scholarly journals Role of Bowel Preparation in Adenoma Detection Rate and Follow-up Recommendations in African American Dominant Patient Population

Cureus ◽  
2021 ◽  
Author(s):  
Hamid-Reza Moein ◽  
Eskara Pervez ◽  
Salina Faidhalla ◽  
Heba Habbal ◽  
Hajra Khan ◽  
...  
Keyword(s):  
African American ◽  
Bowel Preparation ◽  
Patient Population ◽  
Detection Rate ◽  
Adenoma Detection Rate ◽  
Adenoma Detection

Impact of preprocedure simethicone on adenoma detection rate during colonoscopy: a multicenter, endoscopist-blinded randomized controlled trial

Endoscopy ◽  
2017 ◽  
Author(s):  
Yu Bai ◽  
Jun Fang ◽  
Sheng-Bing Zhao ◽  
Dong Wang ◽  
Yan-Qing Li ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Bowel Preparation ◽  
Detection Rate ◽  
Controlled Trial ◽  
Complete Removal ◽  
Adenoma Detection Rate ◽  
Randomized Controlled ◽  
Adenoma Detection ◽  
Bowel Cleansing ◽  
Registration Number

Abstract Background and study aims Ideal bowel preparation for colonoscopy requires complete removal of fluid and foam from the colon. Polyethylene glycol (PEG) is widely used for bowel preparation, with antifoaming agents such as simethicone commonly used in combination with PEG. Data on the effect of simethicone on the adenoma detection rate (ADR) were limited. This study therefore aimed to investigate whether preprocedure simethicone could increase the ADR. Patients and methods This was a prospective, multicenter, endoscopist-blinded randomized controlled trial involving consecutive patients who underwent colonoscopy in six centers in China. Patients were randomly assigned to one of two groups: PEG plus simethicone or PEG alone. The primary outcome was ADR; secondary outcomes were quality of bowel preparation, measured by the Boston bowel preparation scale (BBPS) and bubble scores. Results 583 patients were included. More adenomas were detected in the PEG plus simethicone group than in the PEG alone group (ADR 21.0 % vs. 14.3 %, P = 0.04; advanced ADR 9.0 % vs. 7.0 %, P = 0.38). The mean number of adenomas detected was 2.20 ± 1.36 vs. 1.63 ± 0.89 (P = 0.02). Patients in the PEG plus simethicone group showed better bowel cleansing efficacy: BBPS ≥ 6 in 88.3 % vs. 75.2 % (P < 0.001) and bubble scores of 1.00 ± 1.26 vs. 3.98 ± 2.50 (P < 0.001). Abdominal bloating was reported less frequently in the PEG plus simethicone group (7.8 % vs. 19.7 %, P < 0.001) than in the PEG alone group. Conclusion Combined use of PEG and simethicone is associated with a significantly increased ADR in a Chinese population.Clinical trials registration number: NCT02540239

Factors Associated with Poor Bowel Preparation Scores and Their Impact on Adenoma Detection Rate

2012 ◽  
Vol 107 ◽  
pp. S788
Author(s):  
Jorge Zapatier ◽  
Alejandro Perez ◽  
Sandra Rodriguez ◽  
Anand Kumar ◽  
Roger Charles
Keyword(s):  
Bowel Preparation ◽  
Detection Rate ◽  
Adenoma Detection Rate ◽  
Factors Associated ◽  
Adenoma Detection

Perfect Boston Bowel Preparation Score and Adenoma Detection Rate: Air Insufflation versus Water Exchange Colonoscopy

2017 ◽  
Vol 112 ◽  
pp. S84
Author(s):  
Eduardo A. Rodriguez ◽  
Diana Franco ◽  
Sarah Umar ◽  
Suryakanth R. Gurudu ◽  
Kevin Ruff ◽  
...  
Keyword(s):  
Bowel Preparation ◽  
Detection Rate ◽  
Water Exchange ◽  
Adenoma Detection Rate ◽  
Adenoma Detection ◽  
Air Insufflation

Tu1022 An Analysis of Segmental Boston Bowel Preparation Scores (BBPS) and Adenoma Detection Rate (ADR). Is the Level of Cleanliness Associated with Higher ADR?

2016 ◽  
Vol 83 (5) ◽  
pp. AB533-AB534
Author(s):  
Abimbola Adike ◽  
Suryakanth Gurudu ◽  
Jonathan A. Leighton ◽  
Douglas O. Faigel ◽  
Kevin C. Ruff ◽  
...  
Keyword(s):  
Bowel Preparation ◽  
Detection Rate ◽  
Adenoma Detection Rate ◽  
Adenoma Detection

Su1731 Comparison of Ottawa and Boston Bowel Preparation Scales for Adenoma Detection Rate

2016 ◽  
Vol 83 (5) ◽  
pp. AB413 ◽  
Author(s):  
Yoo Jin Lee ◽  
Eun Soo Kim ◽  
Kwang Bum Cho ◽  
Kyung Sik Park ◽  
Ju yup Lee ◽  
...  
Keyword(s):  
Bowel Preparation ◽  
Detection Rate ◽  
Adenoma Detection Rate ◽  
Adenoma Detection

Mo1120 Split Dose Bowel Preparation Does Not Improve Adenoma Detection Rate

2016 ◽  
Vol 150 (4) ◽  
pp. S641
Author(s):  
Hassaan Zia ◽  
Hussein Bitar ◽  
Owais I. Bhatti ◽  
Muhammad H. Bashir ◽  
Pratyusha Parava ◽  
...  
Keyword(s):  
Bowel Preparation ◽  
Detection Rate ◽  
Adenoma Detection Rate ◽  
Split Dose ◽  
Adenoma Detection
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