The association among diet, dietary fiber, and bowel preparation at colonoscopy

Leszczynski, Anna M.; MacArthur, Kristin L.; Nelson, Kerrie P.; Schueler, Samuel A.; Quatromoni, Paula A.; Jacobson, Brian C.

doi:10.1016/j.gie.2018.06.034

Cited by 15 publications

(10 citation statements)

References 29 publications

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“…13 Also a recent observational study found that only the diet performed in the day prior to the colonoscopy had significant impact with the BBPS scores, when evaluating the diet in the 3 days before the colonoscopy, stating that multi-day dietary instructions can be confusing to patients and not adding significant value to the bowel preparation result. 16 A recent meta-analysis found no significant difference in the bowel preparation results with the use of an LFD or a clear-liquid-based diet in the day before colonoscopy; however, the tolerance and the willingness to repeat were significantly higher in the LFD cohorts. 10 At the current point we do not have an explanation for the failure of our intervention; however, both groups improved BBPS scores, within the recommended standards.…”

Section: Discussionmentioning

confidence: 99%

“…The same study also found a tendency towards the 1‐day LFD when evaluating satisfaction and difficulty following the protocol, assuming this as the most favourable in those particular aspects, although with no statistical significance 13 . Also a recent observational study found that only the diet performed in the day prior to the colonoscopy had significant impact with the BBPS scores, when evaluating the diet in the 3 days before the colonoscopy, stating that multi‐day dietary instructions can be confusing to patients and not adding significant value to the bowel preparation result 16 . A recent meta‐analysis found no significant difference in the bowel preparation results with the use of an LFD or a clear‐liquid–based diet in the day before colonoscopy; however, the tolerance and the willingness to repeat were significantly higher in the LFD cohorts 10 …”

Section: Discussionmentioning

confidence: 99%

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A 3‐day low‐fibre diet does not improve colonoscopy preparation results compared to a 1‐day diet: A randomized, single‐blind, controlled trial

et al. 2019

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Background Although a 1-day low-fibre diet before colonoscopy is currently recommended, some endoscopists prescribe a 3-day diet. Objective The objective of this study was to compare the influence of a 3-day versus a 1-day low-fibre diet on bowel preparation quality, patient tolerability and adherence. Methods Outpatients scheduled for total colonoscopy were randomized in two groups, 3-day versus 1-day low-fibre diet, performing a 4-litre polyethylene glycol split-dose. The primary outcome was a reduction of inappropriate preparations in the 3-day low-fibre diet arm from 15% to 5% (bowel preparation was assessed by the Boston Bowel Preparation Scale). Secondary outcomes were adherence to, difficulty to perform, difficulty to obtain and willingness to repeat the diet. Intention-to-treat (ITT) and per-protocol (PP) analyses were conducted for the primary outcome. Results A total of 412 patients were randomized (206 per group). Bowel preparation quality was similar between groups. On ITT analysis ( n = 412), adequate bowel preparation was 91.7% (3-day diet) versus 94.7% (1-day diet), p = 0.24 and on PP analysis ( n = 400) 93.5% versus 96.5%, respectively, p = 0.16. Difficulty to perform the diet was significantly higher on the 3-day diet, p = 0.04. No differences were found on difficulty to obtain the diet, willingness to repeat the diet, adverse events and intra-colonoscopy findings. Conclusion A 3-day low-fibre diet does not bring benefit to the bowel preparation quality and is harder to perform than a 1-day diet.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

A 3‐day low‐fibre diet does not improve colonoscopy preparation results compared to a 1‐day diet: A randomized, single‐blind, controlled trial

et al. 2019

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“…Similarly to this search for harmonization across the Atlantic, and anxious to base itself on a quantifiable scientific definition, it is proposed to no longer use the designation “low-residue” diet. To define fiber intake thresholds according to the level of restriction: “strict low-fiber” corresponds to intakes of 10 to 14 g/d of fiber; “low-fiber” corresponds to intakes of 15 to 20 g/d of fiber; A diet consisting of less than 10 g/d of fiber has no indication since it has not been proven to have a therapeutic or diagnostic benefit additional to that of a fiber intake between 10 and 14 g/d [ 132 , 139 ]. As a reminder, most countries recommend that healthy adults, as part of a balanced diet, consume 25 to 35 g/d of dietary fiber daily [ 134 ].…”

