Low-Fibre Diet as an Option for Bowel Preparation Prior to Colonoscopy: A Randomised Controlled Clinical Trial
Introduction: Bowel preparation for colonoscopy plays an important role in the evaluation of the colon. Many methods for preparing the colon for colonoscopy do not work well. Aim: To use a low-fibre diet as a standard and applicable method for bowel preparation in performing colonoscopy and inc...
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
JCDR Research and Publications Private Limited
2021-06-01
|
| Series: | Journal of Clinical and Diagnostic Research |
| Subjects: | |
| Online Access: | https://www.jcdr.net/articles/PDF/15004/45476_CE[Ra1]_F[IK]_PF1(AB_SL)_PFA(AB_KM)_PN(KM).pdf |
| _version_ | 1818914982399574016 |
|---|---|
| author | Hossein Maghsoudi Seyed Saeid Mohammady Bonahi Sadra Samavarchi Tehrani Mahmood Maniati Mohammad Saeed Maniati Hassan Taheri Shahryar Savadkouhi Durdi Qujeq |
| author_facet | Hossein Maghsoudi Seyed Saeid Mohammady Bonahi Sadra Samavarchi Tehrani Mahmood Maniati Mohammad Saeed Maniati Hassan Taheri Shahryar Savadkouhi Durdi Qujeq |
| author_sort | Hossein Maghsoudi |
| collection | DOAJ |
| description | Introduction: Bowel preparation for colonoscopy plays an
important role in the evaluation of the colon. Many methods for
preparing the colon for colonoscopy do not work well.
Aim: To use a low-fibre diet as a standard and applicable
method for bowel preparation in performing colonoscopy and
increasing patients’ adherence to colonoscopy.
Materials and Methods: Clinical control trial design was
used to compare bowel preparation in people receiving a
low-fibre diet with those who did not receive food {Nil Per
Os (NPO)} for bowel preparation. The participants included
477 patients who were randomly divided into two groups
including 223 patients having a low-fibre diet (for dinner)
and 254 patients having nothing for dinner (NPO). Data
were recorded including age, sex, weight, height, level of
education, bowel preparation score, colonoscopy diagnosis
and sedative dose. Both groups were given a solution
of 3 L of ethylene glycol and 60 mg of bisacodyl at three
occasions: 3 pm and 7 pm the day before colonoscopy and 6
am on the colonoscopy day. Scoring criteria for colonoscopy
preparation included excellent (clean and free of any liquids),
very good (clean with clear fluid, underlying mucus visible in
clear fluid), good (clean with dirty liquid), poor (with particles
including stools, but can be assessed at 80% mucus), and
very poor (containing stool particles, and mucosal evaluation
below 80%, colonoscopy was cancelled in this group). The
data were analysed by SPSS version 21.0 using Chi-square
and Independent Samples Test.
Results: About 82.1% of patients who consumed a lowfibre diet for bowel preparation the night before colonoscopy
had an excellent and very good quality of bowel preparation
compared with 74.8% of patients not receiving any diet. The
number of patients who cancelled the colonoscopy were more
in the group not receiving any diet (4.7% versus 2.6%). The
data indicated that the quality of colon preparation decreased
by age (p=0.0001), whereas Body Mass Index (BMI) did not
differ on colon cleansing. When having dinner, patients with
Irritable Bowel Syndrome (IBS) had significantly more secretion
of air bubble and foam formation than patients not eating
dinner (p=0.002). The results showed that the difference in
bowel preparation quality between the two groups was not
significant (p-value: 0.169), and increased patient adherence to
colonoscopy in the first group.
Conclusion: Implementing a proper bowel preparation method
is very important in improving the quality of colonoscopy and
increasing the patient’s adherence to colonoscopy. Using
a low-fibre diet on the day before colonoscopy can help
achieve this goal. |
| first_indexed | 2024-12-19T23:55:02Z |
| format | Article |
| id | doaj.art-02bb7e7403794a489a3c23fa3ab56e5c |
| institution | Directory Open Access Journal |
| issn | 2249-782X 0973-709X |
| language | English |
| last_indexed | 2024-12-19T23:55:02Z |
| publishDate | 2021-06-01 |
| publisher | JCDR Research and Publications Private Limited |
| record_format | Article |
| series | Journal of Clinical and Diagnostic Research |
| spelling | doaj.art-02bb7e7403794a489a3c23fa3ab56e5c2022-12-21T20:01:01ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2021-06-01156BC17BC2110.7860/JCDR/2021/45476.15004Low-Fibre Diet as an Option for Bowel Preparation Prior to Colonoscopy: A Randomised Controlled Clinical TrialHossein Maghsoudi0Seyed Saeid Mohammady Bonahi1Sadra Samavarchi Tehrani2Mahmood Maniati3Mohammad Saeed Maniati4Hassan Taheri5Shahryar Savadkouhi6Durdi Qujeq7PhD, Faculty of Medicine, Urmia University of Medical Sciences, Urmia,Iran.Associate Professor, Department of Resident of Internal Disease Department, Gastroenterologist, Clinical Research Development Unit of Rouhani Hospital, Resident of Internal Disease Department, Gas, babol, Mazandaran, Iran.PhD, Department of Clinical Biochemistry, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran.Associate Professor, Department of School of Medicine, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.PhD, Neuroscience Research Center, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.Associate Professor, Department of Internal Medicine, Infectious Diseases Research Center, Babol University of Medical Sciences, Babol, Iran, Babol, Mazandaran, Iran.Associate