A novel device for intracolonoscopy cleansing of inadequately prepared colonoscopy patients: a feasibility study.
Endoscopy
; 51(1): 85-92, 2019 01.
Article
in En
| MEDLINE
| ID: mdl-29996152
ABSTRACT
BACKGROUND:
The importance of high quality preprocedural bowel preparation is widely acknowledged, but suboptimal bowel cleansing still occurs in up to 20â% of all colonoscopy patients. The aim of this study was to evaluate the performance of a novel intraprocedural cleaning device for cleaning poorly prepared colons.METHODS:
This multicenter feasibility study included patients aged 18â-â75 years who were referred for colonoscopy. Intraprocedural cleaning was performed in patients after a limited preprocedural bowel preparation regimen (2 days of dietary restrictions and 2â×â10âmg bisacodyl). The primary outcome was the proportion of adequately prepared patients (Boston Bowel Preparation scale [BBPS] ≥â2 in each segment) before and after segmental washing with the new device. Secondary outcomes included cecal intubation rate, procedure time, system usability, patient satisfaction, and safety.RESULTS:
47 patients (42.6â% male), with a median age of 61 years (interquartile range [IQR] 46â-â67 years), were included at three clinical sites. Cecal intubation was achieved in 46/47 patients (97.9â%). The cleaning device significantly improved the proportion of patients with adequate bowel cleansing (from 19.1â% to 97.9â%; Pâ<â0.001) and median BBPS score (from 3.0 [IQR 0.0â-â5.0] to 9.0 [IQR 8.0â-â9.0]). Median cecal intubation time and total procedure time were 16.5 minutes (IQR 9.0-28.3) and 34.0 minutes (IQR 25.0â-â42.8), respectively. Physicians were satisfied with the ease of use of the device and it was well tolerated by patients. No severe adverse events occurred during the study period.CONCLUSIONS:
This feasibility study suggests that the intraprocedural cleaning device appears to be safe and effective in cleaning poorly prepared colons to an adequate level, allowing a thorough colorectal examination.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Bisacodyl
/
Colonoscopy
/
Colon
/
Therapeutic Irrigation
Type of study:
Clinical_trials
Limits:
Female
/
Humans
/
Male
/
Middle aged
Language:
En
Journal:
Endoscopy
Year:
2019
Type:
Article
Affiliation country:
Netherlands