explored the impact of specific verbal instructions on the quality of inpatients bowel preparation and factors associated with preparation failure. Patients and methods Randomized (1:1), two strata (mobilized vs. bedridden; 3:2) trial of consecutive inpatients from four tertiary centers, who received either specific, verbal instructions or the standard of care (SOC) ward instructions about bowel preparation. The rate of adequate bowel preparation (Boston Bowel Preparation Score [BBPS] ≥ 6, no segment < 2) comprised the primary endpoint. Mean BBPS score, good (BBPS score ≥ 7, no segment score < 2) and excellent (BBPS = 9) were among secondary endpoints. Results We randomized 300 inpatients (180 mobile) aged 71.7 ± 15.1 years in the intervention (49.7 %) and SOC (50.3 %) groups, respectively. Overall, more patients in the intervention group achieved adequate bowel preparation, but this difference did not reach statistical significance neither in the intention-to-treat [90/149 (60.4 %) vs. 82/151 (54.3 %); P = 0.29] nor in the per-protocol analysis [90/129 (69.8 %) vs. 82/132 (62.1 %); P = 0.19]. Overall BBPS score did not differ statistical significantly in the two groups, but the provision of specific verbal instructions was associated with significant higher rates of good (58.1 % vs. 43.2 %; P = 0.02) and excellent (31.8 % vs. 16.7 %; P = 0.004) bowel preparation compared to the SOC group. Administration of same-day bowel preparation and patient American Society of Anesthesiologists score > 2 were identified as risk factors for inadequate bowel preparation. Conclusions Provision of specific verbal instructions did not increase the rate of adequate bowel preparation in a population of mobilized and bedridden hospitalized patients.

Mo1274 The Impact of Opiate Pain Medications on the Quality of Bowel Preparation in Patients Undergoing Outpatient Colonoscopy

2012 ◽  
Vol 75 (4) ◽  
pp. AB372-AB373
Author(s):  
Vladimir M. Kushnir ◽  
Pavan Bhat ◽  
C. Prakash Gyawali ◽  
Gregory S. Sayuk
Keyword(s):  
Bowel Preparation ◽  
Pain Medications ◽  
The Impact

scholarly journals The Impact of Patient Education with a Smartphone Application on the Quality of Bowel Preparation for Screening Colonoscopy

2017 ◽  
Vol 50 (5) ◽  
pp. 479-485 ◽  
Author(s):  
JeongHyeon Cho ◽  
SeungHee Lee ◽  
Jung A Shin ◽  
Jeong Ho Kim ◽  
Hong Sub Lee
Keyword(s):  
Patient Education ◽  
Bowel Preparation ◽  
Smartphone Application ◽  
Screening Colonoscopy ◽  
The Impact

The Impact of Diet Liberalization on Bowel Preparation for Colonoscopy

2013 ◽  
Vol 108 ◽  
pp. S162 ◽  
Author(s):  
James Walter ◽  
Apurva Patel ◽  
Rebecca Matro ◽  
Rachael Grosso ◽  
Alexis Sharpe ◽  
...  
Keyword(s):  
Bowel Preparation ◽  
The Impact

Sa1061 In the Era of Split Dose Bowel Preparation, Does Volume Matter? The Impact of Low Volume Split Dose Preparation Versus Large Volume Split Dose Preparation on Boston Bowel Preparation Score (BBPS)

2016 ◽  
Vol 83 (5) ◽  
pp. AB221
Author(s):  
Hassan A. Siddiki ◽  
Francisco C. Ramirez ◽  
Douglas O. Faigel ◽  
Jonathan A. Leighton ◽  
Mohanad Al-Qaisi ◽  
...  
Keyword(s):  
Bowel Preparation ◽  
Large Volume ◽  
Split Dose ◽  
Low Volume ◽  
The Impact

scholarly journals Effect of an intensive patient educational programme on the quality of bowel preparation for colonoscopy: a single-blind randomised controlled trial

2020 ◽  
Vol 7 (1) ◽  
pp. e000376
Author(s):  
Sivakami Janahiraman ◽  
Chan Yen Tay ◽  
Jie Min Lee ◽  
Wen Ling Lim ◽  
Chun Hoe Khiew ◽  
...  
Keyword(s):  
Randomised Controlled Trial ◽  
Bowel Preparation ◽  
Controlled Trial ◽  
Tertiary Hospital ◽  
Educational Programme ◽  
Control Group ◽  
Randomised Controlled ◽  
The Impact ◽  
Experimental Group

ObjectivePreprocedural bowel preparation is necessary for optimal colonoscopy visualisation. However, it is challenging to achieve high-quality bowel preparation among patients scheduled for colonoscopy. This study aims to evaluate the impact of an intensive patient educational programme on the quality of bowel preparation.DesignAn accessor-blinded randomised controlled trial was carried out at the outpatient surgical clinic of a tertiary hospital. Patients were randomly assigned to the control group (received standard written and verbal instructions) or the experimental group (received an intensive and structured educational programme). All subjects completed a questionnaire before colonoscopy to assess their compliance, acceptability, and tolerability towards bowel preparation regime. Quality of bowel preparation was determined using the Boston Bowel Preparation Scale (BBPS).ResultsA total of 300 subjects who fulfilled the inclusion criteria were recruited. The experimental group had a significantly higher proportion of good quality bowel preparation than the control group (98.7% vs 52.3%, p<0.001). The median total BBPS score was also significantly higher in the experimental group (8 vs 5, p<0.001). Factors associated with good quality of bowel preparation included educational programme (OR: 22.79, 95% CI: 4.23 to 122.85, p<0.001), compliance to bowel cleansing agent (OR: 24.98, 95% CI 3.12 to 199.71, p<0.001), very difficult acceptability of preparation (OR: 0.11, 95% CI 0.03 to 0.38, p<0.001), tolerability towards bowel preparation (OR: 4.98, 95% CI 1.44 to 17.20, p<0.011) and hypomotility drugs (OR: 3.03, 95% CI 0.12 to 0.91, p<0.05).ConclusionAn intensive patient educational programme can significantly improve the quality of bowel preparation for colonoscopy.

