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Quality optimisation in colonoscopy: a function of time of colonoscopy or bowel preparation
To test the hypothesis claimed in recent studies that quality of bowel preparation for colonoscopy could be influenced by the time of the day colonoscopy is performed. Do patients in morning list have better bowel preparation than those on the afternoon list? Retrospective analysis of 736 consecutiv...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
The African Field Epidemiology Network
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6620080/ https://www.ncbi.nlm.nih.gov/pubmed/31312317 http://dx.doi.org/10.11604/pamj.2019.32.205.16016 |
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author | Abudeeb, Haytham Khan, Khurram Maung, Min Malcomson, Lee Brown, Alistair |
author_facet | Abudeeb, Haytham Khan, Khurram Maung, Min Malcomson, Lee Brown, Alistair |
author_sort | Abudeeb, Haytham |
collection | PubMed |
description | To test the hypothesis claimed in recent studies that quality of bowel preparation for colonoscopy could be influenced by the time of the day colonoscopy is performed. Do patients in morning list have better bowel preparation than those on the afternoon list? Retrospective analysis of 736 consecutive patients who had colonoscopy from 1(st) August to 31(st) December 2012. Patients with poor bowel preparation (Boston Bowel Prep Score 6 or less) were identified (n = 242). Colonoscopy reports of these patients analysed. Patients were stratified into two groups (am and pm) and results compared. Mean patient age 63.9 years (range 19-89). Male to female ratio 1:1. 92% of patients were given Moviprep. for bowel preparation. 32.9% (242/736) of patients were identified as having inadequate bowel preparation. 37.7% of morning list patients had poor bowel preparation. 26.7% of afternoon list patients had poor bowel preparation. 14.7% (108/736) had incomplete colonoscopy, of which 26.9% (29/108) were due to poor bowel preparation. The commonest reasons for incomplete examination were patient discomfort & bowel looping. Our study demonstrates that morning session patients had poorer bowel preparation than the afternoon session patients in contrast to published evidence in recent literature. This implies that timing of bowel preparation is probably more important than timing of colonoscopy. Poor bowel preparation does not seem to have a significant impact on the colonoscopy failure rate in this series. |
format | Online Article Text |
id | pubmed-6620080 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | The African Field Epidemiology Network |
record_format | MEDLINE/PubMed |
spelling | pubmed-66200802019-07-16 Quality optimisation in colonoscopy: a function of time of colonoscopy or bowel preparation Abudeeb, Haytham Khan, Khurram Maung, Min Malcomson, Lee Brown, Alistair Pan Afr Med J Case Series To test the hypothesis claimed in recent studies that quality of bowel preparation for colonoscopy could be influenced by the time of the day colonoscopy is performed. Do patients in morning list have better bowel preparation than those on the afternoon list? Retrospective analysis of 736 consecutive patients who had colonoscopy from 1(st) August to 31(st) December 2012. Patients with poor bowel preparation (Boston Bowel Prep Score 6 or less) were identified (n = 242). Colonoscopy reports of these patients analysed. Patients were stratified into two groups (am and pm) and results compared. Mean patient age 63.9 years (range 19-89). Male to female ratio 1:1. 92% of patients were given Moviprep. for bowel preparation. 32.9% (242/736) of patients were identified as having inadequate bowel preparation. 37.7% of morning list patients had poor bowel preparation. 26.7% of afternoon list patients had poor bowel preparation. 14.7% (108/736) had incomplete colonoscopy, of which 26.9% (29/108) were due to poor bowel preparation. The commonest reasons for incomplete examination were patient discomfort & bowel looping. Our study demonstrates that morning session patients had poorer bowel preparation than the afternoon session patients in contrast to published evidence in recent literature. This implies that timing of bowel preparation is probably more important than timing of colonoscopy. Poor bowel preparation does not seem to have a significant impact on the colonoscopy failure rate in this series. The African Field Epidemiology Network 2019-04-26 /pmc/articles/PMC6620080/ /pubmed/31312317 http://dx.doi.org/10.11604/pamj.2019.32.205.16016 Text en © Haytham Abudeeb et al. http://creativecommons.org/licenses/by/2.0/ The Pan African Medical Journal - ISSN 1937-8688. This is an Open Access article distributed under the terms of the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Series Abudeeb, Haytham Khan, Khurram Maung, Min Malcomson, Lee Brown, Alistair Quality optimisation in colonoscopy: a function of time of colonoscopy or bowel preparation |
title | Quality optimisation in colonoscopy: a function of time of colonoscopy or bowel preparation |
title_full | Quality optimisation in colonoscopy: a function of time of colonoscopy or bowel preparation |
title_fullStr | Quality optimisation in colonoscopy: a function of time of colonoscopy or bowel preparation |
title_full_unstemmed | Quality optimisation in colonoscopy: a function of time of colonoscopy or bowel preparation |
title_short | Quality optimisation in colonoscopy: a function of time of colonoscopy or bowel preparation |
title_sort | quality optimisation in colonoscopy: a function of time of colonoscopy or bowel preparation |
topic | Case Series |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6620080/ https://www.ncbi.nlm.nih.gov/pubmed/31312317 http://dx.doi.org/10.11604/pamj.2019.32.205.16016 |
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