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

In Kyung Yoo, Yoon Tae Jeen, Seong Ji Choi, Hyuk Soon Choi, Bora Keum, Eun Sun Kim, Hoon Jai Chun, Hong Sik Lee, Chang Duck Kim

    Research output: Contribution to journalArticlepeer-review

    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
    JournalTurkish Journal of Gastroenterology
    Volume30
    Issue number3
    DOIs
    Publication statusPublished - 2019 Mar

    Keywords

    • Ascorbic acid
    • Bowel preparation
    • Colonoscopy
    • Colorectal resection
    • Polyethylene glycol

    ASJC Scopus subject areas

    • Gastroenterology

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