Sixteen studies evaluated impact of mechanical bowel preparation on duration of surgery: 1 high-quality study found a significant reduction in OR time with bowel prep
, and 1 moderate-quality study found longer operative time with bowel prep
1) If no tagging agents are given, a full bowel prep
is required, and then a patient with positive CTC findings can undergo a colonoscopy directly without repeating the bowel prep
or staying on a liquid diet for another 24 hours.
to noon, there was no change in cecal intubation, bowel prep
, or withdrawal times, but adenoma detection diminished from nearly 48% to 45%.
However, all of the bowel prep
regimens produced adequate bowel cleansing.
Your colonoscopy report also should indicate whether the bowel prep
was effective, and if it wasn't excellent or good, whether the doctor spent time clearing any debris to effectively visualize the colon all the way to the cecum, where the colon and small intestine meet.
But more and more people who do big cases are beginning to realize that even without a bowel injury, patients who have a bowel prep
do better postoperatively.
In the same survey, 73 percent of people said bowel prep
remains the hardest part of the colonoscopy experience.
They controlled for patient-level factors such as age and body mass index, provider-level factors such as which individual colonoscopist performed the procedure and whether he or she was a fellow, and procedure-level factors such as the quality of the bowel prep
and the withdrawal time.
In contrast, more than 85% of the 183 colonoscopy patients in the study achieved the same "good to excellent" bowel prep
Among the 62 in the first group, 54 (87%) had satisfactory bowel prep
; 8 (13%) could not complete because of poor bowel prep
, and 7 (11%) could not complete because of discomfort.
The likelihood of perforation can be reduced with preoperative bowel prep
when there is a risk of bowel adhesions.
Fenner starts an overlapping sphincteroplasty with a preoperative bowel prep
to make sure she gets no liquid stool in the operative field.