This review aimed to analyze these recommendations, placing special attention on patients that have an increased risk of inadequate bowel preparation. Recently, several studies have assessed risk factors associated with an inadequate bowel preparation, suggesting that more research is warranted on new strategies to improve bowel cleansing ( 5). However, up to 30% of diagnostic colonoscopies are reported to have an inadequate bowel cleasing ( 4). Thus, inadequate bowel preparation leads to suboptimal colonoscopy effectiveness, increasing the need to repeat colonoscopies with the subsequent consumption of resources and, more importantly, increases the risk for post-colonoscopy CRC ( 2, 3). Its efficiency depends on quality indicators as the cecal intubation rate and the adenoma detection rate (ADR) which are both directly linked with the quality of bowel cleansing. Indeed, polypectomy has proven to decrease colorectal cancer (CRC) incidence and mortality ( 1). However, if results hold up, this could provide an easier experience getting ready for that test, particularly for patients with diabetes or other illnesses that make very restricted diets hard.Colonoscopy is the gold-standard procedure for detecting colorectal neoplastic lesions and the removal of polyps. The study was small and needs to be repeated in larger, randomized groups of patients preparing for colonoscopy. What This Means for Patientsĭoes this mean you can chow down before your next colonoscopy - or even have some creamed asparagus soup or ice cream? SOURCE: Gutkin et al., Poster #P412, ACG 2011 Scientific Meeting. Patient’s overall satisfaction scores were similar for full and clear liquid diets." "Our study demonstrates that a full liquid diet does not worsen bowel preparation, decrease the ability to detect polyps, or increase total colonoscopy time, when compared with a clear liquid diet. Strangely, even with more food choices, there was no difference in patient satisfaction. Researchers, led by Ellen Gutkin, DO at New York Hospital Queens, randomized 34 patients preparing for a colonoscopy the next day to either a traditional clear liquid diet or a full liquid diet that included milk, milkshakes, creamed soup, pudding, cream, fruit and vegetable juices, yogurt, and ice cream. One patient on a clear diet wasn't able to finish the prep - which also included 2 liters of MoviPrep. In addition, the number of patients where polyps were found wasn't different in the two diets. But are they really necessary for doctors to get a clear view of the colon?Ī small randomized study reported in a poster at the American College of Gastroenterology 2011 Annual Scientific Meeting found that a full liquid diet including milk, yogurt, pudding, fruit, and veggie juices - even ice cream - was just as good as a more restricted clear liquid diet in finding polyps.ĭoctors doing the exams didn't know which patients had clear liquids only and who got to eat a full liquid diet but rated them equally effective in satisfactorily cleansing the colon Normal preparation instructions for a colonoscopy call for clear liquids the day before the test. Share on Facebook Share on LinkedIn Share on Twitter Copy this URL Share via Email
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