Screening for Colorectal Cancer by Once Only Sigmoidoscopy: A Feasibility Study in Turin, Italy

1996 ◽  
Vol 3 (2) ◽  
pp. 72-78 ◽  
Author(s):  
Carlo Senore ◽  
Nereo Segnan ◽  
Francesco P Rossini ◽  
Roberto Ferraris ◽  
Mariella Cavallero ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Bowel Preparation ◽  
Telephone Interview ◽  
Response Rate ◽  
Endoscopic Screening ◽  
Men And Women ◽  
Personal Letter ◽  
The Impact ◽  
Postal Reminder ◽  
Trained Nurse

Objectives –To assess the impact on compliance of three invitation methods, as well as the acceptability and efficacy of two bowel preparation regimens, for endoscopic screening in the general population. Methods –1170 subjects (men and women aged 55 to 59, in the rosters of a sample of general practitioners (GPs) in Turin), were randomly allocated to one of three invitation groups (A: personal letter, signed by GP, with a pre-fixed appointment; B: same as for A + letter supporting the study by a well known scientist; C: letter signed by the study coordinator, NS) and two preparation regimens (i: one enema, self administered at home two hours before the test; ii: two enemas, administered the night before and two hours before the test). A postal reminder was mailed to non-attenders. A sample of non-responders was contacted for a telephone interview by a trained nurse. Written consent was obtained from all subjects undergoing the test. Results –A total of 278 subjects attended for sigmoidoscope screening. An invitation from the GP alone produced the highest response rate (compliance: A = 29.3%; B = 24.9%; C = 26.8%). A single enema was as effective as two enemas in achieving satisfactory preparation for the test: the proportion of subjects invited to repeat the test was 8.1% in the single enema group, and 9.6% in the group receiving two enemas. Conclusions –Compliance with this screening procedure tends to be low. One enema, self administered two hours before sigmoidoscopy, can ensure a satisfactory bowel preparation.

scholarly journals Recolonization and colonization resistance of the large bowel after three methods of preoperative preparation of the gastrointestinal tract for elective colorectal surgery

1986 ◽  
Vol 97 (1) ◽  
pp. 49-59 ◽  
Author(s):  
A. E. J. M. van den Bogaard ◽  
W. F. Weidema ◽  
C. P. A. van Boven ◽  
D. van der Waay
Keyword(s):  
Gastrointestinal Tract ◽  
Bowel Preparation ◽  
Large Bowel ◽  
Test Strain ◽  
High Dose ◽  
Colonization Resistance ◽  
Septic Complications ◽  
Elective Colorectal Surgery ◽  
E Coli ◽  
The Impact

SUMMARYThe impact of three current types of preoperative large bowel preparation on the microbial flora and the colonization resistance (CR) was investigated in 15 volunteers. In the first group a whole gut irrigation was performed without administration of antibiotics (group WGI). In the second group 0·5 g/1 metronidazole and 1 g/1 neomycin was added to the irrigation fluid (group WGI + AB). A whole gut irrigation with prior oral administration of 1 l mannitol 10% was performed in the third group. The antibiotic prophylaxis in this group consisted of two doses of 80 mg gentamiein i.v. and 500 mg metronidazole orally 24 h after lavage (group Mann + AB). One hour after the mechanical cleansing procedure was finished all volunteers were orally contaminated with one dose of anEscherichia colitest strain. The aerobic faccal reduction due to the cleansing procedure was 2–3 logs, while for the anaerobes it was 4–5 logs. The anaerobic flora in group WGI recovered within 24 h, while the aerobes showed a transient ‘overgrowth‘ for the period of 2 days. The overgrowth of aerobes in group WGI + AB was observed for more than a week and the total numbers of aerobes started gradually to decline after the anaerobic flora had reached pretreatment levels at day three or four. Despite the normal numbers of anaerobes present 24 h after treatment, overgrowth ofE. coliwas seen in the group Mann + AB, probably due to residual mannitol left in the intestinal tract. The test strain ofE. coliwas excreted for a period of 1 week by the volunteers in the groups WGI and Mann + AB, but it was isolated for more than 10 weeks in the group WGI + AB. It is thought that all three methods of preoperative large bowel preparation decreased the CR of the gastrointestinal tract because of a disturbance of the interaction between aerobic and anaerobic microorganisms and alterations of the colonic wall. The anaerobic microflora. however, appeared to be primarily responsible for the maintenance of the CR. Antimicrobial prophylaxis should consist of a high dose, short term. systemic antibiotic regimen, not only because an adequate serum level of an appropriate drug at the time of operation substantially decreases the incidence of postoperative septic complications but also because a systemic regimen scarcely influences the CR of the gastrointestinal tract. β-Aspartylglycine appeared to be a specific but not very sensitive marker for decreased CR.

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