Impact of Obesity on Bowel Preparation for Colonoscopy

Borg, Brian B.; Gupta, Nitin; Zuckerman, Gary R.; Banerjee, Bhaskar; Gyawali, C. Prakash

doi:10.1016/j.cgh.2009.02.014

Cited by 135 publications

(126 citation statements)

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“…In most publications, randomized clinical trials investigated the quality of bowel cleansing using various preparations, but few studies were designed to identify factors associated with failure. Among recently published papers, we found observational studies [7][8][9][10]12,27,28 but no case-control studies, which makes our work original and relevant for clinical application. The gastroenterologists enrolled were representative of French gastroenterologists for the type of activity and sex ratio: 73% had a private practice while 27% had a public hospital-based practice, and these data are similar with those of the whole French gastroenterologist population according to a professional French database (CEGEDIM) including 3720 gastroenterologists.…”

Section: Discussionmentioning

confidence: 99%

Factors related to bowel cleansing failure before colonoscopy: Results of the PACOME study

et al. 2014

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Background: The factors associated with inadequate bowel cleansing leading to colonoscopy failure are not well known. Objective: We conducted a multicentre, prospective, observational case-control study in order to identify these factors. Methods: Investigators included one patient with colonoscopy failure due to inadequate bowel cleansing (failure group) and the following patient with complete colonoscopy (success group). Data related to demographics, medical history, and preparation were collected and compared. Factors associated with bowel cleansing failure were identified by multivariate logistical regression analysis. Results: A total of 101 gastroenterologists included 202 patients from 1 November 2009 to 15 January 2010. There was no difference between both groups with regards to baseline characteristics. In univariate analysis, factors significantly associated with bowel cleansing failure were vomiting during preparation (p ¼ 0.0007), incomplete intake of the preparation (p ¼ 0.002), and constipation (p ¼ 0.02). Type and timing of preparation were not significantly different between groups. In multivariate analysis, incomplete intake of the preparation (OR 4.5, 95% CI 1.2-17.3), constipation (OR 4.2, 95% CI 1.2-14.9), and treatment with neuroleptics or antidepressants (OR 9.9 (95% CI 1.4-71.0) were independent predictors of colonoscopy failure. Conclusions: Factors associated with bowel cleansing failure were incomplete intake of the preparation, constipation, and treatment with psychotropic drugs. Interventions to reduce poor colonoscopy preparations should be targeted at these at-risk patients.

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Section: Discussionmentioning

confidence: 99%

Factors related to bowel cleansing failure before colonoscopy: Results of the PACOME study

et al. 2014

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“…In previous studies, the reported predictors of inadequate colon preparation were male gender, inpatient status, and older age (Hassan et al, 2012, Borg et al, 2009, Chan et al, 2011, Chung et al, 2009, Lebwohl et al, 2010, Ness et al, 2001). In our study, incomplete cleansingagent ingestion and patient's unrecognization of vegetable avoidance were independently associated inadequate colonic preparation.…”

Section: Discussionmentioning

confidence: 96%

Incidence and Predictors of Inadequate Bowel Preparation before Elective Colonoscopy in Thai Patients

Bhanthumkomol

Siramolpiwat²,

Vilaichone³

2015

Asian Pacific Journal of Cancer Prevention

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Background: The incidence of inadequate bowel preparation before elective colonoscopy in this region has never been studied. Materials and Methods: The authors prospectively described the incidence and factors related to inadequate bowel preparation in Thammasat university hospital. Bowel preparation quality was accessed by using Aronchick scale. Factors associated with inadequate bowel preparation were also recorded. Results: Two hundred patients undergoing elective outpatient colonoscopy were enrolled. Inadequate and fair bowel preparation was documented in 9 and 43%, respectively. Factors associated with inadequate bowel preparation were incomplete cleansing agent ingestion (odds ratio 7.7; 95%CI 1.62-36.64) and patient's unrecognization of vegetable avoidance (odds ratio 3.26; 95%CI 1.14-9.28). Conclusions: Compared with previous reported, inadequate bowel preparation was seen less in our study, however, more patients with fair bowel preparation was documented. Further study aiming at investigating the type and amount of fiber contained in diet before elective colonoscopy should be commenced.

