Application of individualized intestinal preparation in colonoscopy of elderly patients under intravenous anesthesia
LV Yue1,3, HE Lixia1,3, GE Jie1,3, WANG Xinyu1,3, XU Qingqing1,3, WANG Liyuan2,3
1. Third Department of Health Care, 2. Neurology Department,3. National Clinical Research Center for Geriatric Diseases, the Second Medical Center of Chinese PLA General Hospital, Beijing 100089, China
Abstract：Objective To investigate the cleanliness of intestinal preparation and patient satisfaction during colonoscopy in elderly patients with personalized intestinal preparation.Methods A total of 98 elderly patients receiving painless colonoscopy under propofol sedation and anesthesia in the Digestive Endoscopy Center of the Second Medical Center of Chinese PLA General Hospital from March 2021 to March 2022 were randomly divided into control group and observation group, with 49 cases in each group. The control group received routine bowel preparation, and the observation group received individualized bowel preparation before colonoscopy. The cleanliness of intestinal preparation and patients’ satisfaction with the intestinal preparation were compared between the two groups.Results Individualized intestinal preparation program was implemented before colonoscopy in the elderly under intravenous anesthesia. The score of Boston Intestinal preparation Scale was (7.83±0.35) in the observation group and 6.91±0.73 in the control group. There was statistical difference in the overall mean score of Boston Intestinal preparation Scale between the two groups (P<0.05). The comparison of intestinal preparation satisfaction between the two groups showed that the satisfaction rate of the observation group was higher than that of the control group (98.00% vs 79.60%), and there was statistically significant difference(P<0.05).Conclusions The implementation of individualized intestinal preparation program greatly improves the satisfaction of patients with intestinal preparation, and the Boston score is significantly higher than that of the control group, and this program can improve the accessibility, continuity and standardization of care.
Kim H G, Jeon S R, Kim M Y, et al. How to predict adequate bowel preparation before colonoscopy using conventional polyethylene glycol: prospective observational study based on survey[J].Dig Endosc,2015,27(1): 87-94.
Tian X, Shi B, Liu X L, et al. A Randomized trial of split dose 3 l polyethylene glycol lavage solution, 2 l polyethylene glycol lavage combined with castor oil, and 1 l of polyethylene glycol lavage solution combined with castor oil and ascorbic acid for preparation for colonoscopy[J].Front Med (Lausanne),2019,6: 158.
[8]
Fang J, Wang S, Yu B, et al. Impact of gum chewing on the quality of bowel preparation for colonoscopy: an endoscopist-blinded, randomized controlled trial[J].Gastrointest Endosc, 2017, 86(1):187-191.
[9]
ASGE Standards of Practice Committee, Buxbaum J L, Abbas Fehmi S M, et al. ASGE guideline on the role of endoscopy in the evaluation and management of choledocholithiasis[J].Gastrointest Endosc,2019,89(6): 1075-1105.e15.
[10]
Rutherford C C, Calderwood A H. Update on bowel preparation for colonoscopy[J].Curr Treat Options Gastroenterol,2018,16(1): 165-181.
Stolpman D R, Solem C A, Eastlick D, et al. A randomized controlled trial comparing a low-residue diet versus clear liquids for colonoscopy preparation: impact on tolerance, procedure time, and adenoma detection rate[J].J Clin Gastroenterol, 2014, 48(10):851-855.
Hong S C, Chan S S, Gyu W K, et al. Orange juice intake reduces patient discomfort and is effective for bowel cleansing with polyethylene glycol during bowel preparation[J].Dis Colon Rec, 2014, 10 (57):1220-1227.
2022, Vol. 33 
