Comparison Outcomes Quality of Bowel Preparation before Colonoscopy between In-patients and One-Day Surgery Patients: A Randomized Controlled trial

Authors

  • Alongkorn Chancharoen Department of Medicine, Roi Et Hospital, Roi Et Province

Keywords:

colorectal cancer, colonoscopy, in-patient, one day surgery

Abstract

Background and Objective: In order to reduce congestion one-day surgical preparation of patients to detection of colorectal abnormalities has to be developed. The purpose of this study was to comparison outcomes of quality of bowel preparation before colonoscopy between Inpatients and one day surgery patients.

Method: The research was a randomized controlled trial. All data collected from patient at Roi Et Hospital between May and June 2022. The study subjects were divided into 2 groups. Group 1 was 35 inpatients unts and group 2 was 35 patients with one-day surgery, of both 2 groups were positive for iFOBT. Descriptive statistics and Chi-square test were used for data analysis. The statistically significance was set at p < 0.05.

Results: In-patients were female 65.71%, mean age of 60.25 years, colon cleanliness good level 68.57%, colonoscopy found polyp 28.57%, hemorrhoid 5.71%, diverticulitis 17.14%, tubular adenoma 1.28%, and carcinoma 2.86% (1 patient). One-day surgery patients were female 60.00%, mean age of 59.22 years,  colon cleanliness good level 60.00%, colonoscopy found polyp 22.86 %, hemorrhoid 8.57%, diverticulitis 11.43%, tubular adenoma 5.71%. Comparing outcome of bowel preparation in colon cleanliness, colonoscopy time, and colonoscopy results of both groups were non-statistically significant (p > 0.05).

Conclusion: This study found that colon cleansing, time for colonoscopy, and colonoscopy results in both groups were not difference. Therefore, to reduce congestion, reduce days of admit, reduce the risk of nosocomial infection, saves patient and hospital cost patients who passed physical examination and can prepare themselves at home should encourage them to receive one-day surgery.

References

Chen W, Zheng R, Baade PD, Zhang S, Zeng H, Bray F, et al. Cancer statistics in China, 2015. CA Cancer J Clin 2016;66(2):115–32.

Lieberman DA, Rex DK, Winawer SJ, Giardiello FM, Johnson DA, Levin TR. Guidelines for colonoscopy surveillance after screening and polypectomy: a consensus update by the US Multi-Society Task Force on Colorectal Cancer. Gastroenterology 2012;143(3):844–57.

Schoen RE, Pinsky PF, Weissfeld JL, Yokochi LA, Church T, Laiyemo AO, et al. Colorectal-cancer incidence and mortality with screening flexible sigmoidoscopy. N Engl J Med 2012 ;366(25):2345–57.

Chan WK, Saravanan A, Manikam J, Goh KL, Mahadeva S. Appointment waiting times and education level influence the quality of bowel preparation in adult patients undergoing colonoscopy. BMC Gastroenterol 2011;11:86.

Appannagari A, Mangla S, Liao C, Reddy KG, Kupfer SS. Risk factors for inadequate colonoscopy bowel preparations in African Americans and whites at an urban medical center. South Med J 2014;107(4):220–4.

Ho SB, Hovsepians R, Gupta S. Optimal bowel cleansing for colonoscopy in the elderly patient. Drugs Aging 2017;34(3):163–72.

Nguyen DL, Wieland M. Risk factors predictive of poor quality preparation during average risk colonoscopy screening: the importance of health literacy. J Gastrointest Liver Dis JGLD 2010;19(4):369–72.

Bhanthumkomol P, Siramolpiwat S, Vilaichone RK. Incidence and predictors of inadequate bowel preparation before elective colonoscopy in Thai patients. Asian Pac J Cancer Prev APJCP 2014;15(24):10763–8.

Hautefeuille G, Lapuelle J, Chaussade S, Ponchon T, Molard BR, Coulom P, et al. Factors related to bowel cleansing failure before colonoscopy: Results of the PACOME study. United Eur Gastroenterol J 2014;2(1):22–9.