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“…Bunun nedenleri arasında işlem zamanı, hastaların kullanım talimatlarına uyumu, hastanede yatışı, kabızlık endikasyonu, erkek cinsiyet, inme öyküsü, obezite ve yetersiz barsak hazırlığının olduğu bildirilmiştir. (5,6) Biz bu çalışmada, kolonoskopi işlemi öncesi yetersiz kolon hazırlığını önleyebilmek için oral ve lavman yoluyla sağlanan kolon temizliğinin etkinliğinin ve hastaların uyumunun değerlen-dirilmesini amaçladık.…”

Section: Discussionunclassified

Elektif Kolonoskopi Öncesi Uygulanan Kolon Hazırlığı Talimatlarına Hastaların Uyumu; Anket Çalışması

Çakır¹,

Aslaner²,

Mayır³

et al. 2016

Kocatepe Tıp Dergisi

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ÖZAmaç: Kolorektal hastalıklarının tanı ve tedavisi için kolonoskopi işlemi öncesi barsak hazırlığının yeterli olması çok önemlidir. Biz bu çalışmada; kolonoskopi işlemi ön-cesinde oral ve lavman yoluyla sağlanan kolon temizliği-nin etkinliğini ve hastaların uyumunu değerlendirilmeyi amaçladık.Yöntemler: Çalışmaya kolonoskopi planlanan ve 250 ml Sennozit A-B ve kalsiyum tuzunu içeren solüsyon ve 210 ml sodyum hidrojen fosfat içerikli lavman ile barsak hazırlığı yapılan 400 hasta çalışmaya alındı. Kolonoskopi ön-cesinde kolonoskopi işlemine hazırlık ve işlem esnasında yaşamış olabilecekleri soruları içeren anket uygulandı. Kolonoskopi işlemi öncesinde hastaların kendilerinden demografik, klinik ve barsak hazırlığına yönelik 14 sorudan oluşan anketin doldurulması istendi. Anketin sonuç-ları değerlendirildi. 6±27.5cm (142-197), 76.8±9.7kg (47-152), 27.9±4.2 kg/m² (22-41) olarak bulundu. Kolon Anketi soruları ve sonuçlarından hastaların oral, rektal temizliğe ve diyete uyumlulukları sırasıyla %93.2, %90.5, ve %88.0 olarak bulundu. İşlemden bir gün öncesinde günlük alınan sıvı miktarı ise büyük bir çoğun-lukta 3litre ve üzeri olarak bulundu (%71.8). Hastaların kolon temizliği sırasında karşılaştıkları şikayet ve bulguların başında bulantı (%30.3), karın ağrısı ya da kramp (%15.5) ve şişkinlik (%12.8) gelmekteydi. Hastaların yaklaşık %45.5'i işlemin başarısız olması durumunda kolon temizliğinin zor olmasından ve de işlemin kendi zorluğu nedeniyle tekrar yaptırmayacağını bildirdi. Hastaların ço-ğunluğunun anestezi Skoru ASA I ve kolon temizliği iyi olarak değerlendirildi. BulgularSonuç: Kolon temizliği için, Sennozit A-B ve kalsiyum tuzunu içeren oral solüsyon ve 210 ml sodyum dihidrojen fosfat ve disodyum hidrojen fosfat içerikli rektal lavman güvenle kullanılabilir.Anahtar Kelimeler: Kolonoskopi, kolon hazırlığı, anket. ABSTRACTObjective: Enough bowel preparation prior to colonoscopy for the diagnosis and treatment of colorectal is very important. In this study; we aimed to assess the effectiveness of cleansing the colon provided through oral and enema prior to colonoscopy and the compliance of the patients.Material and Methods: 400 patients were enrolled to this study scheduled for a colonoscopy and bowel preparation made with 250 ml Sennozit A-B and calcium salt solution containing 210 ml of sodium hydrogen phosphate containing enema. A questionnaire containing questions will be administered during colonoscopy preparation and processing before the colonoscopy. Before the colonoscopy from patients themselves were asked to fill in the questionnaire consisting of 14 questions related to demographic, clinical data and bowel preparation. The results of the survey were evaluated.Results: A total of 400; 213 male and 187 female patients has a mean age of 48.6±12.3(18-80) years. Patients height, weight and body mass index were; 158. 6±27.5cm(142-197), 76.8±9.7kg(47-152), 27.9±4.2kg/m²(22-41), respectively. From questions from the survey patients compliance to oral, rectal cleansing and diet was found to be 93.2%, 90.5%, ...

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Impact of Obesity on Bowel Preparation for Colonoscopy

Cited by 135 publications

References 20 publications

Factors related to bowel cleansing failure before colonoscopy: Results of the PACOME study

Factors related to bowel cleansing failure before colonoscopy: Results of the PACOME study

Incidence and Predictors of Inadequate Bowel Preparation before Elective Colonoscopy in Thai Patients

Elektif Kolonoskopi Öncesi Uygulanan Kolon Hazırlığı Talimatlarına Hastaların Uyumu; Anket Çalışması

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