Original articleClinical endoscopyPatients' description of rectal effluent and quality of bowel preparation at colonoscopy
Section snippets
Materials and methods
The study was approved by the Institutional Review Board at Indiana University/Clarian Health Partners.
The study was prospective and was conducted in 3 hospitals at Indiana University Medical Center: Indiana University Hospital (UH), Wishard Memorial Hospital (a county hospital [CH]), and Roudebush Veterans Administration Hospital (VAH). Endoscopy units in the 3 locations are each open access. The UH serves primarily private patients, the CH serves the indigent population in Indianapolis,
Patient characteristics and general data
A total of 429 patients were interviewed in 3 hospitals, 221 at UH, 105 at CH, and 103 at VAH. Of these, 255 (59%) were male. Seventy-five percent were white, 24% were black, 4 were Asian, and 1 was Puerto Rican. Table 1 shows demographics, preparations used, compliance with preparation, comorbidities, and use of medications associated with constipation. The populations at the 3 hospitals were different regarding many of these factors (Table 1). Patients at UH had received more education, had
Discussion
In this report we describe a prospective assessment of colonoscopy patients regarding whether their description of the last rectal effluent predicted quality of bowel preparation as assessed by endoscopists. We found poor correlations between patients' final effluent descriptions, but patients who reported brown liquid or brown solid in their last effluent had a high (54%) risk of fair or poor preparation as judged by the endoscopist. Such patients may be candidates for additional laxative or
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2015, Gastrointestinal EndoscopyCitation Excerpt :Before the examination and administration of sedation, patients should be queried about their compliance with the preparation and the quality of their effluent. Patients with persistent brown effluent should be considered for large-volume enemas or additional oral preparation before proceeding with colonoscopy.135 Patients with an inadequate colon preparation usually require a repeat examination with a more thorough attempt at colonic cleansing.136
DISCLOSURE: All authors disclosed no financial relationships relevant to this publication.