EFFECTS OF THE RESPECT OF EDUCATIONAL PATIENT MESSAGES BEFORE COLONOSCOPY ON BOWEL PREPARATION

Aims:

Adequate bowel preparation is essential for a successful endoscopy for screening as well as surveillance. Despite patients' educational oral or written messages, inadequate bowel preparation remains high.

Methods:

This is a prospective study in the endoscopy center of the gastrointestinal department from January 2018 to June 2018. A thorough questionnary was taken by all the patients who had a colonoscopy during the period of the study. The bowel preparation quality was evaluated by the Boston bowel preparation scale (BBPS) score and the rate of adequacy (BBPS≥6).

Results:

120 patients were included. 70% were female. All patients recieved standard instructions regarding the bowl preparation. Low fiber diet was prescribed for all the patients, and a written educative paper was delivered in the first consult. The bowl preparation was the polyethylene glycol (4 liters). Before proceeding to the endoscopy, all patients were interrogated. 63,3% respected the low fiber diet during the week before the colonoscopy. During the procedure, only 43,3% had an adequate bowl preparation (BBPS≥6). Statistical analysis showed that respect of the low fiber diet during the week before the colonoscopy is significantly correlated to an adequate bowl preparation (p < 0,005).

Conclusions:

Insisting on repecting the low fiber diet during the week before the colonoscopy is primordial to have a good bowl preparation and a then better detection of colic lesions.