Effect and Tolerability of Same-Day Repeat Colonoscopy

Akgül, Gökhan; Yeniova, Abdullah Özgür; Özsoy, Zeki; Yenidoğan, Erdinç; Kefeli, Ayşe; Dasiran, Fatih; Daldal, Emin; Akbaş, Ahmet; Okan, İsmail

doi:10.1080/08941939.2018.1513611

Cited by 6 publications

(4 citation statements)

References 21 publications

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“…In a single-center prospective nonrandomized study, 87 patients with inadequate preparation after an initial 4 L PEG received either an additional 2 L PEG on the same day or a 4 L PEG plus bisacodyl 1 week later after 3 days of a low residue diet, with no difference found between the two regimens [183]. In an observational study, 60 patients with inadequate preparation received a same-day repeat colonoscopy after receiving an additional laxative of 250 mL of senna alkaloids with 1.5 L of water [184]; the repeat colonoscopy reached the cecum in 83 % of patients.…”

Section: Management Of Inadequate Bowel Preparationmentioning

confidence: 99%

Bowel preparation for colonoscopy: European Society of Gastrointestinal Endoscopy (ESGE) Guideline – Update 2019

et al. 2019

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Main RecommendationsESGE recommends a low fiber diet on the day preceding colonoscopy.Strong recommendation, moderate quality evidence.ESGE recommends the use of enhanced instructions for bowel preparation.Strong recommendation, moderate quality evidence.ESGE suggests adding oral simethicone to bowel preparation.Weak recommendation, moderate quality evidence.ESGE recommends split-dose bowel preparation for elective colonoscopy.Strong recommendation, high quality evidence.ESGE recommends, for patients undergoing afternoon colonoscopy, a same-day bowel preparation as an acceptable alternative to split dosing.Strong recommendation, high quality evidence.ESGE recommends to start the last dose of bowel preparation within 5 hours of colonoscopy, and to complete it at least 2 hours before the beginning of the procedure.Strong recommendation, moderate quality evidence.ESGE recommends the use of high volume or low volume PEG-based regimens as well as that of non-PEG-based agents that have been clinically validated for routine bowel preparation. In patients at risk for hydroelectrolyte disturbances, the choice of laxative should be individualized.Strong recommendation, moderate quality evidence.

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Section: Management Of Inadequate Bowel Preparationmentioning

confidence: 99%

Bowel preparation for colonoscopy: European Society of Gastrointestinal Endoscopy (ESGE) Guideline – Update 2019

et al. 2019

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“…A 2017 Spanish randomized trial demonstrated the superiority of a high-volume PEG-based regimen over a low-volume PEG-based regimen when combined with an intensive preparation regimen[ 150 ]. In a 2018 observational study, 60 Turkish patients who had received inadequate preparation underwent a same-day repeat colonoscopy after receiving an additional laxative of 250 mL senna alkaloids with 1.5-L water, and 83% of patients had the repeat colonoscopy reach the cecum[ 151 ].…”

Section: Specific Clinical Settingsmentioning

confidence: 99%

Factors affecting the quality of bowel preparation for colonoscopy in hard-to-prepare patients: Evidence from the literature

Shahini¹,

Sinagra²,

Vitello³

et al. 2023

World J Gastroenterol

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Adequate bowel cleansing is critical for a high-quality colonoscopy because it affects diagnostic accuracy and adenoma detection. Nevertheless, almost a quarter of procedures are still carried out with suboptimal preparation, resulting in longer procedure times, higher risk of complications, and higher likelihood of missing lesions. Current guidelines recommend high-volume or low-volume polyethylene glycol (PEG)/non-PEG-based split-dose regimens. In patients who have had insufficient bowel cleansing, the colonoscopy should be repeated the same day or the next day with additional bowel cleansing as a salvage option. A strategy that includes a prolonged low-fiber diet, a split preparation regimen, and a colonoscopy within 5 h of the end of preparation may increase cleansing success rates in the elderly. Furthermore, even though no specific product is specifically recommended in the other cases for difficult-to-prepare patients, clinical evidence suggests that 1-L PEG plus ascorbic acid preparation are associated with higher cleansing success in hospitalized and inflammatory bowel disease patients. Patients with severe renal insufficiency (creatinine clearance < 30 mL/min) should be prepared with isotonic high volume PEG solutions. Few data on cirrhotic patients are currently available, and no trials have been conducted in this population. An accurate characterization of procedural and patient variables may lead to a more personalized approach to bowel preparation, especially in patients undergoing resection of left colon lesions, where intestinal preparation has a poor outcome. The purpose of this review was to summarize the evidence on the risk factors influencing the quality of bowel cleansing in difficult-to-prepare patients, as well as strategies to improve colonoscopy preparation in these patients.

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“…Similar to this, in a prospective study, it was reported that it would be a safe and effective procedure if the colonoscopy that failed due to insufficient bowel cleansing was repeated in the afternoon with an additional laxative dose. [12] In another retrospective study, patients who underwent repeated colonoscopy after insufficient cleaning were examined in two groups as the next day and the other days, but there was no difference between the two groups. [13] A major problem with repeated colonoscopies was that patients did not come to the colonoscopy appointment.…”

Section: Discussionmentioning

confidence: 99%

Repeated colonoscopy results after an unsuccessful procedure due to inadequate bowel cleansing

Yıldırım¹

2021

Laparosc Endosc Surg Sci

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Introduction:The aim of this study is to evaluate repeated colonoscopy results after a failed procedure due to inadequate bowel cleansing. Materials and Methods:Patients who underwent colonoscopy between the dates of January 2014 and December 2019 were included in the study. Patients' distance from the hospital, appointment times, repeated colonoscopy times, demographic data, and predictive factors were evaluated.Results: There were 522 (5.1%) patients who had failed procedure due to insufficient bowel cleansing among the 10,420 colonoscopy procedures. Failure rates were increased in each repeated colonoscopies (21.8%, 25%, and 33.3%). In repeated second colonoscopy, if the procedure was on the same day and the next day, it was associated with a high success rate (odds ratio [OR]=3.

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Effect and Tolerability of Same-Day Repeat Colonoscopy

Cited by 6 publications

References 21 publications

Bowel preparation for colonoscopy: European Society of Gastrointestinal Endoscopy (ESGE) Guideline – Update 2019

Bowel preparation for colonoscopy: European Society of Gastrointestinal Endoscopy (ESGE) Guideline – Update 2019

Factors affecting the quality of bowel preparation for colonoscopy in hard-to-prepare patients: Evidence from the literature

Repeated colonoscopy results after an unsuccessful procedure due to inadequate bowel cleansing

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