Factors influencing inpatient colonoscopy bowel preparation quality

Poola, Shiva; Jampala, Nannaya; Tumin, Dmitry; Ali, Eslam

doi:10.23736/s1121-421x.20.02657-4

Cited by 9 publications

(7 citation statements)

References 15 publications

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“…Heart disease and CRC were the only predictors strongly associated with poor bowel cleansing in a 2019 Spanish single-center, endoscopist-blinded RCT of 136 patients (OR = 3.37, 95%CI 1.34-8.46, P = 0.010; OR = 3.82, 95%CI 1.26-11.61, P = 0.018, respectively)[ 133 ]. In a 2020 study, Poola et al [ 134 ] discovered that 44% of 315 inpatients’ bowel preparation was fair/poor. Poor bowel preparation was associated with elderly people who had a history of congestive heart failure.…”

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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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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“…The definition of 'high quality' bowel preparation for colonoscopy remains variable and currently standardised criteria and assessment scales are not used in Australia [4]. There are numerous factors that affect quality of bowel preparation [5]. Increased age, medical comorbidities and previous pelvic and abdominal surgeries have been associated with lower rates of adequate bowel preparation and remain non-modifiable variables [5,6].…”

Section: Introductionmentioning

confidence: 99%

“…There are numerous factors that affect quality of bowel preparation [5]. Increased age, medical comorbidities and previous pelvic and abdominal surgeries have been associated with lower rates of adequate bowel preparation and remain non-modifiable variables [5,6]. A low residue diet in the days leading up to colonoscopy has been shown to increase compliance with bowel preparation solutions, improve quality of preparation and increase patient willingness for repeat colonoscopy when compared to a clear liquid diet and is a modifiable variable [7].…”

Section: Introductionmentioning

confidence: 99%

“…Pre-procedure recipe resources may improve quality of bowel preparation in patients undergoing colonoscopy. numerous factors that affect quality of bowel preparation [5]. Increased age, medical comorbidities and previous pelvic and abdominal surgeries have been associated with lower rates of adequate bowel preparation and remain non-modifiable variables [5,6].…”

Section: Introductionmentioning

confidence: 99%

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The Colonoscopy Cookbook: Analysis of effect of a recipe resource on quality and experience of bowel preparation in colonoscopy

et al. 2023

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Background High quality bowel preparation for a colonoscopy improves identification of early lesions in the large bowel, decreases procedure time and increases intervals between colonoscopies. Current recommendations advise a low residue diet in the days leading up to colonoscopy to improve quality of preparation. This study prepared and provided a recipe resource to patients undergoing colonoscopy and assessed the quality of bowel preparation and patient experience. Methods A ‘Colonoscopy Cookbook’ resource of recipes that comply with the pre-operative diet recommendations was created and added to routine pre-operative information given to patients undergoing elective colonoscopies at a regional Australian hospital over a 12-month period. Endoscopic reports were reviewed for each case and quality of bowel preparation was classified as ‘adequate’ or ‘inadequate’. Data collected was compared to a representative local cohort from 2019. Results Procedure reports from 96 patients who were provided with the resource were compared with 96 patients who were not. Adequate bowel preparation was nine times as likely when the resource was available (OR 8.54, 95%CI: 2.85 to 25.60, p<0.001) compared to when it was not. The patient experience was assessed using a post-procedure survey which demonstrated a positive experience in recipe preparation. Most patients would use the resource prior to future colonoscopies. Conclusion Further randomised controlled trials are required to validate this scoping review. Pre-procedure recipe resources may improve quality of bowel preparation in patients undergoing colonoscopy.

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“…Gastroenterology Nursing recommended interval) (Millien & Mansour, 2020;poola, Jampala, tumin, & Ali, 2020). In addition, inadequate bowel preparation may also lead to less willingness to repeat bowel preparation in the future (Kimpel, Bonnet, & Schlundt, 2022).…”

mentioning

confidence: 99%

A Systematic Review of Exercise Therapy for Bowel Preparation

Zhang

Chui

Hilmi

2023

Gastroenterology Nursing

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This systematic review aims to evaluate (1) the effectiveness of exercise therapy in bowel preparation for colonoscopy, and (2) the characteristics of exercise programs for bowel preparation. Systematic searches were done in PubMed, EMBASE, the Cochrane Library, Web of Science, and CINAHL from inception to November 2022. Randomized controlled trials and quasi-experimental studies assessing the efficacy of exercise during bowel preparation were included in this review. Two reviewers independently assessed the methodological quality using a modified Downs and Black checklist. A narrative synthesis was conducted. A total of five studies (1,109 participants) were included in this review. In all eligible studies, the characteristics of the exercise programs varied and included mainly two types of exercise (walking and yoga), various amount of exercise (3,000–10,000 steps or 0.5–1.9 hours), and two exercise timing (during and 1 hour after taking the laxative). Available evidence indicated that exercise therapy is effective in improving the quality of bowel preparation. However, there was insufficient high-quality evidence to conclude the effects on procedure-related indicators, adverse events, and willingness to repeat preparation. Exercise should be recommended as an important part of routine bowel preparation for patients undergoing colonoscopy to improve the quality of bowel preparation. More rigorous studies focusing on the effects on procedure-related indicators, adverse events, and willingness to repeat preparation are needed. To ensure the effectiveness and safety of the intervention, it is critical to establish a standard, well-structured exercise program for bowel preparation.

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Factors influencing inpatient colonoscopy bowel preparation quality

Cited by 9 publications

References 15 publications

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

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

The Colonoscopy Cookbook: Analysis of effect of a recipe resource on quality and experience of bowel preparation in colonoscopy

A Systematic Review of Exercise Therapy for Bowel Preparation

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