Bowel preparation : What's new ?

##plugins.themes.academic_pro.article.sidebar##

Published Oct 5, 2012
Download
pdf
Vol. 90 No. 10 (2012): Issue Oct 2012

##plugins.themes.academic_pro.article.main##

Hayfa Romdhane
Service de Gastro-entérologie A. Hôpital la Rabta. Tunis
Zeineb Ben Ali
Rym Ennaifer
Service de Gastro-entérologie Hôpital H. Thameur Tunis
Rania Hefaiedh
Houda Ben Nejma
Najet Bel Hadj Brik

Abstract

Background: The efficiency of bowel preparation directly affects the quality and the reliability of total colonoscopy. Inadequate bowel cleansing is a common cause of incomplete colonoscopy with a risk of ignoring pre-neoplastic lesions represented primarily as adenomas with a size below centimetre. Due to the numerous factors interfering with preparation, an adapted choice of the type of preparation and the follow-up of diverse methods to optimize bowel preparation allows to improve diagnostic accuracy and to reduce costs while guaranteeing to the patient good tolerabilty and safety.
Aim: To report the news about the terms of the bowel preparation for colonoscopy quality and to propose practical ways to optimize it.
Methods: Review of literature and lecture of recommendations.
Results: The pre-colonoscopy consultation, prescription of a split dose bowel preparation and a brief time between the last dose of preparation and colonoscopy are the means currently available to optimize bowel preparation.
Conclusion: A better understanding of terms of bowel preparation and the factors influencing the degree of preparation improve the diagnostic efficacy of colonoscopy especially in the detection and treatment of colorectal cancer

Keywords:

Bowel preparation, Total colonoscopy

##plugins.themes.academic_pro.article.details##

References

  1. Bressler B, Paszat LF, Chen Z, Rothwell DM, Vinden C, Rabeneck L. Rates of new or missed colorectal cancers after colonoscopy and their risk factors : a population-based analysis. Gastroenterology 2007; 132:96-102.
  2. Baxter NN, Goldwasser MA, Paszat LF, Saskin R, Urbach DR, Rabeneck L. Association of colonoscopy and death from colorectal cancer. Ann Intern Med 2009; 150:1-8.
  3. Heresbach D, Boustière C, Coffin B et al. Consensus en endoscopie digestive : préparation colique pour la coloscopie totale en 2011. Acta Endosc 2011; 41:39-46.
  4. Harewood GC, Sharma VK, de Garmo P. Impact of colonoscopy preparation quality on detection of suspected colonic neoplasia. Gastrointest Endosc 2003; 58:76-9.
  5. Nguyen DL, Wieland M. Risk factors predictive of poor quality preparation during average risk colonoscopy screening: the importance of health literacy. J Gastrointestin Liver Dis 2010; 19: 369-72.
  6. Belsey J, Epstein O, Heresbach D. Systematic review: oral bowel preparation for colonoscopy. Aliment Pharmacol Ther 2006; 25:373-84.
  7. Rex DK, Imperiale TF, Latinovich DR, Bratcher LL. Impact of bowel preparation on efficiency and cost of colonoscopy. Am J Gastroenterol 2002;97:1696-700.
  8. Lapuelle J. Comment optimiser une préparation de coloscopie ? Post'U FMC-HGE 2011;219-24.
  9. Edwin J, Lai EJ, Calderwood AH, Doros G, Fix OK, Jacobson BC. The Boston bowel preparation scale: a valid and reliable instrument for colonoscopy-oriented research. Gastrointest Endosc 2009; 69:620-5.
  10. Ben-Horin S, Bar-Meir S, Avidan B.The impact of colon cleanliness assessment on endoscopists' recommendations for follow-up colonoscopy. AmJ Gastroenterol 2007; 102:2680-5.
  11. Ben-Horin S, Bar-Meir S, Avidan B.The outcome of a second preparation for colonoscopy after preparation failure in the first procedure. Gastrointest Endosc 2009; 69:626-30
  12. Ness RM, Manam R, Hoen H, Chalasani N. Predictors of inadequate bowel preparation for colonoscopy. Am J Gastroenterol 2001;96:1797-802.
  13. Church JM. Effectiveness of polyethylene glycol antegrade gut lavage bowel preparation for colonoscopy--timing is the key! Dis Colon Rectum 1998; 41:1223-25.
  14. Beck DE. Bowel preparation for colonoscopy. Clin Colon Rectal Surg 2010; 23:10-13.
  15. Huffman M, Unger RZ, Thatikonda C, Amstatz S, Rex DK. Split dose bowel preparation for colonoscopy and residual gastric fluid volume : an observational study. Gastrointest Endosc 2010; 72:516- 22.
  16. Ponchon T, Danielou JY, Heresbach D, Vitte RL, Genuist F, Dugué C. Efficacité, sécurité d'emploi et acceptabilité d'une solution de lavage intestinal en 2 litres (macrogol + électrolytes + ascorbate) versus 4 litres de macrogol + électrolytes. Gastroenterol Clin Biol 2009; 33:A3.
  17. Lapuelle J, Abdini E, Canard JM et al. Évaluation prospective multicentrique de la qualité de la préparation colique en coloscopie chez 1 019 patients. Gastroenterol Clin Biol 2009; 33:A180.
  18. Markowitz GS, Stokes MB, Radhakrishnan J, D'Agati VD. Acute phosphate nephropathy following oral sodium phosphate bowel purgative: an underrecognized cause of chronic renal failure. J Am Soc Nephrol 2005; 16:3389-96.
  19. Ker TS. Prospective comparison of three bowel preparation regimens: fleet phosphosoda, two-liter and four-liter electrolyte lavage solutions. Am Surg 2008; 74:1030-32.
  20. Barkun A, Chiba N, Enns R. Commonly used preparations for colonoscopy: efficacy, tolerability, and safety: a Canadian Association of Gastroenterology position paper. Can J Gastroenterol 2006; 20:699-710.
  21. Marmo R, Rotondamo F, Riccio G. Effective bowel cleansing before colonoscopy: a randomized study of split dosage versus non split dosage regimens of high-volume versus low-volume polyethylene glycol solution. Gastrointest Endosc 2010; 72:313-20
  22. Siddique AA, Yang K, Spechler SJ. Duration of the interval between the completion of bowel preparation and the start of colonoscopy predicts bowel preparation quality. Gastrointest Endosc 2009;69:700-6.