Inpatient vs. outpatient bowel preparation for elective colorectal surgery

Lee, Edward C.; Roberts, Patricia L.; Taranto, Richard; Schoetz, David J.; Murray, John; Coller, John A.

doi:10.1007/bf02054048

Cited by 22 publications

(10 citation statements)

References 13 publications

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“…In addition there was a correlation between patients with a raised haemoglobin level and those experiencing headache. In a retrospective study, Lee et al 5 examined perioperative and postoperative¯uid requirements in patients undergoing inpatient versus outpatient bowel preparation. The inpatient group was given intra-venous¯uids overnight whereas the outpatient group commenced intravenous¯uids 1±2 h before surgery.…”

Section: Discussionmentioning

confidence: 99%

Randomized clinical trial of intravenous fluid replacement during bowel preparation for surgery

Sanders

Mercer

Saeb-Parsey

et al. 2001

Journal of British Surgery

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Section: Discussionmentioning

confidence: 99%

Randomized clinical trial of intravenous fluid replacement during bowel preparation for surgery

Sanders

Mercer

Saeb-Parsey

et al. 2001

Journal of British Surgery

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“…Inpatient status has been associated with poorer bowel preparation in several studies [65,67,76] , and this has been attributed to prolonged immobility and poor tolerance to purgatives due to co-morbid illness. Even in colonic surgery, an outpatient bowel preparation, as opposed to an in-patient preparation, has been shown to result in a better clinical outcome due increased co-morbidity in the latter [77] .…”

Section: Appointment Waiting Timementioning

confidence: 99%

Factors influencing quality of bowel preparation for colonoscopy

Romero

Mahadeva

2013

WJGE

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Recent technological advances in colonoscopy have led to improvements in both image enhancement and procedural performance. However, the utility of these technological advancements remain dependent on the quality of bowel preparation during colonoscopy. Poor bowel preparation has been shown to be associated with lower quality indicators of colonoscopy performance, such as reduced cecal intubation rates, increased patient discomfort and lower adenoma detection. The most popular bowel preparation regimes currently used are based on either Polyethylene glycol-electrolyte, a non-absorbable solution, or aqueous sodium phosphate, a lowvolume hyperosmotic solution. Statements from various international societies and several reviews have suggested that the efficacy of bowel preparation regimes based on both purgatives are similar, although patients' compliance with these regimes may differ somewhat. Many studies have now shown that factors other than the type of bowel preparation regime used, can influence the quality of bowel preparation among adult patients undergoing colonoscopy. These factors can be broadly categorized as either patient-related or procedure-related. Studies from both Asia and the West have identified patient-related factors such as an increased age, male gender, presence of co-morbidity and socioeconomic status of patients to be associated with poor bowel preparation among adults undergoing routine out-patient colonoscopy. Additionally, procedure-related factors such as adherence to bowel preparation instructions, timing of bowel purgative administration and appointment waiting times for colonoscopy are recognized to influence the quality of colon cleansing. Knowledge of these factors should aid clinicians in modifying bowel preparation regimes accordingly, such that the quality of colonoscopy performance and delivery of service to patients can be optimised.

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“…It is noteworthy that most of these studies analysed total length of stay rather than dividing stay into its preoperative and postoperative components or concentrating on postoperative stay. In recent years preoperative stay in elective colorectal surgery has been shortened and its variability reduced by preadmission work‐up and outpatient bowel preparation, with surgery on the day of admission 10 . As a result, postoperative stay, which is much less predictable and controllable, has become by far the greater component in total length of stay for most patients and there is an obvious need to understand its specific risk factors.…”

Section: Introductionmentioning

confidence: 99%