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Predictive factors for inadequate colon preparation before colonoscopy

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Abstract

Background

It could be helpful to ascertain which patients are at risk of poor bowel preparation prior to performing sedated colonoscopy. The aim of the present study was to identify the predictive factors for poor colon preparation prior to colonoscopy.

Methods

A prospective study was performed at Kaohsiung Chang Gung Memorial Hospital, Taiwan, from September 2011 to May 2013. Patient characteristics, food consumed within 2 days of colonoscopy, volume of polyethylene glycol (PEG) solution, interval between completing PEG and examination, number of bowel movements, and character of the last stool were evaluated.

Results

Seven hundred and three patients were enrolled (mean age 50.3 ± 11.6 years, 43 % female). In univariate analysis, character of the last stool (<0.001), body weight (p = 0.007), body mass index (p = 0.047), waist circumference (p = 0.008), buttock girth (p = 0.016), meal residue score (<0.001), and interval between end of PEG and colonoscopy (p = 0.01) were related to inadequate colon preparation. In multivariate analysis, waist circumference (p < 0.001), meal residue score (p < 0.001), and characteristics of last stool (p < 0.001) were variables that predicted poor colon preparation.

Conclusions

Patients who have consumed a high residue diet and/or who report that their last stool is semisolid are likely to have poor bowel preparation, and consideration could be given to rescheduling the examination.

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Acknowledgments

The authors wish to thank the staff members of the Healthcare center, Kaohsiung Chang Gung Memorial Hospital for their assistance with data collection.

Conflict of interest

None.

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Authors and Affiliations

  1. Division of Hepatogastroenterology, Department of Internal Medicine, Kaohsiung Chang Gung Memorial Hospital, 123, Ta-Pei Rd., Niaosong Dist., Kaohsiung, 8301, Taiwan

    R.-W. Cheng, Y.-C. Chiu, K.-L. Wu, W.-C. Tai, M.-L. Hu, Y.-P. Chou, S.-K. Chuah, C.-M. Liang & L.-S. Lu

  2. Chang Gung University College of Medicine, Kaohsiung, Taiwan

    Y.-C. Chiu, K.-L. Wu & S.-K. Chuah

  3. Discipline of Medicine, Royal Adelaide Hospital, University of Adelaide, Adelaide, Australia

    C. K. Rayner

Authors
  1. R.-W. Cheng
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  2. Y.-C. Chiu
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  3. K.-L. Wu
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  4. C. K. Rayner
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  5. W.-C. Tai
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  6. M.-L. Hu
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  7. Y.-P. Chou
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  8. S.-K. Chuah
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  9. C.-M. Liang
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  10. L.-S. Lu
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Corresponding author

Correspondence to K.-L. Wu.

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Cheng, RW., Chiu, YC., Wu, KL. et al. Predictive factors for inadequate colon preparation before colonoscopy. Tech Coloproctol 19, 111–115 (2015). https://doi.org/10.1007/s10151-014-1259-0

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  • DOI: https://doi.org/10.1007/s10151-014-1259-0

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