Volume of fluid consumption during preparation for colonoscopy is possibly the single most important determinant of bowel preparation adequacy
| Autor: | Ronit Leiba, Yehuda Chowers, Yuri Gorelik, Eisa k. Hag, Elizabeth E. Half, Tomer Hananya |
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| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Sodium picosulfate medicine.diagnostic_test business.industry Medical record Gastroenterology sodium picosulfate Colonoscopy Subgroup analysis Odds ratio Confidence interval Inadequate bowel preparation chemistry.chemical_compound chemistry colonoscopy Internal medicine bowel cleansing medicine Original Article Medical history Observational study business |
| Zdroj: | Annals of Gastroenterology |
| ISSN: | 1108-7471 |
| Popis: | Background The effectiveness and safety of colonoscopy are directly dependent on the quality of bowel preparation. Multiple risk factors for inadequate bowel preparation (IBP) have been identified; however, IBP is still reported in 20-30% of cases in most studies. We aimed to identify modifiable predictors of the adequacy of bowel preparation using sodium picosulfate, and to recommend easily modifiable parameters to increase the success rate of colonoscopies. Methods This was a single-center observational study of adult outpatients referred for an elective colonoscopy. Patients were interviewed prior to colonoscopy; volume of liquids consumed was calculated as number of 200-mL cups showed to the patient. Additional information, including medical history, diagnoses and regular medications, was procured from patients’ medical records. Univariate and multivariate regression analyses were performed to identify factors significantly associated with IBP in a subgroup analysis of high-risk patients. Results The rate of IBP in 1172 subjects was 19.4%. This rate decreased as fluid consumption increased, with a further drop associated with shorter intervals from end of preparation to colonoscopy. Drinking < 1.4 L significantly increased the risk of IBP (odds ratio [OR] 3.62, 95% confidence interval [CI] 2.65-4.95), while drinking ≥2 L was associated with adequate preparation (OR 0.09, 95%CI 0-0.42). These associations were stronger in high-risk individuals. Conclusion Greater fluid intake and short interval to colonoscopy are easily modifiable parameters that can substantially reduce the rate of IBP, especially among high-risk individuals. |
| Databáze: | OpenAIRE |
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