PWE-033 Comparison Of Patient Experience Of Colonoscopy And Ct Colonography In The English Bowel Cancer Screening Programme

Abstract

with 2 or more risk factors for poor bowel preparation. Data was analysed using SPSS. Results 1840 colonoscopies were carried out during the time period.. Total number analysed was 1704. Mean age was 61.7 years with a range of 16-94. 404 patients were pre assessed. Pre-assessment has significantly increased the quality of bowel preparation across all groups (OR = 1.605, p = 0.002). In groups 1 and 2 the odds of good quality bowel preparation was 80% and 72% higher respectively in patients who had been preassessed however these improvements were not statistically significant. Patients stratified into group 3 were 52% more likely to have good bowel preparation (p = 0.039) compared to those who were not pre-assessed. 88 patients had eGFR <60 ml/min. They had eGFR checked before and after administration of OBCA. There was a significant difference in the percentage change in eGFR between those patients that had Pre-assessment (Median = 7.7%) compared with those who did not (Median= -6.6%) (p = .006, Mann-Whitney). Conclusion Face-to-face pre-assessment improved the quality of bowel preparation for patients undergoing colonoscopy. It helps to minimise the risk of renal injury in patients with CKD. Those stratified to group 3 saw a significant improvement in the quality of their bowel preparation. We conclude pre-assessment is a prerequisite for patients who are at risk of poor bowel preparation and with significant co-morbidities. PWE-032 ENDOSCOPIC RESECTION OF LARGE COLORECTAL POLYPS IN A TERTIARY REFERRAL UNIT IS SAFE WITH A LOW RISK OF COMPLICATIONSA Haji*, K Adams. Colorectal Surgery, King's College Hospital, London, UK 10. 1136/gutjnl-2014-307263.292 Introduction Patients with large sessile colorectal polyps can be technically challenging to resect endoscopically and have been subject to colorectal resection in the United Kingdom. Our aims were to determine the safety and efficacy of endoscopic resection of large colorectal lesions at a tertiary referral unit. Methods A prospective observational study of all patients referred for endoscopic resection to a single endoscopist. Consecutive patients were included in the study from June 2010 to March 2013. All patients underwent magnification chromoendoscopy and NBI for polyp assessment under conscious sedation. ESD was undertaken for lesions that were LST -non granular, flat and pseudodepressed type and those with type Vi pit pattern. Piecemeal EMR was undertaken for the remainder of the lesions.All patients underwent colonoscopic surveillance at 3 and 12 months by the same endoscopist to check for recurrence at the scar. Results One hundred and fourteen patients underwent 134 endoscopic resections. There were 54 (47.4%) women and 60 (52.6%) men with a mean age of 71.2 (SD = 10.3 years). 120 lesions underwent EMR (89.6%) and 14 had enbloc resection with ESD (10.5%) with complete resection. The mean size of the lesions was 56 mm (SD 37.1mm). The median lesion size was 50mm (range 25-150 mm).Histological analyses revealed 8 hyperplastic lesions, 28 tubular adenoma...

Colorectal Cancer Screening—Who, How, and When?

“…Work on comfort during screening has been undertaken in the English BCSP, and colonoscopy and FS procedures have been largely well tolerated, with no or minimal pain reported in 64.3% and 79% cases, respectively, and severe pain reported in only 1.3% and 1%, respectively [ 72 , 81 ]. However, it should be noted that these comfort scores were recorded by the nursing staff, and there appeared to be a discrepancy between these scores and those reported by patients; in qualitative studies, over 25% of patients reported experiencing more discomfort than expected with both screening modalities [ 67 , 83 ].…”