Personal instruction for patients before colonoscopies could improve bowel preparation quality and increase detection of colorectal adenomas

Abstract

Background:To analyze whether face-to-face education before colonoscopy improves the quality of bowel preparation and increases the detection of adenomas.Methods: A retrospective cross-sectional study of adult patients with colorectal polyps identified by colonoscopy as outpatients was performed. The patients underwent an added colonoscopy inpatient for resection of colorectal polyps. As outpatients, we gave the patients written bowel preparation instructions; however, when they were inpatients, we supplied face-to-face education. We analyzed the data from the two colonoscopies of the same group of patients out-and in-patients, including the quality of the intestinal preparation, the time to reach the ileocecal region, and the detection of adenomas.Results: A total of 260 patients {age 63 [56, 68] years old, male/female (169/91)} were retrospectively included in our study. Two hundred fifty-two patients with a total of 685 adenomas were detected, 94 patients with 179 adenomas overlooked in the first colonoscopy. The BBPS Score during inpatient was higher than that during outpatient, {9 [8, 9] vs. 7 [6, 9]}, P<0.05, the Bubble Score during inpatient was lower than that during outpatient [0 (0.00, 0.00) vs. 0 (0.00, 1.00)], P<0.05. The time to reach the ileocecal region during inpatient is shorter than that during outpatient {6 [5, 9] vs. 7.5 [5, 11] min}, P<0.05. Poor bowel preparation, flat adenoma morphology, and adenoma diameter lower than 5mm were related adenoma misdiagnoses, P<0.05.Conclusions: Face-to-face patient education can improve the quality of bowel preparation, then shorten the time to reach the ileocecal region, and increase detection of colorectal adenomas.

Clinical and Pathological Study of the Rectal Mucosa in Cases of Bleeding Per Rectum

“…They were monitored (e.g. pulse, blood pressure, oxygen saturation) for the duration of the procedure [9] .…”

Split doses versus whole dose bowel preparation using polyethylene glycol for colonoscopy: A multicentric prospective Lebanese randomized trial between 2021 and 2023

“…This improves compliance and ensures a successful colonoscopy by directly addressing the patient's expectations and the timetable for bowel preparation. 39 Ideally, when preparing for a colonoscopy, it is important to take into account patient variables such as past medical and surgical history, weight and compliance to the preparation.…”

“…Studies have shown that using this teaching strategy rather than just giving out pamphlets or handouts alone results in a more effective bowel preparation. This improves compliance and ensures a successful colonoscopy by directly addressing the patient's expectations and the timetable for bowel preparation 39 …”

“…This improves compliance and ensures a successful colonoscopy by directly addressing the patient's expectations and the timetable for bowel preparation. 39 …”