The burden of bowel preparations in patients undergoing elective colonoscopy
| العنوان: | The burden of bowel preparations in patients undergoing elective colonoscopy |
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| المؤلفون: | Fayez S. Sarkis, Jean M. Chalhoub, Ala I. Sharara, Zeinab D El Reda, Carla Abou Fadel, Ali H. Harb, Rachel Abou Mrad |
| المصدر: | United European Gastroenterology Journal. 4:314-318 |
| بيانات النشر: | Wiley, 2016. |
| سنة النشر: | 2016 |
| مصطلحات موضوعية: | medicine.medical_specialty, medicine.diagnostic_test, business.industry, General surgery, digestive, oral, and skin physiology, Gastroenterology, Colonoscopy, Original Articles, digestive system diseases, 03 medical and health sciences, 0302 clinical medicine, Oncology, Quality of life, Tolerability, 030220 oncology & carcinogenesis, Bowel preparation, Medicine, 030211 gastroenterology & hepatology, In patient, business |
| الوصف: | An adequate bowel preparation is an important quality measure for optimal colonoscopy.The aim of this article is to study the burden of bowel preparations by examining seven specific variables (hunger, taste, volume, sleep, social, work, and adverse events (AEs)).Ambulatory patients undergoing elective colonoscopy completed a questionnaire regarding their experience with the prescribed preparation. The seven study variables were graded using a numerical scale of 0-10 (best to worst). A score6 was considered to indicate a significant impact and used as primary outcome. Patients were also asked to grade in descending order what they perceived as the worst aspect of the preparation.A total of 216 patients completed the survey. Preparations consisted of split-dose sodium picosulfate (SPS) (n = 49), split-dose 4 l PEG ± menthol (n = 49), full-dose PEG (n = 68), and 2 l split-dose PEG + ascorbic acid (n = 50). Except for work and AEs, all variables were considered to have a negative impact by20% of patients (range 20.4-34.2). SPS was superior to PEG regimens in taste (4.1% vs. 35.9%) and volume (0% vs. 44.9%) (p 0.05 for both) but inferior for hunger (30.6% vs. 19.2%; p = 0.09). The addition of menthol to PEG significantly improved taste (22.4% vs. 41.5%; p = 0.02). Sleep disturbances were most common with SPS and least with split-dose PEG (30.6% vs. 17.4%; p 0.05). Overall, patients ranked volume, taste, and hunger as most burdensome.The burden of bowel preparation is substantial. An informed personalized choice of preparation may improve adherence, tolerability and colon cleansing. |
| تدمد: | 2050-6414 2050-6406 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::10cbbf393d69499101e14496d53ff3ff https://doi.org/10.1177/2050640615594550 |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....10cbbf393d69499101e14496d53ff3ff |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 20506414 20506406 |
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