Literature DB >> 19251002

The outcome of a second preparation for colonoscopy after preparation failure in the first procedure.

Shomron Ben-Horin1, Simon Bar-Meir, Benjamin Avidan.   

Abstract

BACKGROUND: There are scant data regarding the outcome of consecutive repeated procedures in patients who failed to adequately clean their colon for colonoscopy.
OBJECTIVE: To investigate the outcome of a second colonoscopy after preparation-associated failure of the first colonoscopy. DESIGN AND
SETTING: A retrospective study in a tertiary-referral center. PATIENTS: All patients with failure of colonoscopy because of poor preparation within a 1-year period.
RESULTS: Of a total of 6990 colonoscopies performed during the study period, 307 procedures (4.4%) failed because of inadequate preparation. Data on subsequent repeated colonoscopies were available for 235 patients. The repeated procedure again failed because of unsatisfactory preparation in 54 of these patients (23%). The failure rate in subsequent third and fourth colonoscopies was also high (more than 25%). Of the various patient and procedure-related parameters examined, only the use of calcium channel blockers (CCB) was found to be predictive of a failed repeated preparation (odds ratio [OR] 3.2 [95% CI, 1.6-6.3], P < .001). In contrast, a next-day colonoscopy after failure of the index procedure was associated with a reduced risk of unsatisfactory second preparation (OR 0.31 [95% CI, 0.1-0.92], P = .03). LIMITATIONS: Validated data on the specific bowel purgatives used were not available.
CONCLUSIONS: Almost a fourth of patients with an unacceptable colonic preparation will also fail the repeated colonoscopy, and patients who use CCB are at particular risk for failure. Strategies to manage this difficult-to-treat patient group should be investigated and may possibly include a preference for next-day colonoscopy.

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Year:  2009        PMID: 19251002     DOI: 10.1016/j.gie.2008.08.027

Source DB:  PubMed          Journal:  Gastrointest Endosc        ISSN: 0016-5107            Impact factor:   9.427


  14 in total

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2.  Predictive factors for inadequate colon preparation before colonoscopy.

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Review 4.  Quality indicators for colonoscopy: Current insights and caveats.

Authors:  Hendrikus Jm Pullens; Peter D Siersema
Journal:  World J Gastrointest Endosc       Date:  2014-12-16

5.  Outcomes of Next-Day Versus Non-next-Day Colonoscopy After an Initial Inadequate Bowel Preparation.

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Journal:  Dig Dis Sci       Date:  2014-04-20       Impact factor: 3.199

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Review 9.  Predictors of Inadequate Bowel Preparation and Salvage Options on Colonoscopy.

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Journal:  Clin Endosc       Date:  2016-07-29

10.  Optimal and safe bowel preparation for colonoscopy.

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