Which Patient-Related Factors Determine Optimal Bowel Preparation?

AbstractPurpose of reviewAdequate bowel cleansing before colonoscopy is a simple concept but the high rate of inadequate or incomplete bowel cleanliness and its consequences have been the subject of many studies, guidelines, and meta-analysis. The complexity resides in all the factors surrounding preparation intake such as type and regimen of bowel preparation, diets, compliance, and also patient-related factors that all influence quality of the bowel preparation. The purpose of this review is to focus specifically on patient-related factors and their challenges. Patients with lower GI bleeding are excluded from this review.Recent findingsPatient factors that may be associated with a poor bowel preparation were searched for in the literature. With regard to patient ’s characteristics, higher age, male gender, and socio-economic status (lower income, Medicaid, and lower education) were all associated with higher rates of inadequate bowel preparation. Comorbidities such as inflammatory bowel disease (IBD), in-patients, body mass index (BMI), cirrhosis, constip ation, and neurological condition as well as some pharmacotherapy were also associated with inadequate bowel preparation. Studies identifying predictive patient factors as well as those studying these patients in particular showed variability in the strength of the patient factor associations. Patie nts taking tricyclic antidepressant, narcotics, and those with neurological conditions were identified to have a stronger ...
Source: Current Treatment Options in Gastroenterology - Category: Gastroenterology Source Type: research