A descriptive investigation of the adequacy of bowel preparation prior to colonoscopy: protocol of a retrospective study
https://doi.org/10.4081/wpph.2023.9680
Accepted: 29 March 2023
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
Background: colonoscopy is the most widely used technique for examining the colorectal mucosa. The diagnostic accuracy and therapeutic reliability of the examination depend on many factors including the quality of colon cleansing and bowel preparation. The aim of the study is to determine the standard of bowel preparation in patients undergoing colonoscopy. Methods: an observational, retrospective, single-center study. Inpatients and outpatients undergoing colonoscopy at the Alessandria Hospital's SS Digestive Endoscopy between 1 January 2021 and 31 December 2021 will be eligible. The study will use, the Boston Bowel Preparation Scale to assess bowel preparation. Study data will be collected by reviewing medical records and entered into the online computerized platform “Electronic Data Capture”. Conclusions: assessing the quality of bowel preparations is crucial to monitoring and detecting any problems that will be later reflected in the outcome of the procedure and enables the practitioners involved to seek possible solutions.
Urban G, Tripathi P, Alkayali T, et al. Deep Learning Localizes and Identifies Polyps in Real Time With 96% Accuracy in Screening Colonoscopy. Gastroenterology. 2018;155:1069-78.e8. DOI: https://doi.org/10.1053/j.gastro.2018.06.037
Kim SY, Kim HS, Park HJ. Adverse events related to colonoscopy: Global trends and future challenges. World J Gastroenterol. 2019;25:190–204. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6337013/ DOI: https://doi.org/10.3748/wjg.v25.i2.190
Sharara AI, El Reda ZD, Harb AH, et al. The burden of bowel preparations in patients undergoing elective colonoscopy. United Eur Gastroenterol J. 2016;4:314–8. DOI: https://doi.org/10.1177/2050640615594550
Hassan C, Bretthauer M, Kaminski MF, et al. Bowel preparation for colonoscopy: European Society of Gastrointestinal Endoscopy (ESGE) guideline. Endoscopy. 2013;45:142–50. DOI: https://doi.org/10.1055/s-0032-1326186
Hassan C, East J, Radaelli F, et al. Bowel preparation for colonoscopy: European Society of Gastrointestinal Endoscopy (ESGE) Guideline - Update 2019. Endoscopy. 2019;51:775–94. DOI: https://doi.org/10.1055/a-0959-0505
Bechtold ML, Mir F, Puli SR, Nguyen DL. Optimizing bowel preparation for colonoscopy: a guide to enhance quality of visualization. Ann Gastroenterol Q Publ Hell Soc Gastroenterol. 2016;29:137. Available from: https://www.ncbi.nlm.nih.gov/labs/pmc/articles/PMC4805732/ DOI: https://doi.org/10.20524/aog.2016.0005
Sweetser S, Baron TH. Optimizing bowel cleansing for colonoscopy. Mayo Clin Proc. 2015;90:520–6. DOI: https://doi.org/10.1016/j.mayocp.2015.01.015
Ruiz-Rebollo ML, Alcaide-Suárez N, Burgueño-Gómez B, et al. Adenoma detection rate and cecal intubation rate: Quality indicators for colonoscopy. Gastroenterol Hepatol Engl Ed. 2019;42:253–5. Available from: https://www.elsevier.es/en-revista-gastroenterologia-hepatologia-english-edition--382-articulo-adenoma-detection-rate-cecal-intubation-S2444382419300756 DOI: https://doi.org/10.1016/j.gastre.2018.05.022
Kluge MA, Williams JL, Wu CK, et al. Inadequate Boston Bowel Preparation Scale scores predict the risk of missed neoplasia on the next colonoscopy. Gastrointest Endosc. 2018;87:744–51. DOI: https://doi.org/10.1016/j.gie.2017.06.012
Clark BT, Laine L. High-quality Bowel Preparation Is Required for Detection of Sessile Serrated Polyps. Clin Gastroenterol Hepatol Off Clin Pract J Am Gastroenterol Assoc. 2016;14:1155–62. DOI: https://doi.org/10.1016/j.cgh.2016.03.044
