Objectives: The study aimed to compare the cleansing effect, compliance and adverse of polyethylene glycol 2L with castor oil and polyethylene glycol 4L on bowel preparation prior to colonoscopy in inpatients.Methods: Our study retrospectively analyzed the medical records and colonoscopy reports of inpatients (n=673) who underwent colonoscopy at the Affiliated Changzhou No.2 People’s Hospital of Nanjing Medical University, and the inpatients were divided into two groups according to different bowel preparation protocols. BBPS is used to assess the degree of bowel cleanliness before colonoscopy. We statistically analyzed and compared the degree of bowel cleansing between 2L-PEG-CaO and 4L-PEG group, as well as the compliance and adverse effects of the medication in both groups.Results: Among 673 patients undergoing colonoscopy, 330 were prescribed 4L-PEG and 343 2L-PEG-CAO. Both groups of inpatients were matched for baseline characteristics. In the 4L-PEG and 2L-PEG-CaO groups, adequate bowel preparation rate was 72.4% and 77.3% (P=0.148), BBPS scores was 6.79±1.51 and 7.03±1.71 (P=0.056), and adverse event rate was 68.2% and 30.0% (P<0.001), respectively.Conclusion: The 2L-PEG combined with castor oil is an effective and safe cleansing regimen for bowel preparation and is relatively inexpensive and suitable for wider use.
Aim
To evaluate the diagnostic accuracy of improved fluoroscopy-guided biopsies for indeterminate biliary strictures (IBDS).
Methods
A multi-center retrospective study was performed. Patients with IBDS who underwent digital single-operator cholangioscopy (DSOC) and improved fluoroscopy-guided biopsies procedures were included. The individual sensitivity, specificity, and accuracy were analyzed.
Results
A total of 67 patients were enrolled in this multi-center retrospective study. The DSOC and improved fluoroscopy-guided biopsies procedures were successfully performed in all cases (100%). The sensitivity, specificity, and accuracy values were 83.3%, 89.5%, and 85.1% for DSOC visual impression; 95.8%, 94.7%, and 95.5% for improved fluoroscopy-guided biopsies procedures, respectively. The sensitivity and accuracy of improved fluoroscopy-guided biopsies were significantly higher compared with DSOC visual impression. Four patients (6.0%, 4/67) occurred adverse events after the procedures.
Conclusions
Improved fluoroscopy-guided biopsies had a high diagnostic accuracy of IBDS diagnosis.
To evaluate the diagnostic accuracy of improved fluoroscopy-guided biopsies for indeterminate biliary strictures (IBDS). A multi-center retrospective study was performed. Patients with IBDS who underwent digital single-operator cholangioscopy (DSOC) and improved fluoroscopy-guided biopsies procedures were included. The individual sensitivity, specificity, and accuracy were analyzed. A total of 67 patients were enrolled in this multi-center retrospective study. The DSOC and improved fluoroscopy-guided biopsies procedures were successfully performed in all cases (100%). The sensitivity, specificity, and accuracy values were 83.3%, 89.5%, and 85.1% for DSOC visual impression; 95.8%, 94.7%, and 95.5% for improved fluoroscopy-guided biopsies procedures, respectively. The sensitivity and accuracy of improved fluoroscopy-guided biopsies were significantly higher compared with DSOC visual impression. Four patients (6.0%, 4/67) occurred adverse events after the procedures. Improved fluoroscopy-guided biopsies had a high diagnostic accuracy of IBDS diagnosis.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.