Impact of Prepackaged Low-Residue Diet on Bowel Preparation for Colonoscopy

2021 ◽  
Vol 44 (2) ◽  
pp. E29-E37
Author(s):  
Yuanyuan Zhang ◽  
Caiyan Ding ◽  
Jing Li ◽  
Xianyu Hu ◽  
Yifan Wang ◽  
...  
Keyword(s):  
Bowel Preparation ◽  
Low Residue Diet

Efficacy and tolerability of a low-residue diet for bowel preparation: systematic review and meta-analysis

2021 ◽  
Author(s):  
Cristian Ahumada ◽  
Lisandro Pereyra ◽  
Martín Galvarini ◽  
José Mella ◽  
Estanislao Gómez ◽  
...  
Keyword(s):  
Systematic Review ◽  
Bowel Preparation ◽  
Meta Analysis ◽  
Low Residue Diet

Mo1122 Effects of Low-Residue Diet Prior to Day of Screening Colonoscopy on Bowel Preparation Quality

2016 ◽  
Vol 150 (4) ◽  
pp. S642
Author(s):  
Courtney N. Walker ◽  
Varun Takyar ◽  
Sarah Patel ◽  
Chris Dominguez ◽  
Krunal Patel ◽  
...  
Keyword(s):  
Bowel Preparation ◽  
Screening Colonoscopy ◽  
Low Residue Diet

scholarly journals A2 THE BOWEL CLEANSING NATIONAL INITIATIVE (BCLEAN): PREDICTORS OF INADEQUATE BOWEL PREPARATION

2020 ◽  
Vol 3 (Supplement_1) ◽  
pp. 2-3
Author(s):  
A N Barkun ◽  
M Martel ◽  
I L Epstein ◽  
P Hallé ◽  
R J Hilsden ◽  
...  
Keyword(s):  
Randomized Trial ◽  
Bowel Preparation ◽  
High Volume ◽  
Random Allocation ◽  
Charlson Score ◽  
Split Dose ◽  
Bowel Cleansing ◽  
Low Residue Diet ◽  
Low Volume ◽  
Inadequate Bowel Preparation

Abstract Background Adequate bowel cleansing before colonoscopy is, in theory, a simple concept but the high rate of inadequate or incomplete bowel cleanliness and its consequences have been the subject of many studies, guidelines, and meta- analyses. The complexity resides in all the pre-endoscopic factors surrounding preparation intake that may? influence quality of the bowel preparation. Aims To identify preendoscopic variables associated with inadequate bowel preparation Methods In this randomized trial conducted in adult outpatients in 10 Canadian hospitals, all early morning (AM) colonoscopies were scheduled between 7h30AM and 10h30AM and patients were randomized to PEG low volume or high- volume split-dose or high- volume day before. Later colonoscopies (PM) were scheduled between 10h30AM and 16h30PM and patients were randomized to PEG low-volume or high- volume split-dose or low- volume same day. A secondary random allocation assigned patients to a clear fluid or low residue diet. Inadequate bowel preparation was identified on the Boston Bowel Preparation Scale with a total score <6 with any of the 3 colonic segments subscores <2). All preendoscopic variables such as patients related factors, diet and type of bowel preparation were evaluated between groups with chi-square, Fisher’s exact or t-test where appropriate. All variables found to be significantly associated with a clean preparation on univariable analysis at the P=0.15 level were used to construct a multivariable model. Because of stratified randomization by time with possible resulting differing confounders, AM and PM patients were analysed separately. Results Over 29 months, 1726 patients were stratified in the AM group and 1750 patients in the PM group. 16.9% had inadequate bowel preparation in the AM group and 9.8% in the PM group. Pre-endoscopic variables associated with an inadequate bowel cleanliness in AM colonoscopy were a non screening indication (OR 1.36, 95%CI 1.04–1.78), a Charlson score>0 (OR 1.36, 95% 1.03–1.80) and a low residue diet (OR 1.53, 95%CI 1.17–2.01). Amongst PM colonoscopies, variables associated with an inadequate bowel cleanliness were increased age (OR 1.03, 95% 1.01–1.04), a non screening indication (OR 1.90 95%CI 1.35–2.70); a Charlson score>0 (OR 1.63, 95%CI 1.15–2.32), and a low residue diet (OR 1.41, 95%CI 1.01; 1.98). Conclusions In this large randomized trial, amongst patients undergoing an AM colonoscopy, pre- endoscopic factors associated with an inadequate bowel preparation were a non screening indication, comorbidities and a low residue diet. Amongst PM colonoscopy patients, in addition to these variables, an increased age was also associated with an inadequate bowel preparation. Funding Agencies received arm-length funding from Pendopharm Inc.

scholarly journals Comparing the influence of 1-day versus 3-day low-residue diet on bowel preparation for colonoscopy:a randomized controlled trial

2019 ◽  
Author(s):  
Li Jiao ◽  
Junmin Wang ◽  
Wenjuan Zhao ◽  
Huan Ma ◽  
Xiao Fan ◽  
...  
Keyword(s):  
Bowel Preparation ◽  
Controlled Trial ◽  
Polyp Detection ◽  
Cecal Intubation ◽  
Detection Rates ◽  
Polyp Detection Rate ◽  
Patient Tolerance ◽  
Significant Difference ◽  
Low Residue Diet

Abstract Backgroud :A low-residue diet (LRD) can potentially reduce the hunger of patients while improving compliance and tolerance,without compromising the quality of bowel preparation.This study investigated the effects of 1-day low-residue diets compared with 3-day for colonoscopic bowel preparation . Methods: Patients undergoing bowel preparation before colonoscopy were randomly divided into 1-day and 3-day LRD groups.Oral polyethylene glycol (PEG) electrolyte solution and simethicone were applied to all patients submitted to bowel preparation. The primary outcome measure included the quality of the bowel preparation rated by the Boston bowel preparation scale(BBPS), and the secondary measures included (i) cecal intubation time and withdrawal time, (ii) polyp detection rate, (iii) patient tolerance and (iv) the willingness of the patient to repeat the diet protocol thereafter. Results: No significant difference was detected in regards the quality of the bowel preparation when comparing the two groups, since the mean of BBPS score was 6.54 versus 6.55 in the 1- and 3-day LRD groups. The cecal intubation times,withdrawal times, polyp detection rates,and the patient tolerance (i.e.hunger-comfort score[1]) showed no significant difference between the 1- and 3-day LRD groups. However,overall satisfaction was higher with the 1-day LRD group than with the 3-day LRD group. Conclusion: The 1-day and 3-day low-residue diets showed no major effect on bowel preparation previously to colonoscopy, while the tolerance and satisfaction of patients were higher after 1-day low-residue diet. Trial registration: Clinical Trial Registry Identifier:ChiCTR1900025843.Date of registration:September 10,2019 “Retrospectively registered”. Key words: colonoscopy; bowel preparation; low-residue diet; duration; bowel-cleansing quality

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