Professor, Department of Internal Medicine, Shahid Beheshti Hospital, Babol University of Medical Science, Babol, Mazandaran, Iran.Professor, Department of Clinical Biochemistry, Cellular and Molecular Biology Research Center (CMBRC), Health Research Institute, Babol University, Babol, Mazandaran, Iran.Introduction: Bowel preparation for colonoscopy plays an important role in the evaluation of the colon. Many methods for preparing the colon for colonoscopy do not work well. Aim: To use a low-fibre diet as a standard and applicable method for bowel preparation in performing colonoscopy and increasing patients’ adherence to colonoscopy. Materials and Methods: Clinical control trial design was used to compare bowel preparation in people receiving a low-fibre diet with those who did not receive food {Nil Per Os (NPO)} for bowel preparation. The participants included 477 patients who were randomly divided into two groups including 223 patients having a low-fibre diet (for dinner) and 254 patients having nothing for dinner (NPO). Data were recorded including age, sex, weight, height, level of education, bowel preparation score, colonoscopy diagnosis and sedative dose. Both groups were given a solution of 3 L of ethylene glycol and 60 mg of bisacodyl at three occasions: 3 pm and 7 pm the day before colonoscopy and 6 am on the colonoscopy day. Scoring criteria for colonoscopy preparation included excellent (clean and free of any liquids), very good (clean with clear fluid, underlying mucus visible in clear fluid), good (clean with dirty liquid), poor (with particles including stools, but can be assessed at 80% mucus), and very poor (containing stool particles, and mucosal evaluation below 80%, colonoscopy was cancelled in this group). The data were analysed by SPSS version 21.0 using Chi-square and Independent Samples Test. Results: About 82.1% of patients who consumed a lowfibre diet for bowel preparation the night before colonoscopy had an excellent and very good quality of bowel preparation compared with 74.8% of patients not receiving any diet. The number of patients who cancelled the colonoscopy were more in the group not receiving any diet (4.7% versus 2.6%). The data indicated that the quality of colon preparation decreased by age (p=0.0001), whereas Body Mass Index (BMI) did not differ on colon cleansing. When having dinner, patients with Irritable Bowel Syndrome (IBS) had significantly more secretion of air bubble and foam formation than patients not eating dinner (p=0.002). The results showed that the difference in bowel preparation quality between the two groups was not significant (p-value: 0.169), and increased patient adherence to colonoscopy in the first group. Conclusion: Implementing a proper bowel preparation method is very important in improving the quality of colonoscopy and increasing the patient’s adherence to colonoscopy. Using a low-fibre diet on the day before colonoscopy can help achieve this goal.https://www.jcdr.net/articles/PDF/15004/45476_CE[Ra1]_F[IK]_PF1(AB_SL)_PFA(AB_KM)_PN(KM).pdfcolon cancerirritable bowel syndromenil per ossuccessful screening |
| spellingShingle | Hossein Maghsoudi Seyed Saeid Mohammady Bonahi Sadra Samavarchi Tehrani Mahmood Maniati Mohammad Saeed Maniati Hassan Taheri Shahryar Savadkouhi Durdi Qujeq Low-Fibre Diet as an Option for Bowel Preparation Prior to Colonoscopy: A Randomised Controlled Clinical Trial Journal of Clinical and Diagnostic Research colon cancer irritable bowel syndrome nil per os successful screening |
| title | Low-Fibre Diet as an Option for Bowel Preparation Prior to Colonoscopy: A Randomised Controlled Clinical Trial |
| title_full | Low-Fibre Diet as an Option for Bowel Preparation Prior to Colonoscopy: A Randomised Controlled Clinical Trial |
| title_fullStr | Low-Fibre Diet as an Option for Bowel Preparation Prior to Colonoscopy: A Randomised Controlled Clinical Trial |
| title_full_unstemmed | Low-Fibre Diet as an Option for Bowel Preparation Prior to Colonoscopy: A Randomised Controlled Clinical Trial |
| title_short | Low-Fibre Diet as an Option for Bowel Preparation Prior to Colonoscopy: A Randomised Controlled Clinical Trial |
| title_sort | low fibre diet as an option for bowel preparation prior to colonoscopy a randomised controlled clinical trial |
| topic | colon cancer irritable bowel syndrome nil per os successful screening |
| url | https://www.jcdr.net/articles/PDF/15004/45476_CE[Ra1]_F[IK]_PF1(AB_SL)_PFA(AB_KM)_PN(KM).pdf |
| work_keys_str_mv | AT hosseinmaghsoudi lowfibredietasanoptionforbowelpreparationpriortocolonoscopyarandomisedcontrolledclinicaltrial AT seyedsaeidmohammadybonahi lowfibredietasanoptionforbowelpreparationpriortocolonoscopyarandomisedcontrolledclinicaltrial AT sadrasamavarchitehrani lowfibredietasanoptionforbowelpreparationpriortocolonoscopyarandomisedcontrolledclinicaltrial AT mahmoodmaniati lowfibredietasanoptionforbowelpreparationpriortocolonoscopyarandomisedcontrolledclinicaltrial AT mohammadsaeedmaniati lowfibredietasanoptionforbowelpreparationpriortocolonoscopyarandomisedcontrolledclinicaltrial AT hassantaheri lowfibredietasanoptionforbowelpreparationpriortocolonoscopyarandomisedcontrolledclinicaltrial AT shahryarsavadkouhi lowfibredietasanoptionforbowelpreparationpriortocolonoscopyarandomisedcontrolledclinicaltrial AT durdiqujeq lowfibredietasanoptionforbowelpreparationpriortocolonoscopyarandomisedcontrolledclinicaltrial |