Formulation and Management of Poor Bowel Preparation: A Survey Study

Background : /Aims: There are no established guidelines for bowel preparation formulation for bowel cleansing, nor is there an optimal method of dealing with inadequate bowel cleansing. This study investigated bowel preparation formulation preferences and responses to bowel preparation situations us...

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Main Authors: Jae Ho Seong, Jin Sae Yoo, Kyong Joo Lee, Hong Jun Park, Hee Man Kim, Jae Woo Kim, Hyun-Soo Kim
Format: Article
Language:English
Published: Jin Publishing & Printing Co. 2016-08-01
Series:The Korean Journal of Gastroenterology
Subjects:
Online Access:http://www.kjg.or.kr/journal/view.html?doi=10.4166/kjg.2016.68.2.70
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author Jae Ho Seong
Jin Sae Yoo
Kyong Joo Lee
Hong Jun Park
Hee Man Kim
Jae Woo Kim
Hyun-Soo Kim
author_facet Jae Ho Seong
Jin Sae Yoo
Kyong Joo Lee
Hong Jun Park
Hee Man Kim
Jae Woo Kim
Hyun-Soo Kim
author_sort Jae Ho Seong
collection DOAJ
description Background : /Aims: There are no established guidelines for bowel preparation formulation for bowel cleansing, nor is there an optimal method of dealing with inadequate bowel cleansing. This study investigated bowel preparation formulation preferences and responses to bowel preparation situations using surveys. Methods : : The study surveyed 221 Korean lower gastrointestinal endoscopists from January to March 2015 and assessed their responses. Results : : The analysis indicated that 2-L polyethylene glycol (PEG) plus ascorbic acid (Asc) was the preferred method (76.5%) and most responders expressed satisfaction with the formulation in both potency and safety. To address poor bowel preparation on the day of colonoscopy, the majority of physicians chose to order ingestion of additional preparations and proceed with the colonoscopy as scheduled (56.6%). In addition, concerns about renal safety and electrolyte stability were raised regarding oral sodium phosphate. Conclusion : s: This study found that 2-L PEG+Asc was preferred for potency and safety, and that Korean endoscopists preferred to proceed with colonoscopy in poor bowel preparation situations rather than choose an alternate diagnostic modality. (Korean J Gastroenterol 2016;68:70-76)
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spelling doaj.art-52173a7e7f204454b110e662f14b0fc62022-12-22T00:03:36ZengJin Publishing & Printing Co.The Korean Journal of Gastroenterology1598-99922016-08-01682707610.4166/kjg.2016.68.2.70kjg.2016.68.2.70Formulation and Management of Poor Bowel Preparation: A Survey StudyJae Ho Seong0Jin Sae Yoo1Kyong Joo Lee2Hong Jun Park3Hee Man Kim4Jae Woo Kim5Hyun-Soo Kim6Division of Gastroenterology and Hepatology, Department of Internal Medicine, Yonsei University Wonju College of Medicine, Wonju, KoreaDivision of Gastroenterology and Hepatology, Department of Internal Medicine, Yonsei University Wonju College of Medicine, Wonju, KoreaDivision of Gastroenterology and Hepatology, Department of Internal Medicine, Yonsei University Wonju College of Medicine, Wonju, KoreaDivision of Gastroenterology and Hepatology, Department of Internal Medicine, Yonsei University Wonju College of Medicine, Wonju, KoreaDivision of Gastroenterology and Hepatology, Department of Internal Medicine, Yonsei University Wonju College of Medicine, Wonju, KoreaDivision of Gastroenterology and Hepatology, Department of Internal Medicine, Yonsei University Wonju College of Medicine, Wonju, KoreaDivision of Gastroenterology and Hepatology, Department of Internal Medicine, Yonsei University Wonju College of Medicine, Wonju, KoreaBackground : /Aims: There are no established guidelines for bowel preparation formulation for bowel cleansing, nor is there an optimal method of dealing with inadequate bowel cleansing. This study investigated bowel preparation formulation preferences and responses to bowel preparation situations using surveys. Methods : : The study surveyed 221 Korean lower gastrointestinal endoscopists from January to March 2015 and assessed their responses. Results : : The analysis indicated that 2-L polyethylene glycol (PEG) plus ascorbic acid (Asc) was the preferred method (76.5%) and most responders expressed satisfaction with the formulation in both potency and safety. To address poor bowel preparation on the day of colonoscopy, the majority of physicians chose to order ingestion of additional preparations and proceed with the colonoscopy as scheduled (56.6%). In addition, concerns about renal safety and electrolyte stability were raised regarding oral sodium phosphate. Conclusion : s: This study found that 2-L PEG+Asc was preferred for potency and safety, and that Korean endoscopists preferred to proceed with colonoscopy in poor bowel preparation situations rather than choose an alternate diagnostic modality. (Korean J Gastroenterol 2016;68:70-76)http://www.kjg.or.kr/journal/view.html?doi=10.4166/kjg.2016.68.2.70ColonoscopyCathartics
spellingShingle Jae Ho Seong
Jin Sae Yoo
Kyong Joo Lee
Hong Jun Park
Hee Man Kim
Jae Woo Kim
Hyun-Soo Kim
Formulation and Management of Poor Bowel Preparation: A Survey Study
The Korean Journal of Gastroenterology
Colonoscopy
Cathartics
title Formulation and Management of Poor Bowel Preparation: A Survey Study
title_full Formulation and Management of Poor Bowel Preparation: A Survey Study
title_fullStr Formulation and Management of Poor Bowel Preparation: A Survey Study
title_full_unstemmed Formulation and Management of Poor Bowel Preparation: A Survey Study
title_short Formulation and Management of Poor Bowel Preparation: A Survey Study
title_sort formulation and management of poor bowel preparation a survey study
topic Colonoscopy
Cathartics
url http://www.kjg.or.kr/journal/view.html?doi=10.4166/kjg.2016.68.2.70
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