再次口服缓泻剂与清洁灌肠对普通结肠镜检查肠道准备不充分患者补救效果的对比研究*

Comparative study of the remedial effect of additional oral laxatives and clean enema on patients with inadequate bowel preparation for general colonoscopy*
  • 摘要
  • | |
  • 访问统计
  • |
  • 参考文献
  • |
  • 相似文献
  • | |
    摘要:

    摘要:目的??探讨再次口服缓泻剂与清洁灌肠对普通结肠镜检查肠道准备不充分患者的补救效果。方法 回顾性分析2018年7月-2019年6月因肠道准备不充分[波士顿肠道准备评分(BBPS)总分?0.05)。结论 再次口服2 L PEG溶液对普通结肠镜检查肠道准备不充分的补救效果优于清洁灌肠,且具有较好的可接受度。

    Abstract:

    Abstract: Objective?To investigate the remedial effect of additional oral laxatives and clean enema on patients with inadequate bowel preparation for general colonoscopy.?Methods?The clinical data of 96 patients from July 2018 to June 2019 with inadequate bowel preparation [total Boston Bowel Preparation Scale (BBPS) score less than 6 or any of 3 colon segments score less than 2] during an general colonoscopy and received remedial measures on the same day were retrospectively analyzed. Among them, 59 patients received additional oral intake of 2 L polyethylene glycol (PEG) electrolyte powder (PEG group) and 37 patients received artificial clean enema (enema group). The BBPS score of colon, adequacy rate of bowel preparation, time of cecum intubation, detection rate of polyps, adverse reactions and patients’ acceptance were compared between the two groups.?Results?The BBPS score of whole colon [(7.9?±?1.8) vs (7.1?±?1.7) score, t?=?2.17, P?=?0.033], right colon [(2.7?±?0.8) vs (2.2?±?0.7) score, t?=?3.12, P?=?0.002] and transverse colon [(2.7?±?0.8) vs (2.3?±?0.7) score, t?=?2.50, P?=?0.014] in PEG group was significantly higher, adequacy rate of bowel preparation (93.2% vs 73.0%, χ2?=?7.48, P?=?0.006) was significantly higher, and patients’ acceptance (91.5% vs 75.7%, χ2?=?4.59, P?=?0.032) was significantly higher than those in enema group, with statistical significance (P?

    网友评论
    网友评论
    分享到微博
    发 布
    参考文献
    [1] CLARK B T, RUSTAGI T, LAINE L. What level of bowel prep quality requires early repeat colonoscopy: systematic review and Meta-analysis of the impact of preparation quality on adenoma detection rate[J]. Am J Gastroenterol, 2014, 109(11): 1714-1723.
    [2] HANKINS S C, BRIMHALL B B, KANKANALA V, et al. A low-volume polyethylene glycol solution was associated with an increased suboptimal bowel preparation rate but had similar recommendations for an early repeat colonoscopy, procedure times, and adenoma detection rates[J]. PLoS One, 2017, 12(4): e0176265.
    [3] MAHMOOD S, FAROOQUI S M, MADHOUN M F. Predictors of inadequate bowel preparation for colonoscopy: a systematic review and meta-analysis[J]. Eur J Gastroenterol Hepatol, 2018, 30(8): 819-826.
    [4] GANDHI K, TOFANI C, SOKACH C, et al. Patient characteristics associated with quality of colonoscopy preparation: a systematic review and Meta-analysis[J]. Clin Gastroenterol Hepatol, 2017, 16(3): 357-369.
    [5] JOHNSON D A, BARKUN A N, COHEN L B, et al. Optimizing adequacy of bowel cleansing for colonoscopy: recommendations from the US Multi-Society Task Force on colorectal cancer[J]. Gastroenterology, 2014, 147(4): 903-924.
    [6] HASSAN C, EAST J, RADAELLI F, et al. Bowel preparation for colonoscopy: European Society of Gastrointestinal Endoscopy (ESGE) Guideline-Update 2019[J]. Endoscopy, 2019, 51(8): 775-794.
    [7] 中国医师协会内镜医师分会消化内镜专业委员会, 中国抗癌协会肿瘤内镜学专业委员会. 中国消化内镜诊疗相关肠道准备指南 (2019年, 上海)[J]. 中华消化杂志, 2019, 39(7): 438-443.
    [7] Digestive Endoscopy Specialized Committee of Chinese Endoscopist Association, Chinese Medical Doctor Association, Cancer Endoscopicology Specialized Committee of China Anti-Cancer Association. Guideline for bowel preparation for the treatment of digestive endoscopy in China (Shanghai, 2019)[J]. Chinese Journal of Digestion, 2019, 39(7): 438-443. Chinese
    [8] LAI E J, CALDERWOOD A H, DOROS G, et al. The Boston Bowel Preparation Scale: a valid and reliable instrument for colonoscopy-oriented research[J]. Gastrointest Endosc, 2009, 69(3 Pt 2): 620-625.
    [9] MACPHAIL M E, HARDACKER K A, TIWARI A, et al. Intraprocedural cleansing work during colonoscopy and achievable rates of adequate preparation in an open-access endoscopy unit[J]. Gastrointest Endosc, 2015, 81(3): 525-530.
    [10] YANG H J, PARK D I, PARK S K, et al. A randomized controlled trial comparing colonoscopic enema with additional oral preparation as a salvage for inadequate bowel cleansing before colonoscopy[J]. J Clin Gastroenterol, 2019, 53(8): e308-e315.
    [11] MOON W. Optimal and safe bowel preparation for colonoscopy[J]. Clin Endosc, 2013, 46(3): 219-223.
    [12] KANG X, ZHAO L, ZHU Z, et al. Same-day single dose of 2 liter polyethylene glycol is not inferior to the standard bowel preparation regimen in low-risk patients: a randomized, controlled trial[J]. Am J Gastroenterol, 2018, 113(4): 601-610.
    [13] HORIUCHI A, NAKAYAMA Y, KAJIYAMA M, et al. Colonoscopic enema as rescue for inadequate bowel preparation before colonoscopy: a prospective, observational study[J]. Colorectal Dis, 2012, 14(10): e735-e739.
    [14] PéREZ JIMéNEZ J, DIEGO BERMúDEZ L, GRALNEK I M, et al. An intraprocedural endoscopic cleansing device for achieving adequate colon preparation in poorly prepped patients[J]. J Clin Gastroenterol, 2019, 53(7): 530-534.
    引证文献
引用本文

唐萍,毕梅,邹绍静,焦峰,仲艳阳.再次口服缓泻剂与清洁灌肠对普通结肠镜检查肠道准备不充分患者补救效果的对比研究*[J].中国内镜杂志,2020,26(5):15-19

复制
分享
文章指标
  • 点击次数:185
  • 下载次数: 764
历史
  • 在线发布日期: 2021-02-04
二维码
中国内镜杂志声明
关闭