Quality optimisation in colonoscopy: a function of time of colonoscopy or bowel preparation

Abudeeb, H., Khan, K. , Maung, M., Malcomson, L. and Brown, A. (2019) Quality optimisation in colonoscopy: a function of time of colonoscopy or bowel preparation. Pan African Medical Journal, 32, 205. (doi: 10.11604/pamj.2019.32.205.16016) (PMID:31312317) (PMCID:PMC6620080)

Abstract

To test the hypothesis claimed in recent studies that quality of bowel preparation for colonoscopy could be influenced by the time of the day colonoscopy is performed. Do patients in morning list have better bowel preparation than those on the afternoon list? Retrospective analysis of 736 consecutive patients who had colonoscopy from 1st August to 31st December 2012. Patients with poor bowel preparation (Boston Bowel Prep Score 6 or less) were identified (n = 242). Colonoscopy reports of these patients analysed. Patients were stratified into two groups (am and pm) and results compared. Mean patient age 63.9 years (range 19-89). Male to female ratio 1:1. 92% of patients were given Moviprep. for bowel preparation. 32.9% (242/736) of patients were identified as having inadequate bowel preparation. 37.7% of morning list patients had poor bowel preparation. 26.7% of afternoon list patients had poor bowel preparation. 14.7% (108/736) had incomplete colonoscopy, of which 26.9% (29/108) were due to poor bowel preparation. The commonest reasons for incomplete examination were patient discomfort & bowel looping. Our study demonstrates that morning session patients had poorer bowel preparation than the afternoon session patients in contrast to published evidence in recent literature. This implies that timing of bowel preparation is probably more important than timing of colonoscopy. Poor bowel preparation does not seem to have a significant impact on the colonoscopy failure rate in this series.

• Item Type: Articles
• Status: Published
• Refereed: Yes
• Glasgow Author(s) Enlighten ID: Khan, Mr Khurram
• Authors: Abudeeb, H., Khan, K., Maung, M., Malcomson, L., and Brown, A.
• College/School: College of Medical Veterinary and Life Sciences > School of Cancer Sciences; College of Medical Veterinary and Life Sciences > School of Medicine, Dentistry & Nursing
• Journal Name: Pan African Medical Journal
• Publisher: Pan African Medical Journal - Center for Public health Research and Information
• ISSN: 1937-8688
• ISSN (Online): 1937-8688
• Copyright Holders: Copyright © 2019 Haytham Abudeeb et al
• First Published: First published in Pan African Medical Journal 32:205
• Publisher Policy: Reproduced under a Creative Commons license