One-day low-residue diet is equally effective as the multiple-day low-residue diet in achieving adequate bowel cleansing: a meta-analysis of randomized controlled trials
Background/Aims Colonoscopy is widely used as a diagnostic and preventive procedure for colorectal diseases. The most recent guidelines advocate the use of a low-residue diet (LRD) for bowel preparation before colonoscopy. LRD duration varies considerably, with recommended 1-day and multiple-day reg...
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| Format: | Article |
| Language: | English |
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Korean Society of Gastrointestinal Endoscopy
2025-01-01
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| Series: | Clinical Endoscopy |
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| Online Access: | http://www.e-ce.org/upload/pdf/ce-2024-061.pdf |
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| author | Raeni Dwi Putri Fiki Amalia Festy Aldina Utami Yunisa Pamela Mas Rizky A.A. Syamsunarno |
| author_facet | Raeni Dwi Putri Fiki Amalia Festy Aldina Utami Yunisa Pamela Mas Rizky A.A. Syamsunarno |
| author_sort | Raeni Dwi Putri |
| collection | DOAJ |
| description | Background/Aims Colonoscopy is widely used as a diagnostic and preventive procedure for colorectal diseases. The most recent guidelines advocate the use of a low-residue diet (LRD) for bowel preparation before colonoscopy. LRD duration varies considerably, with recommended 1-day and multiple-day regimens in clinical practice. Methods We followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. We searched multiple databases for randomized controlled trials (RCTs) and analyzed the outcomes using a fixed-effects model. Results Six RCTs with 2,469 subjects were included in this study. The rates of adequate bowel preparation for 1-day and >1-day were 87.2% and 87.1%, respectively. No statistically significant differences were observed between the 1-day and >1-day LRD in adequate bowel preparation (odds ratio [OR], 1.03; 95% confidence interval [CI], 0.76–1.41; p=0.84; I2=0%), polyp detection rate (OR, 0.91; 95% CI, 0.76–1.09; p=0.29; I2=16%), adenoma detection rate (OR, 0.87; 95% CI, 0.71–1.08; p=0.21; I2=0%), and withdrawal time (mean difference, –0.01; 95% CI, –0.25 to 0.24; p=0.97; I2=63%). Conclusions The efficacy of 1-day and multiple-day LRD is comparable in achieving satisfactory bowel preparation, highlighting their similar impact on the detection of polyps and adenomas during colonoscopy. |
| format | Article |
| id | doaj-art-8ed04041612f472280a5b5872bcffd58 |
| institution | Kabale University |
| issn | 2234-2400 2234-2443 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Korean Society of Gastrointestinal Endoscopy |
| record_format | Article |
| series | Clinical Endoscopy |
| spelling | doaj-art-8ed04041612f472280a5b5872bcffd582025-02-03T08:08:03ZengKorean Society of Gastrointestinal EndoscopyClinical Endoscopy2234-24002234-24432025-01-01581637610.5946/ce.2024.0617952One-day low-residue diet is equally effective as the multiple-day low-residue diet in achieving adequate bowel cleansing: a meta-analysis of randomized controlled trialsRaeni Dwi Putri0Fiki Amalia1Festy Aldina Utami2Yunisa Pamela3Mas Rizky A.A. Syamsunarno4 Faculty of Medicine, University of Padjadjaran, Bandung, Indonesia Faculty of Medicine, University of Padjadjaran, Bandung, Indonesia Faculty of Medicine, University of Padjadjaran, Bandung, Indonesia Department of Biomedical Sciences, Faculty of Medicine, University of Padjadjaran, Bandung, Indonesia Department of Biomedical Sciences, Faculty of Medicine, University of Padjadjaran, Bandung, IndonesiaBackground/Aims Colonoscopy is widely used as a diagnostic and preventive procedure for colorectal diseases. The most recent guidelines advocate the use of a low-residue diet (LRD) for bowel preparation before colonoscopy. LRD duration varies considerably, with recommended 1-day and multiple-day regimens in clinical practice. Methods We followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. We searched multiple databases for randomized controlled trials (RCTs) and analyzed the outcomes using a fixed-effects model. Results Six RCTs with 2,469 subjects were included in this study. The rates of adequate bowel preparation for 1-day and >1-day were 87.2% and 87.1%, respectively. No statistically significant differences were observed between the 1-day and >1-day LRD in adequate bowel preparation (odds ratio [OR], 1.03; 95% confidence interval [CI], 0.76–1.41; p=0.84; I2=0%), polyp detection rate (OR, 0.91; 95% CI, 0.76–1.09; p=0.29; I2=16%), adenoma detection rate (OR, 0.87; 95% CI, 0.71–1.08; p=0.21; I2=0%), and withdrawal time (mean difference, –0.01; 95% CI, –0.25 to 0.24; p=0.97; I2=63%). Conclusions The efficacy of 1-day and multiple-day LRD is comparable in achieving satisfactory bowel preparation, highlighting their similar impact on the detection of polyps and adenomas during colonoscopy.http://www.e-ce.org/upload/pdf/ce-2024-061.pdfbowel preparationcolonoscopycolorectal adenomacolorectal cancerdiet |
| spellingShingle | Raeni Dwi Putri Fiki Amalia Festy Aldina Utami Yunisa Pamela Mas Rizky A.A. Syamsunarno One-day low-residue diet is equally effective as the multiple-day low-residue diet in achieving adequate bowel cleansing: a meta-analysis of randomized controlled trials Clinical Endoscopy bowel preparation colonoscopy colorectal adenoma colorectal cancer diet |
| title | One-day low-residue diet is equally effective as the multiple-day low-residue diet in achieving adequate bowel cleansing: a meta-analysis of randomized controlled trials |
| title_full | One-day low-residue diet is equally effective as the multiple-day low-residue diet in achieving adequate bowel cleansing: a meta-analysis of randomized controlled trials |
| title_fullStr | One-day low-residue diet is equally effective as the multiple-day low-residue diet in achieving adequate bowel cleansing: a meta-analysis of randomized controlled trials |
| title_full_unstemmed | One-day low-residue diet is equally effective as the multiple-day low-residue diet in achieving adequate bowel cleansing: a meta-analysis of randomized controlled trials |
| title_short | One-day low-residue diet is equally effective as the multiple-day low-residue diet in achieving adequate bowel cleansing: a meta-analysis of randomized controlled trials |
| title_sort | one day low residue diet is equally effective as the multiple day low residue diet in achieving adequate bowel cleansing a meta analysis of randomized controlled trials |
| topic | bowel preparation colonoscopy colorectal adenoma colorectal cancer diet |
| url | http://www.e-ce.org/upload/pdf/ce-2024-061.pdf |
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