Section: Resultsmentioning

confidence: 99%

Guidelines on Standard and Therapeutic Diets for Adults in Hospitals by the French Association of Nutritionist Dieticians (AFDN) and the French Speaking Society of Clinical Nutrition and Metabolism (SFNCM)

et al. 2021

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Aim: Hospital food provision is subject to multiple constraints (meal production, organization, health safety, environmental respect) which influence the meal tray offered to the patient. Multiple diets can add complexity and contribute to non-consumption of the meal. To avoid undernutrition, it appeared necessary to propose guidelines for foods and diets in hospitals. Methods: These guidelines were developed using the Delphi method, as recommended by the HAS (French Health Authority), based on a formal consensus of experts and led by a group of practitioners and dieticians from the AFDN (French Association of Nutritionist Dieticians) and SFNCM (French Society of Clinical Nutrition and Metabolism). Results: Twenty-three recommendations were deemed appropriate and validated by a panel of 50 national experts, following three rounds of consultations, modifications and final strong agreement. These recommendations aim to define in adults: 1—harmonized vocabulary related to food and diets in hospitals; 2—quantitative and qualitative food propositions; 3—nutritional prescriptions; 4—diet patterns and patient adaptations; 5—streamlining of restrictions to reduce unnecessary diets and without scientific evidence; 6—emphasizing the place of an enriched and adapted diet for at-risk and malnourished patients. Conclusion: These guidelines will enable catering services and health-care teams to rationalize hospital food and therapeutic food prescriptions in order to focus on individual needs and tasty foods. All efforts should be made to create meals that follow these recommendations while promoting the taste quality of the dishes and their presentation such that the patient rediscovers the pleasure of eating in the hospital.

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“…In studies, the dietary factor is often omitted or usually considered a component of adherence to the bowel preparation instructions, or there is only a laxative evaluation without considering diets (8). Currently, the selection of diets and their durations, as well as the strategy of preparation, have been changing according to the preference of the physician and the need of the patient (9).…”

Section: Introductionmentioning

confidence: 99%

“…Currently, the selection of diets and their durations, as well as the strategy of preparation, have been changing according to the preference of the physician and the need of the patient (9). The clear liquid diet (CLD) and low-residue diet (LRD) are frequently prescribed diets in most bowel preparation schedules (8,9). In 2013, the European Society of Gastrointestinal Endoscopy recommended an LRD on the day preceding the colonoscopy with moderate quality evidence.…”

Section: Introductionmentioning

confidence: 99%

Can a 1-day clear liquid diet with a split -dose polyethylene glycol overcome conventional practice patterns during the preparation for screening colonoscopy?

Etık

Suna

Gündüz

et al. 2019

Turk J Gastroenterol

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Background/Aims: A successful screening colonoscopy is closely linked to the quality of a bowel preparation. In this study, we aimed to determine the impact of a 1-day clear liquid diet (CLD) compared to a 3-day combined diet (CMD) accompanied by a split-dose regimen of polyethylene glycol and electrolyte lavage solution (PEG-ELS) for screening colonoscopy. Materials and Methods: This was a prospective, randomized, endoscopist-blinded study. Patients referred for screening colonoscopy were randomized to four groups as a 1-day CLD+PEG-ELS vs. a 1-day CLD+sulfate free (SF)-PEG-ELS and a 3-day CMD+PEG-ELS vs. a 3-day CMD+SF-PEG-ELS. An assessment of the quality of colon cleaning, tolerability to the preparation, and symptoms related to the preparation were recorded. Results: A total of 506 patients were enrolled in this study. The quality of bowel preparation was significantly inferior in the CM-D+PEG-ELS group than CLD+PEG-ELS (p=0.004) and CMD+SF-PEG-ELS groups (p=0.007). There were no statistical differences among the groups in terms of the polyp detection rate. With respect to an easy rating of diet following and the consumption of laxative, there were no significant differences among the four groups. Gastric fullness and nausea/vomiting were pointed out much more, especially in the SF-PEG-ELS users (p=0.008 and p=0.004, respectively). Conclusion: A 1-day CLD was not inferior to a 3-day CMD for colonoscopy preparation in terms of bowel cleaning, the polyp detection rate, and patient tolerance.

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The association among diet, dietary fiber, and bowel preparation at colonoscopy

Cited by 15 publications

References 29 publications

A 3‐day low‐fibre diet does not improve colonoscopy preparation results compared to a 1‐day diet: A randomized, single‐blind, controlled trial

A 3‐day low‐fibre diet does not improve colonoscopy preparation results compared to a 1‐day diet: A randomized, single‐blind, controlled trial

Guidelines on Standard and Therapeutic Diets for Adults in Hospitals by the French Association of Nutritionist Dieticians (AFDN) and the French Speaking Society of Clinical Nutrition and Metabolism (SFNCM)

Can a 1-day clear liquid diet with a split -dose polyethylene glycol overcome conventional practice patterns during the preparation for screening colonoscopy?

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