Factors Affecting Proximal Colon Cleansing Based on Bowel Movement Kinetics: A Prospective Observational Study
Background. Previous studies have suggested that relatively poor bowel preparation in the proximal colon, compared to that in the distal colon, could decrease the usefulness of colonoscopy. The aim of this study was to determine whether the “first defecation time” after polyethylene glycol (PEG) adm...
Saved in:
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2019-01-01
|
| Series: | Gastroenterology Research and Practice |
| Online Access: | http://dx.doi.org/10.1155/2019/7032971 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832553336498290688 |
|---|---|
| author | Dae Bum Kim Kang-Moon Lee Sung-Goo Kang Sung Hoon Jung |
| author_facet | Dae Bum Kim Kang-Moon Lee Sung-Goo Kang Sung Hoon Jung |
| author_sort | Dae Bum Kim |
| collection | DOAJ |
| description | Background. Previous studies have suggested that relatively poor bowel preparation in the proximal colon, compared to that in the distal colon, could decrease the usefulness of colonoscopy. The aim of this study was to determine whether the “first defecation time” after polyethylene glycol (PEG) administration affects the cleansing quality in the proximal colon. Methods. A total of 425 individuals who were scheduled to undergo a screening colonoscopy were enrolled prospectively at the healthcare center of St. Vincent’s Hospital, Suwon, Korea, between April 2015 and March 2016. Bowel cleansing was performed using 4 L of PEG. Surveys were conducted to obtain information regarding the “first defecation time.” Endoscopists assessed the quality of bowel preparation in each bowel segment. Results. We investigated 425 consecutive eligible cases. The mean “first defecation time” after PEG administration was 54.35 min. The quality of bowel preparation was poorer in the proximal colon than that in the distal colon. The adequate (excellent, good) and inadequate (fair, poor) proximal colon preparation groups comprised 360 (84.7%) and 65 (15.3%) patients, respectively. A multivariate analysis revealed that female gender (P=0.029), small waist circumference (P=0.027), and the long “first defecation time” (P=0.034) were independently associated with inadequate bowel preparation in the proximal colon. Conclusion. Our data document that the “first defecation time,” female gender, and a small waist circumference affect the quality of preparation in the proximal colon. Inadequate preparation in the proximal colon was more common in females. Patients with these factors undergoing colonoscopy should be monitored carefully. |
| format | Article |
| id | doaj-art-79a639eb21c5449498a603595b397d6c |
| institution | Kabale University |
| issn | 1687-6121 1687-630X |
| language | English |
| publishDate | 2019-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Gastroenterology Research and Practice |
| spelling | doaj-art-79a639eb21c5449498a603595b397d6c2025-02-03T05:54:20ZengWileyGastroenterology Research and Practice1687-61211687-630X2019-01-01201910.1155/2019/70329717032971Factors Affecting Proximal Colon Cleansing Based on Bowel Movement Kinetics: A Prospective Observational StudyDae Bum Kim0Kang-Moon Lee1Sung-Goo Kang2Sung Hoon Jung3Department of Internal Medicine, St. Vincent’s Hospital, College of Medicine, The Catholic University of Korea, Suwon, Republic of KoreaDepartment of Internal Medicine, St. Vincent’s Hospital, College of Medicine, The Catholic University of Korea, Suwon, Republic of KoreaDepartment of Family Medicine, St. Vincent’s Hospital, College of Medicine, The Catholic University of Korea, Suwon, Republic of KoreaDepartment of Internal Medicine, St Paul’s Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of KoreaBackground. Previous studies have suggested that relatively poor bowel preparation in the proximal colon, compared to that in the distal colon, could decrease the usefulness of colonoscopy. The aim of this study was to determine whether the “first defecation time” after polyethylene glycol (PEG) administration affects the cleansing quality in the proximal colon. Methods. A total of 425 individuals who were scheduled to undergo a screening colonoscopy were enrolled prospectively at the healthcare center of St. Vincent’s Hospital, Suwon, Korea, between April 2015 and March 2016. Bowel cleansing was performed using 4 L of PEG. Surveys were conducted to obtain information regarding the “first defecation time.” Endoscopists assessed the quality of bowel preparation in each bowel segment. Results. We investigated 425 consecutive eligible cases. The mean “first defecation time” after PEG administration was 54.35 min. The quality of bowel preparation was poorer in the proximal colon than that in the distal colon. The adequate (excellent, good) and inadequate (fair, poor) proximal colon preparation groups comprised 360 (84.7%) and 65 (15.3%) patients, respectively. A multivariate analysis revealed that female gender (P=0.029), small waist circumference (P=0.027), and the long “first defecation time” (P=0.034) were independently associated with inadequate bowel preparation in the proximal colon. Conclusion. Our data document that the “first defecation time,” female gender, and a small waist circumference affect the quality of preparation in the proximal colon. Inadequate preparation in the proximal colon was more common in females. Patients with these factors undergoing colonoscopy should be monitored carefully.http://dx.doi.org/10.1155/2019/7032971 |
| spellingShingle | Dae Bum Kim Kang-Moon Lee Sung-Goo Kang Sung Hoon Jung Factors Affecting Proximal Colon Cleansing Based on Bowel Movement Kinetics: A Prospective Observational Study Gastroenterology Research and Practice |
| title | Factors Affecting Proximal Colon Cleansing Based on Bowel Movement Kinetics: A Prospective Observational Study |
| title_full | Factors Affecting Proximal Colon Cleansing Based on Bowel Movement Kinetics: A Prospective Observational Study |
| title_fullStr | Factors Affecting Proximal Colon Cleansing Based on Bowel Movement Kinetics: A Prospective Observational Study |
| title_full_unstemmed | Factors Affecting Proximal Colon Cleansing Based on Bowel Movement Kinetics: A Prospective Observational Study |
| title_short | Factors Affecting Proximal Colon Cleansing Based on Bowel Movement Kinetics: A Prospective Observational Study |
| title_sort | factors affecting proximal colon cleansing based on bowel movement kinetics a prospective observational study |
| url | http://dx.doi.org/10.1155/2019/7032971 |
| work_keys_str_mv | AT daebumkim factorsaffectingproximalcoloncleansingbasedonbowelmovementkineticsaprospectiveobservationalstudy AT kangmoonlee factorsaffectingproximalcoloncleansingbasedonbowelmovementkineticsaprospectiveobservationalstudy AT sunggookang factorsaffectingproximalcoloncleansingbasedonbowelmovementkineticsaprospectiveobservationalstudy AT sunghoonjung factorsaffectingproximalcoloncleansingbasedonbowelmovementkineticsaprospectiveobservationalstudy |