Froehlich F, Wietlisbach V, Gonvers JJ, Burnand B, Vader JP. Impact of colonic cleansing on quality and diagnostic yield of colonoscopy: the European Panel of Appropriateness of Gastrointestinal Endoscopy European multicenter study. Gastrointest Endosc 2005;61(3):378–84.

Lebwohl B, Wang TC, Neugut AI. Socioeconomic and other predictors of colonoscopy preparation quality. Dig Dis Sci 2010;55(7):2014–20.

Sanaka MR, Shah N, Mullen KD, Ferguson DR, Thomas C, McCullough AJ. Afternoon colonoscopies have higher failure rates than morning colonoscopies. Am J Gastroenterol 2006;101(12):2726–30.

Chung YW, Han DS, Park KH, Kim KO, Park CH, Hahn T, et al. Patient factors predictive of inadequate bowel preparation using polyethylene glycol: a prospective study in Korea. J Clin Gastroenterol 2009;43(5):448–52.

Jawa H, Mosli M, Alsamadani W, Saeed S, Alodaini R, Aljahdli E, et al. Predictors of inadequate bowel preparation for inpatient colonoscopy. Turk J Gastroenterol Off J Turk Soc Gastroenterol 2017;28(6):460–4.

Nguyen DL, Wieland M. Risk factors predictive of poor quality preparation during average risk colonoscopy screening: the importance of health literacy. J Gastrointest Liver Dis JGLD 2010;19(4):369–72.

Armstrong D, Barkun AN, Chen Y, Daniels S, Hollingworth R, Hunt RH, et al. Access to specialist gastroenterology care in Canada: the Practice Audit in Gastroenterology (PAGE) Wait Times Program. Can J Gastroenterol J Can Gastroenterol 2008;22(2):155–60.

Chang CW, Shih SC, Wang HY, Chu CH, Wang TE, Hung CY, et al. Meta-analysis: The effect of patient education on bowel preparation for colonoscopy. Endosc Int Open 2015;3(6):E646-652.

Gimeno-García AZ, de la Barreda Heuser R, Reygosa C, Hernandez A, Mascareño I, Nicolás-Pérez D, et al. Impact of a 1-day versus 3-day low-residue diet on bowel cleansing quality before colonoscopy: a randomized controlled trial. Endoscopy 2019;51(7):628–36.

Park JS, Sohn CI, Hwang SJ, Choi HS, Park JH, Kim HJ, et al. Quality and effect of single dose versus split dose of polyethylene glycol bowel preparation for early-morning colonoscopy. Endoscopy 2007;39(7):616–9.

Clark BT, Rustagi T, Laine L. What level of bowel prep quality requires early repeat colonoscopy: systematic review and meta-analysis of the impact of preparation quality on adenoma detection rate. Am J Gastroenterol 2014;109(11):1714–23; quiz 1724.

Jung YS, Lee CK, Kim HJ, Eun CS, Han DS, Park DI. Randomized controlled trial of sodium phosphate tablets vs polyethylene glycol solution for colonoscopy bowel cleansing. World J Gastroenterol 2014;20(42):15845–51.

Rex DK. Dosing considerations in the use of sodium phosphate bowel preparations for colonoscopy. Ann Pharmacother 2007;41(9):1466–75.

Alvarez-Gonzalez MA, Pantaleon MA, Flores-Le Roux JA, Zaffalon D, Amorós J, Bessa X, et al. Randomized clinical trial: a normocaloric low-fiber diet the day before colonoscopy is the most effective approach to bowel preparation in colorectal cancer screening colonoscopy. Dis Colon Rectum 2019;62(4):491–7.

Published

2022-08-30

How to Cite

1.
Chancharoen A. Comparison Outcomes Quality of Bowel Preparation before Colonoscopy between In-patients and One-Day Surgery Patients: A Randomized Controlled trial. SRIMEDJ [Internet]. 2022 Aug. 30 [cited 2024 Apr. 19];37(4):396-40. Available from: https://li01.tci-thaijo.org/index.php/SRIMEDJ/article/view/254770

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Section

Original Articles