Longer Withdrawal Time Is More Important than Excellent Bowel Preparation in Colonoscopy of Adequate Bowel Preparation View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2020-05-18

AUTHORS

Ji Min Choi, Ji Yeon Seo, Jooyoung Lee, Yoo Min Han, Eun Hyo Jin, Jung Ho Bae, Joo Hyun Lim

ABSTRACT

BackgroundAdequate bowel preparation is crucial for effective screening colonoscopy. However, it is unclear whether higher bowel preparation scores correspond to beneficial effects on the adenoma and polyp detection rate (ADR and PDR) in the adequate bowel preparation group.AimsThis study aimed to evaluate the effects of bowel preparation, according to the Boston Bowel Preparation Scale (BBPS), and colonoscopy withdrawal time (CWT) on ADR and PDR in the adequate bowel preparation group.MethodsHealthy examinees between 50 and 75 years old who underwent colonoscopy between September 2015 and August 2016 were included. BBPS scores, CWT, ADR, and PDR were reviewed retrospectively. Predictors of ADR and PDR were analyzed with a generalized linear mixed model.ResultsA total of 5073 cases with adequate bowel preparation (BBPS ≥ 6) were analyzed. Examinees with good (BBPS = 6, 7) and excellent (BBPS = 8, 9) bowel preparation were 1898 (37.4%) and 3175 (62.6%), respectively. Both ADR and PDR were higher in the good bowel preparation group than in the excellent bowel preparation group (ADR 47.3% vs. 45.0%, P = 0.035; PDR 73.7% vs. 69.5%, P = 0.004, respectively). In the multivariate analysis, CWT, rather than BBPS, was significantly associated with both ADR (OR 1.04; 95% CI 1.02–1.06; P < 0.001) and PDR (OR 1.05; 95% CI 1.02–1.07; P = 0.002).ConclusionsBoth ADR and PDR were lower when bowel preparation was excellent rather than good. However, CWT, not BBPS, was significantly associated with ADR and PDR in the adequate bowel preparation group. Therefore, meticulous inspection is important for high-quality colonoscopy regardless of the BBPS score in examinees with adequate bowel preparation. More... »

PAGES

1168-1174

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s10620-020-06321-3

DOI

http://dx.doi.org/10.1007/s10620-020-06321-3

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1127689249

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/32419115


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