Does colonoscopy cause increased ulcerative colitis symptoms?

Menees, Stacy B.; Higgins, Peter; Korsnes, Sheryl J.; Elta, Grace H.

doi:10.1002/ibd.20049

Cited by 67 publications

(45 citation statements)

References 35 publications

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“…14,15 The high prevalence of prior performed colonoscopy in patients with CP/CPPS could be explained by colonoscopy itself, which may stimulate the pelvic floor resulting in pelvic floor muscle spasms.…”

Section: Discussionmentioning

confidence: 99%

Chronic prostatitis/chronic pelvic pain syndrome is associated with previous colonoscopy

Tsai

Lin

Lee

et al. 2017

CUAJ

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Introduction: This study aimed to examine the association between chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS) and receipt of a prior colonoscopic examination using a populationbased database. Methods: We used the Taiwan Longitudinal Health Insurance Database 2005 to retrieve the study sample. This study included 3933 patients with CP/CPPS and 3933 age-matched controls. We designated the date of receiving the first diagnosis of CP/CPPS as the index date for cases. We defined the first an ambulatory care visit occurring in the matched year as the index date for the controls. Conditional logistic regressions was used to calculate the odds ratio (OR) and 95% confidence interval (CI) for having previously received colonoscopy between cases and controls. Results: We found that 349 (4.44%) of the 7866 sampled patients had previously undergone colonoscopy, including 223 (5.67%) cases and 126 (3.20%) controls (p<0.001). A conditional logistic regression analysis revealed that the adjusted OR of receiving a colonoscopy within three years before the index date was 1.77 (95% CI 1.42-2.23) for cases compared to controls. Furthermore, we found that the youngest group of cases (<40 years) had the greatest adjusted OR for having received colonoscopy within three years before the index date compared to controls (OR 2.81; 95% CI 1.45-5.44); however, in contrast, no significant difference in the adjusted odds of having previously received colonoscopy was observed between cases and controls among the oldest age group (≥60 years). Conclusions: We concluded that there was an association between antecedent colonoscopy and CP/CPPS.

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Section: Discussionmentioning

confidence: 99%

Chronic prostatitis/chronic pelvic pain syndrome is associated with previous colonoscopy

Tsai

Lin

Lee

et al. 2017

CUAJ

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“…Some publications have found that IBD patients reported low satisfaction from the bowel preparation compared to other patients [89] . Moreover, some ulcerative colitis patients have reported flare symptoms after colonoscopy [90] . The reasons for these negative experiences are unknown, but bowel preparation could be a contributing factor.…”

Section: Inflammatory Bowel Diseasementioning

confidence: 99%

Achieving the best bowel preparation for colonoscopy

Parra‐Blanco¹,

Ruiz²,

Álvarez-Lobos³

et al. 2014

WJG

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Bowel preparation is a core issue in colonoscopy, as it is closely related to the quality of the procedure. Patients often find that bowel preparation is the most unpleasant part of the examination. It is widely accepted that the quality of cleansing must be excellent to facilitate detecting neoplastic lesions. In spite of its importance and potential implications, until recently, bowel preparation has not been the subject of much study. The most commonly used agents are high-volume polyethylene glycol (PEG) electrolyte solution and sodium phosphate. There has been some confusion, even in published meta-analyses, regarding which of the two agents provides better cleansing. It is clear now that both PEG and sodium phosphate are effective when administered with proper timing. Consequently, the timing of administration is recognized as one of the central factors to the quality of cleansing. The bowel preparation agent should be administered, at least in part, a few hours in advance of the colonoscopy. Several low volume agents are available, and either new or modified schedules with PEG that usually improve tolerance. Certain adjuvants can also be used to reduce the volume of PEG, or to improve the efficacy of other agents. Other factors apart from the choice of agent can improve the quality of bowel cleansing. For instance, the effect of diet before colonoscopy has not been completely clarified, but an exclusively liquid diet is probably not required, and a low-fiber diet may be preferable because it improves patient satisfaction and the quality of the procedure. Some patients, such as diabetics and persons with heart or kidney disease, require modified procedures and certain precautions. Bowel preparation for pediatric patients is also reviewed here. In such cases, PEG remains the most commonly used agent. As detecting neoplasia is not the main objective with these patients, less intensive preparation may suffice. Special considerations must be made for patients with inflammatory bowel disease, including safety and diagnostic issues, so that the most adequate agent is chosen. Identifying neoplasia is one of the main objectives of colonoscopy with these patients, and the target lesions are often almost invisible with white light endoscopy. Therefore excellent quality preparation is required to find these lesions and to apply advanced methods such as chromoendoscopy. Bowel preparation for patients with lower gastrointestinal bleeding represents a challenge, and the strategies available are also reviewed here. Core tip: Bowel preparation for colonoscopy is a central issue related to the quality of the procedure. There are different agents for bowel preparation that can be administered with different schedules. We review the most commonly used agents, as well as new agents and combinations. Moreover, certain considerations should be taken into account for special populations in order to improve safety, efficacy and tolerance. Regimens for bowel preparation in special situations are discussed, such as for pedi...

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“…There is evidence to suggest colonoscopy2 and bowel preparation3 may have caused the exacerbation of ulcerative colitis leading to toxic megacolon.…”

Section: Descriptionmentioning

confidence: 99%

Toxic colonoscopy—how investigating active inflammatory bowel disease can lead to the serious complication of toxic megacolon

et al. 2015

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Does colonoscopy cause increased ulcerative colitis symptoms?

Abstract: In our study, 1 in 8 subjects had UC relapse by SCCAI immediately postcolonoscopy, and 1 in 10 subjects required an increase in their 5-ASA medications. Clinicians should be cognizant of this effect of colonoscopy in patients with UC.

Cited by 67 publications

References 35 publications

Chronic prostatitis/chronic pelvic pain syndrome is associated with previous colonoscopy

Chronic prostatitis/chronic pelvic pain syndrome is associated with previous colonoscopy

Achieving the best bowel preparation for colonoscopy

Toxic colonoscopy—how investigating active inflammatory bowel disease can lead to the serious complication of toxic megacolon

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