Bowel preparation regimens typically incorporate dietary modifications along with oral cathartics. Inadequate bowel preparation can result in failed detection of prevalent neoplastic lesions and has been linked to an increased risk of procedural adverse events. Previous studies have suggested that patient compliance is important to ensure proper bowel cleansing. Patient counseling along with written instructions that are simple and easy to follow and in their native language should be provided to patients. Thus, interventions that improve the quality of bowel preparation could have a great benefit regarding colonoscopy results. Little in the literature that studies the impact of enhanced patient education on bowel preparation quality. In this study we aim to determine the impact of patient education using telephone call one day prior to outpatient colonoscopy on bowel preparation quality.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
OTHER
Masking
SINGLE
Enrollment
200
Patients undergoing outpatient colonoscopy will receive the standard bowel preparation instructions and a telephone call one day before the procedure to re-explain the instructions and the importance of bowel preparation
Patients undergoing outpatient colonoscopy will receive the standard bowel preparation instructions
Patients will undergo colonoscopy
Makassed General Hospital
Beirut, Lebanon
RECRUITINGBowel preparation quality
We will use Aronchick Scale as bowel preparation quality scale. This scale characterizes the percentage of the total colonic mucosal surface covered by fluid or stool, and is performed before washing or suctioning. This scale grades the adequacy of cleansing in the following: 1. Excellent: Small volume of clear liquid, or greater than 95% of surface seen 2. Good: Large volume of clear liquid covering 5-25% of the surface but greater than 90% of surface seen 3. Fair: Presence of some semi-solid stool that could be suctioned or washed away but greater than 90% of surface seen 4. Poor: Semi-solid stool that could not be suctioned or washed away and less than 90% of surface seen 5. Inadequate: Repreparation needed Bowel preparation will be considered as adequate if the score is ≤ 3 and inadequate if the score of bowel preparation is ≥ 4.
Time frame: Directly after colonoscopy
Colonic polyps rate
Detect rate of colonic polyps in both groups
Time frame: Directly after colonoscopy
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