Graphical education and appropriate time before elective colonoscopy make better bowel preparation
Background: Inadequate bowel preparation leads to lower polyp detection rates, longer procedure times and lower cecal intubation rates. However, there is no consensus about high-quality bowel preparation, so our study evaluated graphical education and appropriate time before elective colonoscopy. Pa...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2023-01-01
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| Series: | Journal of Minimal Access Surgery |
| Subjects: | |
| Online Access: | http://www.journalofmas.com/article.asp?issn=0972-9941;year=2023;volume=19;issue=1;spage=130;epage=137;aulast=Sun |
| _version_ | 1828014006792617984 |
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| author | Jiachen Sun Yongpeng Chen Yuqin Gu Junrong Chen Chujun Li Qiulun Zhou Jiancong Hu Guozhi Jiang |
| author_facet | Jiachen Sun Yongpeng Chen Yuqin Gu Junrong Chen Chujun Li Qiulun Zhou Jiancong Hu Guozhi Jiang |
| author_sort | Jiachen Sun |
| collection | DOAJ |
| description | Background: Inadequate bowel preparation leads to lower polyp detection rates, longer procedure times and lower cecal intubation rates. However, there is no consensus about high-quality bowel preparation, so our study evaluated graphical education and appropriate time before elective colonoscopy.
Patients and Methods: We performed a secondary analysis of a national colorectal cancer screening programme of 738 patients. The patients were divided into a group given a graphical information manual (n = 242) or a word-only one (n = 496). They were also divided into groups according to the interval between bowel preparation and colonoscopy: 6–8 h (Group 1, n = 106), 9–12 h (Group 2, n = 228) and 13–17 h (Group 3, n = 402). All patients were scored according to the Boston Bowel Preparation Scale (BBPS) during the examination.
Results: The bowel preparation of the graphical group was significantly better than the text group (P < 0.001). After adjustment, the bowel preparation score of Group 1 and Group 2 were both significantly higher than that of Group 3 (P = 0.012 and P = 0.032). Maximum BBPS was 6.31 when the interval time was 6.52 h (95% confidence interval: 5.95–6.66), and when the interval was <10 h, the BBPS was ≥6.
Conclusion: High-quality bowel preparation was linked to graphical education and appropriate time before colonoscopy. We suggest that the interval between taking the first laxative and colonoscopy should be <10 h, preferably 6.5 h. Prospective multicentre research is needed to give more evidence of high-quality bowel preparation methods. |
| first_indexed | 2024-04-10T09:53:51Z |
| format | Article |
| id | doaj.art-10be14f4d1d348d4bef94067beb13c5a |
| institution | Directory Open Access Journal |
| issn | 0972-9941 1998-3921 |
| language | English |
| last_indexed | 2024-04-10T09:53:51Z |
| publishDate | 2023-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Minimal Access Surgery |
| spelling | doaj.art-10be14f4d1d348d4bef94067beb13c5a2023-02-16T12:42:07ZengWolters Kluwer Medknow PublicationsJournal of Minimal Access Surgery0972-99411998-39212023-01-0119113013710.4103/jmas.jmas_338_21Graphical education and appropriate time before elective colonoscopy make better bowel preparationJiachen SunYongpeng ChenYuqin GuJunrong ChenChujun LiQiulun ZhouJiancong HuGuozhi JiangBackground: Inadequate bowel preparation leads to lower polyp detection rates, longer procedure times and lower cecal intubation rates. However, there is no consensus about high-quality bowel preparation, so our study evaluated graphical education and appropriate time before elective colonoscopy. Patients and Methods: We performed a secondary analysis of a national colorectal cancer screening programme of 738 patients. The patients were divided into a group given a graphical information manual (n = 242) or a word-only one (n = 496). They were also divided into groups according to the interval between bowel preparation and colonoscopy: 6–8 h (Group 1, n = 106), 9–12 h (Group 2, n = 228) and 13–17 h (Group 3, n = 402). All patients were scored according to the Boston Bowel Preparation Scale (BBPS) during the examination. Results: The bowel preparation of the graphical group was significantly better than the text group (P < 0.001). After adjustment, the bowel preparation score of Group 1 and Group 2 were both significantly higher than that of Group 3 (P = 0.012 and P = 0.032). Maximum BBPS was 6.31 when the interval time was 6.52 h (95% confidence interval: 5.95–6.66), and when the interval was <10 h, the BBPS was ≥6. Conclusion: High-quality bowel preparation was linked to graphical education and appropriate time before colonoscopy. We suggest that the interval between taking the first laxative and colonoscopy should be <10 h, preferably 6.5 h. Prospective multicentre research is needed to give more evidence of high-quality bowel preparation methods.http://www.journalofmas.com/article.asp?issn=0972-9941;year=2023;volume=19;issue=1;spage=130;epage=137;aulast=Sunbowel preparationcolonoscopyeducational methodsgraphic guidanceinterval time |
| spellingShingle | Jiachen Sun Yongpeng Chen Yuqin Gu Junrong Chen Chujun Li Qiulun Zhou Jiancong Hu Guozhi Jiang Graphical education and appropriate time before elective colonoscopy make better bowel preparation Journal of Minimal Access Surgery bowel preparation colonoscopy educational methods graphic guidance interval time |
| title | Graphical education and appropriate time before elective colonoscopy make better bowel preparation |
| title_full | Graphical education and appropriate time before elective colonoscopy make better bowel preparation |
| title_fullStr | Graphical education and appropriate time before elective colonoscopy make better bowel preparation |
| title_full_unstemmed | Graphical education and appropriate time before elective colonoscopy make better bowel preparation |
| title_short | Graphical education and appropriate time before elective colonoscopy make better bowel preparation |
| title_sort | graphical education and appropriate time before elective colonoscopy make better bowel preparation |
| topic | bowel preparation colonoscopy educational methods graphic guidance interval time |
| url | http://www.journalofmas.com/article.asp?issn=0972-9941;year=2023;volume=19;issue=1;spage=130;epage=137;aulast=Sun |
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