Assessing the Link Between Colonoscopy Preparation Quality and Diabetes Mellitus

Lankalapalli, Deepthi; Srivastava, Pranay; Kim, Martin; Subhani, Miral; Viswanathan, Prakash; Fogel, J.; Fan, Lu; Rizvon, Kaleem; Mustacchia, Paul

doi:10.14309/00000434-201610001-00253

Cited by 1 publication

(2 citation statements)

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“…Some of these studies were small and the results were mostly inconsistent. Four of these studies showed that hemoglobin A1C had no significant relationship with the quality of bowel preparation [ 10 - 13 ]. Body mass index also had no significant relationship with the quality of bowel preparation, according to 3 studies [ 12 - 14 ].…”

Section: Diabetes Mellitus (Dm) and Bowel Preparationmentioning

confidence: 99%

“…A retrospective study of 352 diabetic patients by Izzy et al showed that there was no significant relationship between the quality of preparation or adenoma detection and A1C levels [ 11 ]. Another retrospective study of 380 diabetic patients by Lankalapalli et al showed that glycemic control based on recent A1C level and mean blood glucose concentration had no significant effect on bowel preparation quality [ 13 ].…”

Section: Glycemic Controlmentioning

confidence: 99%

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Bowel preparation in diabetic patients undergoing colonoscopy

Agha

Alsayid

Brown

2021

aog

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Diabetes mellitus is a risk factor for poor bowel preparation in patients who undergo colonoscopy, because of their decreased intestinal transit and slow gastric emptying. This might lead to neoplastic or preneoplastic lesions being missed, longer procedural time, a higher risk of procedure-related adverse events, significant cost burden, patient dissatisfaction, and the need for a repeat colonoscopy. Multiple strategies have been suggested to improve bowel preparation in these patients. Proposed pharmacologic strategies include adding magnesium citrate, bisacodyl, lubiprostone or pyridostigmine. Non-pharmacologic strategies include preferential procedure scheduling or using a diabetes-specific preparation protocol. In this article, we present a comprehensive review of the literature and provide specific recommendations to general practitioners and gastroenterologists for improving bowel preparation in patients with diabetes.

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