PTH-050 What do Endoscopists do When no Cancer is Found on Gastroscopy Done Following an Upper Gastrointestinal two Week-Wait Referral with Weight Loss?

Abstract

PTH-049 Table 1 Bowel preparation Unsatisfactory Sub-optimal Satisfactory Conclusion 15% of procedures in our surveillance population have sub-optimal or un-satisfactory bowel preparation, making the interpretation of the clinical guidelines difficult.Patients who have sub-optimal or unsatisfactory preparation have a high proportion of further sub-optimal or unsatisfactory procedures. Endoscopy units should have a strategy for improving this.In patients with sub-optimal or unsatisfactory bowel preparation there is a significant reduction in overall polyp detection which is particularly marked in the right colon. This does not appear to be the case with larger polyps.In patients with sub-optimal or unsatisfactory preparation undergoing a complete colonoscopy, shorter surveillance intervals should be considered taking other patient related factors into account.