Screening colonoscopy bowel preparation: experience in an urban minority population

Abstract

Methods: Suboptimal bowel preparation, present in over 20% of colonoscopies, can severely compromise the effectiveness of the colonoscopy procedure. We surveyed 93 primarily urban minority men and women who underwent asymptomatic 'screening' colonoscopy regarding their precolonoscopy bowel-preparation experience. Results: Print materials alone (39.8%) and in-person verbal instructions alone (35.5%) were reportedly the most common modes of instruction from the gastroenterologists. Liquidcontaining laxative (70.6%) was the most common laxative agent; a clear liquid diet (69.6%) the most common dietary restriction. Almost half of the participants mentioned 'getting the laxative down' as one of the hardest parts of the preparation; 40.9% mentioned dietary restrictions. The 24.7% who mentioned 'understanding the instructions' as one of the hardest parts were more likely to be non-US born and to have lower education and income. There was no relationship between difficulty in understanding instructions and mode of instruction or preparation protocol. One quarter suggested that a smaller volume and/or more palatable liquid would have made the preparation easier. Three quarters agreed that it would have been helpful to have someone to guide them through the preparation process. Conclusions: These findings suggest a variety of opportunities for both physician-and patientdirected educational interventions to promote higher rates of optimal colonoscopy bowel preparation.

Colorectal cancer in Jordan: prevention and care

“…Screening for cancer can reduce incidence of and/or death from cancer by detecting an early preclinical disease. Indeed, patients with colorectal cancer who are diagnosed through screening or at early stages have a better chance of surviving than those diagnosed after developing symptoms (7,19). Therefore, it is of critical importance to enhance public awareness about the importance of engagement in cancer screening practices in the absence of symptoms.…”

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Analysis of YouTube™ videos related to bowel preparation for colonoscopy

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Bowel Cleansing Protocol in Colonoscopy: Does It Affect Blood Thiamine Level?

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