Predictors of Inadequate Bowel Preparation and Salvage Options on Colonoscopy
نویسندگان
چکیده
Inadequate bowel preparation is observed in more than 25% of all colonoscopies. Identification of predictive factors for inadequate colon cleaning is helpful and more detailed preparation methods should be used for patients at high risk. Age, male sex, inpatient status, and comorbidities were identified as independent risk factors in several previous studies. In patients with insufficient colon preparation, colon irrigation with endoscopic pumps or next-day colonoscopy following further bowel cleaning should be performed. In order to improve the efficacy and safety of both bowel preparation and colonoscopy, the endoscopic team should identify the patient's medical conditions and choose the optimal bowel preparation agent and regimen.
منابع مشابه
The efficacy of a through-the-scope sodium phosphate solution with completion colonoscopy on the same day as a salvage option for inadequate bowel cleansing.
BACKGROUND/AIM The aim of this study was to investigate the efficacy of a through- the-scope sodium phosphate solution with completion colonoscopy on the same day as a salvage option for inadequate bowel preparation. MATERIALS AND METHODS All participants were instructed to eat a low residual diet for 3 days before the scheduled colonoscopy and a clear liquid diet 18 h before the colonoscopy....
متن کاملComparing the effect of usual bowel preparation and sodium phosphates preparation method on patient acceptance under colonoscopy
Introduction: Colonoscopy is a method of endoscopy of lower gastrointestinal system which needs ‎proper colon preparation that allows proper assessment, diagnosis and treatment. There are different ‎methods of bowel preparation available. Therefore more research by critical nurses can result in ‎better care.‎ Objective: The aim of present study is to compare the routine metho...
متن کاملEffect of Functional Status on the Quality of Bowel Preparation in Elderly Patients Undergoing Screening and Surveillance Colonoscopy
BACKGROUND/AIMS Optimal bowel preparation is essential for successful screening or for surveillance colonoscopy (SC). Inadequate bowel preparation is associated with older age, the male gender, and the presence of certain comorbidities. However, the association between patients' functional status and bowel preparation quality has not been studied. We prospectively examined the relationship betw...
متن کاملRisk factors predictive of poor quality preparation during average risk colonoscopy screening: the importance of health literacy.
BACKGROUND Inadequate colonoscopy bowel preparation can lead to increased procedural time, decreased diagnostic yield, and an increased complication rate. Little is known about which patient characteristics may predict poor bowel preparation for routine, average-risk colonoscopy evaluation. METHODS 300 consecutive patients who underwent routine, average risk outpatient screening colonoscopy d...
متن کاملCost Effectiveness of Screening Colonoscopy Depends on Adequate Bowel Preparation Rates – A Modeling Study
BACKGROUND Inadequate bowel preparation during screening colonoscopy necessitates repeating colonoscopy. Studies suggest inadequate bowel preparation rates of 20-60%. This increases the cost of colonoscopy for our society. AIM The aim of this study is to determine the impact of inadequate bowel preparation rate on the cost effectiveness of colonoscopy compared to other screening strategies fo...
متن کامل