Abstract
The effectiveness of colonoscopy is highly dependent on the quality of bowel preparation. Although many studies have previously evaluated the role of cleansing methods and dosing regimens, few have examined the association between bowel habits and subsequent bowel preparation. Here, we aimed to evaluate the impact of bowel habits on the quality of bowel preparation. A total of 404 patients who underwent a total colonoscopy and completed a personal bowel habit questionnaire at Korea University Hospital between December 2012 and December 2013 were enrolled. The usual stool form of patients was classified into 7 categories according to the Bristol Stool Scale (BSS). The quality of bowel preparation was determined during colonoscopy according to the Ottawa Bowel Preparation Scale (OBPS). Segment scores of ≥3 or total OBPS scores of >7 were defined as poor bowel preparation. Poor bowel preparation was reported in 9.4% of observed colonoscopies. The odds ratio (OR) of poor bowel preparation being associated with infrequent bowel movements (<3/week) was 5.00 (95% confidence interval [CI], 1.91-13.1, P=.001). BSS types 1 and 2 tended to have an association with poor bowel preparation, but the association was statistically insignificant (OR: 2.38; 95% CI, 0.90-6.33, P=.082). After adjusting for age, sex, drinking, presence of diabetes mellitus, and bowel preparation regimen, infrequent bowel movement (<3/week) was still significantly associated with poor bowel preparation. When subdividing by colonic segment, it was significantly associated with poor bowel preparation in all segments. Infrequent bowel movement (<3/week) was significantly associated with poor bowel preparation.
| Original language | English |
|---|---|
| Article number | e7319 |
| Journal | Medicine (United States) |
| Volume | 96 |
| Issue number | 29 |
| DOIs | |
| Publication status | Published - 2017 Jul 1 |
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Keywords
- bowel habits
- colonoscopy
- constipation
- infrequent bowel movement
- poor bowel preparation
ASJC Scopus subject areas
- Medicine(all)
Cite this
Association between bowel habits and quality of bowel preparation for colonoscopy. / Lee, Dong Won; Koo, Ja Seol; Kang, Seonghee; Kim, Seung Young; Hyun, Jong Jin; Jung, Sung Woo; Yim, Hyung Joon; Lee, Sang Woo.
In: Medicine (United States), Vol. 96, No. 29, e7319, 01.07.2017.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Association between bowel habits and quality of bowel preparation for colonoscopy
AU - Lee, Dong Won
AU - Koo, Ja Seol
AU - Kang, Seonghee
AU - Kim, Seung Young
AU - Hyun, Jong Jin
AU - Jung, Sung Woo
AU - Yim, Hyung Joon
AU - Lee, Sang Woo
PY - 2017/7/1
Y1 - 2017/7/1
N2 - The effectiveness of colonoscopy is highly dependent on the quality of bowel preparation. Although many studies have previously evaluated the role of cleansing methods and dosing regimens, few have examined the association between bowel habits and subsequent bowel preparation. Here, we aimed to evaluate the impact of bowel habits on the quality of bowel preparation. A total of 404 patients who underwent a total colonoscopy and completed a personal bowel habit questionnaire at Korea University Hospital between December 2012 and December 2013 were enrolled. The usual stool form of patients was classified into 7 categories according to the Bristol Stool Scale (BSS). The quality of bowel preparation was determined during colonoscopy according to the Ottawa Bowel Preparation Scale (OBPS). Segment scores of ≥3 or total OBPS scores of >7 were defined as poor bowel preparation. Poor bowel preparation was reported in 9.4% of observed colonoscopies. The odds ratio (OR) of poor bowel preparation being associated with infrequent bowel movements (<3/week) was 5.00 (95% confidence interval [CI], 1.91-13.1, P=.001). BSS types 1 and 2 tended to have an association with poor bowel preparation, but the association was statistically insignificant (OR: 2.38; 95% CI, 0.90-6.33, P=.082). After adjusting for age, sex, drinking, presence of diabetes mellitus, and bowel preparation regimen, infrequent bowel movement (<3/week) was still significantly associated with poor bowel preparation. When subdividing by colonic segment, it was significantly associated with poor bowel preparation in all segments. Infrequent bowel movement (<3/week) was significantly associated with poor bowel preparation.
AB - The effectiveness of colonoscopy is highly dependent on the quality of bowel preparation. Although many studies have previously evaluated the role of cleansing methods and dosing regimens, few have examined the association between bowel habits and subsequent bowel preparation. Here, we aimed to evaluate the impact of bowel habits on the quality of bowel preparation. A total of 404 patients who underwent a total colonoscopy and completed a personal bowel habit questionnaire at Korea University Hospital between December 2012 and December 2013 were enrolled. The usual stool form of patients was classified into 7 categories according to the Bristol Stool Scale (BSS). The quality of bowel preparation was determined during colonoscopy according to the Ottawa Bowel Preparation Scale (OBPS). Segment scores of ≥3 or total OBPS scores of >7 were defined as poor bowel preparation. Poor bowel preparation was reported in 9.4% of observed colonoscopies. The odds ratio (OR) of poor bowel preparation being associated with infrequent bowel movements (<3/week) was 5.00 (95% confidence interval [CI], 1.91-13.1, P=.001). BSS types 1 and 2 tended to have an association with poor bowel preparation, but the association was statistically insignificant (OR: 2.38; 95% CI, 0.90-6.33, P=.082). After adjusting for age, sex, drinking, presence of diabetes mellitus, and bowel preparation regimen, infrequent bowel movement (<3/week) was still significantly associated with poor bowel preparation. When subdividing by colonic segment, it was significantly associated with poor bowel preparation in all segments. Infrequent bowel movement (<3/week) was significantly associated with poor bowel preparation.
KW - bowel habits
KW - colonoscopy
KW - constipation
KW - infrequent bowel movement
KW - poor bowel preparation
UR - http://www.scopus.com/inward/record.url?scp=85026300371&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85026300371&partnerID=8YFLogxK
U2 - 10.1097/MD.0000000000007319
DO - 10.1097/MD.0000000000007319
M3 - Article
C2 - 28723744
AN - SCOPUS:85026300371
VL - 96
JO - Medicine; analytical reviews of general medicine, neurology, psychiatry, dermatology, and pediatries
JF - Medicine; analytical reviews of general medicine, neurology, psychiatry, dermatology, and pediatries
SN - 0025-7974
IS - 29
M1 - e7319
ER -