Evaluation of bowel preparation quality in patients with a history of colorectal resection

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Abstract

BACKGROUND/AIMS: Suboptimal bowel function can negatively affect colon cleansing for colonoscopy after surgery. Very few studies have compared the relationship between the colorectal resection and the bowel preparation quality. We postulated that the colon cleansing quality in patients with a history of colorectal surgery might not be inferior to that of patients with no resection history. MATERIALS AND METHODS: Overall, 200 patients were enrolled in the study and distributed into two groups: the resection group (RG) and the control group. The surgical maneuvers were classified as right colectomy, left colectomy, and rectosigmoidectomy. The bowel preparation was performed using 2-L low-volume or 4-L high-volume regimens, and the preparation quality was evaluated using the modified Boston Bowel Preparation Scale (BBPS). RESULTS: There were no significant differences in achieving adequate cleansing observed between the RG and the control group (modified BBPS of 6-9; 88% vs. 88%). According to the logistic regression analysis of the RG, patients with a left colon resection had an odds ratio (OR) of 0.27 (p=0.003) for achieving a successful cleansing, and the low-volume preparation (OR=3.092, p=0.023) was the main predictor of a successful cleansing procedure. However, a longer time between colonoscopy and surgery was not related to unsuccessful bowel cleansing. CONCLUSION: Our study demonstrates that a history of colorectal surgery is not a risk factor for inadequate colon cleansing.

Original languageEnglish
Pages (from-to)278-283
Number of pages6
JournalThe Turkish journal of gastroenterology : the official journal of Turkish Society of Gastroenterology
Volume30
Issue number3
DOIs
Publication statusPublished - 2019 Mar 1

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Colon
Colorectal Surgery
Colectomy
Colonoscopy
Odds Ratio
Control Groups
Logistic Models
History
Regression Analysis

ASJC Scopus subject areas

  • Gastroenterology

Cite this

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title = "Evaluation of bowel preparation quality in patients with a history of colorectal resection",
abstract = "BACKGROUND/AIMS: Suboptimal bowel function can negatively affect colon cleansing for colonoscopy after surgery. Very few studies have compared the relationship between the colorectal resection and the bowel preparation quality. We postulated that the colon cleansing quality in patients with a history of colorectal surgery might not be inferior to that of patients with no resection history. MATERIALS AND METHODS: Overall, 200 patients were enrolled in the study and distributed into two groups: the resection group (RG) and the control group. The surgical maneuvers were classified as right colectomy, left colectomy, and rectosigmoidectomy. The bowel preparation was performed using 2-L low-volume or 4-L high-volume regimens, and the preparation quality was evaluated using the modified Boston Bowel Preparation Scale (BBPS). RESULTS: There were no significant differences in achieving adequate cleansing observed between the RG and the control group (modified BBPS of 6-9; 88{\%} vs. 88{\%}). According to the logistic regression analysis of the RG, patients with a left colon resection had an odds ratio (OR) of 0.27 (p=0.003) for achieving a successful cleansing, and the low-volume preparation (OR=3.092, p=0.023) was the main predictor of a successful cleansing procedure. However, a longer time between colonoscopy and surgery was not related to unsuccessful bowel cleansing. CONCLUSION: Our study demonstrates that a history of colorectal surgery is not a risk factor for inadequate colon cleansing.",
author = "Yoo, {In Kyung} and Jeen, {Yoon Tae} and Choi, {Seong Ji} and Choi, {Hyuk Soon} and Bora Keum and Eun-Sun Kim and Hoon-Jai Chun and Lee, {Hong Sik} and Kim, {Chang Duck}",
year = "2019",
month = "3",
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language = "English",
volume = "30",
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T1 - Evaluation of bowel preparation quality in patients with a history of colorectal resection

AU - Yoo, In Kyung

AU - Jeen, Yoon Tae

AU - Choi, Seong Ji

AU - Choi, Hyuk Soon

AU - Keum, Bora

AU - Kim, Eun-Sun

AU - Chun, Hoon-Jai

AU - Lee, Hong Sik

AU - Kim, Chang Duck

PY - 2019/3/1

Y1 - 2019/3/1

N2 - BACKGROUND/AIMS: Suboptimal bowel function can negatively affect colon cleansing for colonoscopy after surgery. Very few studies have compared the relationship between the colorectal resection and the bowel preparation quality. We postulated that the colon cleansing quality in patients with a history of colorectal surgery might not be inferior to that of patients with no resection history. MATERIALS AND METHODS: Overall, 200 patients were enrolled in the study and distributed into two groups: the resection group (RG) and the control group. The surgical maneuvers were classified as right colectomy, left colectomy, and rectosigmoidectomy. The bowel preparation was performed using 2-L low-volume or 4-L high-volume regimens, and the preparation quality was evaluated using the modified Boston Bowel Preparation Scale (BBPS). RESULTS: There were no significant differences in achieving adequate cleansing observed between the RG and the control group (modified BBPS of 6-9; 88% vs. 88%). According to the logistic regression analysis of the RG, patients with a left colon resection had an odds ratio (OR) of 0.27 (p=0.003) for achieving a successful cleansing, and the low-volume preparation (OR=3.092, p=0.023) was the main predictor of a successful cleansing procedure. However, a longer time between colonoscopy and surgery was not related to unsuccessful bowel cleansing. CONCLUSION: Our study demonstrates that a history of colorectal surgery is not a risk factor for inadequate colon cleansing.

AB - BACKGROUND/AIMS: Suboptimal bowel function can negatively affect colon cleansing for colonoscopy after surgery. Very few studies have compared the relationship between the colorectal resection and the bowel preparation quality. We postulated that the colon cleansing quality in patients with a history of colorectal surgery might not be inferior to that of patients with no resection history. MATERIALS AND METHODS: Overall, 200 patients were enrolled in the study and distributed into two groups: the resection group (RG) and the control group. The surgical maneuvers were classified as right colectomy, left colectomy, and rectosigmoidectomy. The bowel preparation was performed using 2-L low-volume or 4-L high-volume regimens, and the preparation quality was evaluated using the modified Boston Bowel Preparation Scale (BBPS). RESULTS: There were no significant differences in achieving adequate cleansing observed between the RG and the control group (modified BBPS of 6-9; 88% vs. 88%). According to the logistic regression analysis of the RG, patients with a left colon resection had an odds ratio (OR) of 0.27 (p=0.003) for achieving a successful cleansing, and the low-volume preparation (OR=3.092, p=0.023) was the main predictor of a successful cleansing procedure. However, a longer time between colonoscopy and surgery was not related to unsuccessful bowel cleansing. CONCLUSION: Our study demonstrates that a history of colorectal surgery is not a risk factor for inadequate colon cleansing.

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