Parmar R, Martel M, Rostom A, Barkun AN. Validated Scales for Colon Cleansing: A Systematic Review. Am J Gastroenterol. 2016;111:197–204. DOI: https://doi.org/10.1038/ajg.2015.417
Mahmood S, Farooqui SM, Madhoun MF. Predictors of inadequate bowel preparation for colonoscopy: a systematic review and meta-analysis. Eur J Gastroenterol Hepatol. 2018;30:819–26. DOI: https://doi.org/10.1097/MEG.0000000000001175
D’Souza SM, Parekh PJ, Johnson DA. The Dirty Side of Colonoscopy: Predictors of Poor Bowel Preparation and Novel Approaches to Overcome the Shortcomings. Br J Gastroenterol. 2019;1. Available from: https://britishjournalofgastroenterology.com/the-dirty-side-of-colonoscopy-predictors-of-poor-bowel-preparation-and-novel-approaches-to-overcome-the-shortcomings DOI: https://doi.org/10.31488/bjg.1000103
Lai EJ, Calderwood AH, Doros G, et al. The Boston Bowel Preparation Scale: A valid and reliable instrument for colonoscopy-oriented research. Gastrointest Endosc. 2009;69:620. Available from: https://www.ncbi.nlm.nih.gov/labs/pmc/articles/PMC2763922/ DOI: https://doi.org/10.1016/j.gie.2008.05.057
Zhao S, Wang S, Pan P, et al. Magnitude, Risk Factors, and Factors Associated With Adenoma Miss Rate of Tandem Colonoscopy: A Systematic Review and Meta-analysis. Gastroenterology. 2019;156:1661-74.e11. Available from: https://www.sciencedirect.com/science/article/pii/S0016508519303609 DOI: https://doi.org/10.1053/j.gastro.2019.01.260
Martel M, Barkun AN, Menard C, et al. Split-Dose Preparations Are Superior to Day-Before Bowel Cleansing Regimens: A Meta-analysis. Gastroenterology. 2015;149:79–88. DOI: https://doi.org/10.1053/j.gastro.2015.04.004
Guo X, Yang Z, Zhao L, et al. Enhanced instructions improve the quality of bowel preparation for colonoscopy: a meta-analysis of randomized controlled trials. Gastrointest Endosc. 2017;85:90-7.e6. DOI: https://doi.org/10.1016/j.gie.2016.05.012
Horton N, Garber A, Hasson H, et al. Impact of Single- vs. Split-Dose Low-Volume Bowel Preparations on Bowel Movement Kinetics, Patient Inconvenience, and Polyp Detection: A Prospective Trial. Am J Gastroenterol. 2016;111:1330–7. DOI: https://doi.org/10.1038/ajg.2016.273
Lee DW, Koo JS, Kang S, et al. Association between bowel habits and quality of bowel preparation for colonoscopy. Medicine (Baltimore). 2017;96:e7319. DOI: https://doi.org/10.1097/MD.0000000000007319
Menees SB, Kim HM, Wren P, et al. Patient compliance and suboptimal bowel preparation with split-dose bowel regimen in average-risk screening colonoscopy. Gastrointest Endosc. 2014;79:811-20.e3. DOI: https://doi.org/10.1016/j.gie.2014.01.024
Nguyen DL, Wieland M. Risk factors predictive of poor quality preparation during average risk colonoscopy screening: the importance of health literacy. J Gastrointest Liver Dis JGLD. 2010;19:369–72.
Harrison NM, Hjelkrem MC. Bowel cleansing before colonoscopy: Balancing efficacy, safety, cost and patient tolerance. World J Gastrointest Endosc. 2016;8:4–12. DOI: https://doi.org/10.4253/wjge.v8.i1.4
Johnson DA, Barkun AN, Cohen LB, et al. Optimizing adequacy of bowel cleansing for colonoscopy: recommendations from the US multi-society task force on colorectal cancer. Gastroenterology. 2014;147:903–24. DOI: https://doi.org/10.1053/j.gastro.2014.07.002
Young LE, Sacks NC, Cyr PL, et al. Comparison of claims data on hospitalization rates and repeat procedures in patients receiving a bowel preparation prior to colonoscopy. SAGE Open Med. 2017;5:2050312117727999. DOI: https://doi.org/10.1177/2050312117727999
Copyright (c) 2023 Claudia Gota, Claudia Bina, Roberta Di Matteo, Denise Gatti, Simona Arcidiacono, Tatiana Bolgeo, Antonio Maconi
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
PAGEPress has chosen to apply the Creative Commons Attribution NonCommercial 4.0 International License (CC BY-NC 4.0) to all manuscripts to be published.
Downloads
Citations
