Agreement between the perception of colon cleansing reported by patients and colon cleansing assessed by a validated colon cleansing scale

Gimeno–García, Antonio Z.; Benítez-Zafra, Federica; Hernández, Anjara; Hernandez-Negrín, Domingo; Nicolás–Pérez, David; Hernández, Goretti; Baute-Dorta, José Luis; Cedrés, Yaiza; del-Castillo, Rocío; Mon, Jorge; Jiménez, Alejandro; Navarro-Dávila, Marco A.; Rodríguez-Hernández, Eduardo; Alarcón, Onofre; Romero, Rafael; Felipe, Vanessa; Segura, N. Alejandra; Hernández‐Guerra, Manuel

doi:10.1016/j.gastrohep.2023.02.009

Cited by 2 publications

(1 citation statement)

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“…Recently, the characteristics of the last rectal effluent during bowel preparation were shown to be a good predictor of bowel cleansing during a colonoscopy, and they have been proposed for guiding bowel preparation before an examination [45,46]. In one prospective study, 633 consecutive outpatients were asked to choose a drawing (from a set of four drawings resembling different cleansing qualities) that most resembled their last stool during the bowel preparation [46]. Overall, 107 patients (16.9%) had inadequate cleansing during their colonoscopies.…”

Section: Predictors Of Poor Bowel Cleansingmentioning

confidence: 99%

Colon Bowel Preparation in the Era of Artificial Intelligence: Is There Potential for Enhancing Colon Bowel Cleansing?

Gimeno-García,

Benítez-Zafra,

Nicolás-Pérez

et al. 2023

Medicina

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Background and Objectives: Proper bowel preparation is of paramount importance for enhancing adenoma detection rates and reducing postcolonoscopic colorectal cancer risk. Despite recommendations from gastroenterology societies regarding the optimal rates of successful bowel preparation, these guidelines are frequently unmet. Various approaches have been employed to enhance the rates of successful bowel preparation, yet the quality of cleansing remains suboptimal. Intensive bowel preparation techniques, supplementary administration of bowel solutions, and educational interventions aimed at improving patient adherence to instructions have been commonly utilized, particularly among patients at a high risk of inadequate bowel preparation. Expedited strategies conducted on the same day as the procedure have also been endorsed by scientific organizations. More recently, the utilization of artificial intelligence (AI) has emerged for the preprocedural detection of inadequate bowel preparation, holding the potential to guide the preparation process immediately preceding colonoscopy. This manuscript comprehensively reviews the current strategies employed to optimize bowel cleansing, with a specific focus on patients with elevated risks for inadequate bowel preparation. Additionally, the prospective role of AI in this context is thoroughly examined. Conclusions: While a majority of outpatients may achieve cleanliness with standard cleansing protocols, dealing with hard-to-prepare patients remains a challenge. Rescue strategies based on AI are promising, but such evidence remains limited. To ensure proper bowel cleansing, a combination of strategies should be performed.

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Section: Predictors Of Poor Bowel Cleansingmentioning

confidence: 99%