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

Research output: Contribution to journalArticle

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

ASJC Scopus subject areas

  • Gastroenterology

Fingerprint Dive into the research topics of 'Evaluation of bowel preparation quality in patients with a history of colorectal resection'. Together they form a unique fingerprint.

  • Cite this