Download PDF
CC BY-NC-ND 4.0 · Endosc Int Open 2023; 11(05): E561-E565
DOI: 10.1055/a-2057-4374
Original article

The Colonoscopy Cookbook: Analysis of effect of a recipe resource on quality and experience of bowel preparation in colonoscopy

Laura Bennett 
1   The Royal Melbourne Hospital City Campus, General Surgery, Victoria, Australia
2   Orange Health Service, General Surgery, New South Wales, Australia
,
Robert Knox
2   Orange Health Service, General Surgery, New South Wales, Australia
,
Georgina Luscombe
3   The University of Sydney, School of Rural Health, Orange, New South Wales, Australia
,
Jenny Egan
4   Orange Health Service, Bowel Screen, Orange, South Wales, Australia
,
Lauren Wallace
1   The Royal Melbourne Hospital City Campus, General Surgery, Victoria, Australia
› Author Affiliations
› Further Information
Also available at
    Permissions and Reprints

Abstract

Background High-quality bowel preparation for a colonoscopy improves identification of early lesions in the large bowel, decreases procedure time and increases intervals between colonoscopies. Current recommendations advise a low-residue diet in the days leading up to colonoscopy to improve quality of preparation. This study prepared and provided a recipe resource to patients undergoing colonoscopy and assessed the quality of bowel preparation and patient experience.

Patients and methods A “Colonoscopy Cookbook” resource of recipes that comply with the preoperative diet recommendations was created and added to routine preoperative information given to patients undergoing elective colonoscopies at a regional Australian hospital over a 12-month period. Endoscopic reports were reviewed for each case and quality of bowel preparation was classified as “adequate’’ or “inadequate”. Data collected were compared to a representative local cohort from 2019.

Results Procedure reports from 96 patients who were provided with the resource were compared with 96 patients who were not. Adequate bowel preparation was nine times as likely when the resource was available (odds ratio 8.54, 95 % confidence interval: 2.85 to 25.60, P < 0.001) compared to when it was not. The patient experience was assessed using a post-procedure survey, which demonstrated a positive experience in recipe preparation. Most patients would use the resource prior to future colonoscopies.

Conclusions Further randomized controlled trials are required to validate this scoping review. Pre-procedure recipe resources may improve quality of bowel preparation in patients undergoing colonoscopy.

Supplementary material



Publication History

Received: 15 August 2022

Accepted after revision: 13 March 2023

Accepted Manuscript online:
17 March 2023

Article published online:
26 May 2023

© 2023. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany

Comment to this article:

Endoscopy International Open – recently publishedEndoscopy 2023; 55(08): 782-782
DOI: 10.1055/a-2099-9196

 

  • References

  • 1 Worthington J, Lew JB, Feletto E. et al. Improving Australian National Bowel Cancer Screening Program outcomes through increased participation and cost-effective investment. PLoS One 2020; 15: e0227899
    CrossrefPubMedGoogle Scholar
  • 2 Sulz MC, Kröger A, Prakash M. et al. Meta-analysis of the effect of bowel preparation on adenoma detection: early adenomas affected stronger than advanced adenomas. PLoS One 2016; 11: e0154149
    CrossrefPubMedGoogle Scholar
  • 3 Rai T, Navaneethan U, Gohel T. et al. Effect of quality of bowel preparation on quality indicators of adenoma detection rates and colonoscopy completion rates. Gastroenterol Rep (Oxf) 2016; 4: 148-153
    CrossrefPubMedGoogle Scholar
  • 4 Kastenberg D, Bertiger G, Brogadir S. Bowel preparation quality scales for colonoscopy. World J Gastroenterol 2018; 24: 2833-2843
    CrossrefPubMedGoogle Scholar
  • 5 Poola S, Jampala N, Tumin D. et al. Factors influencing inpatient colonoscopy bowel preparation quality. Minerva Gastroenterol Dietol 2020; 66: 194-200
    CrossrefPubMedGoogle Scholar
  • 6 Zad M, Do CN, Heffernan A. et al. Factors affecting bowel preparation adequacy and procedural time. JGH Open 2020; 4: 206-214
    CrossrefPubMedGoogle Scholar
  • 7 Nguyen DL, Jamal MM, Nguyen ET. et al. Low-residue versus clear liquid diet before colonoscopy: a meta-analysis of randomized, controlled trials. Gastrointest Endosc 2016; 83: 499-507.e1
    CrossrefPubMedGoogle Scholar
  • 8 Gkolfakis P, Tziatzios G, Papanikolaou IS. et al. Strategies to Improve inpatients” quality of bowel preparation for colonoscopy: a systematic review and meta-analysis. Gastroenterol Res Pract 2019; 2019: 5147208
    CrossrefPubMedGoogle Scholar
  • 9 Love JDD, Selker R. The jamovi project. Sydney, Australia. 2021
    PubMedGoogle Scholar
  • 10 Guo X, Li X, Wang Z. et al. Reinforced education improves the quality of bowel preparation for colonoscopy: An updated meta-analysis of randomized controlled trials. PLoS One 2020; 15: e0231888
    CrossrefPubMedGoogle Scholar
  • 11 Chang CW, Shih SC, Wang HY. et al. Meta-analysis: The effect of patient education on bowel preparation for colonoscopy. Endosc Int Open 2015; 3: E646-E552
    Article in Thieme ConnectPubMedGoogle Scholar
  • 12 Kutyla MJ, Gray MA, von Hippel C. et al. Improving the quality of bowel preparation: rewarding patients for success or intensive patient education?. Dig Dis 2021; 39: 113-118
    CrossrefPubMedGoogle Scholar