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dc.contributor.authorAbudeeb, Haytham
dc.contributor.authorKhan, K
dc.contributor.authorMaung, M
dc.contributor.authorMalcomson, Lee
dc.contributor.authorBrown, A
dc.date.accessioned2019-09-11T09:09:22Z
dc.date.available2019-09-11T09:09:22Z
dc.date.issued2019en
dc.identifier.citationAbudeeb H, Khan K, Maung M, Malcomson L, Brown A. Quality optimisation in colonoscopy: a function of time of colonoscopy or bowel preparation. Pan Afr Med J. 2019;32:205.en
dc.identifier.pmid31312317en
dc.identifier.doi10.11604/pamj.2019.32.205.16016en
dc.identifier.urihttp://hdl.handle.net/10541/622065
dc.description.abstractTo test the hypothesis claimed in recent studies that quality of bowel preparation for colonoscopy could be influenced by the time of the day colonoscopy is performed. Do patients in morning list have better bowel preparation than those on the afternoon list? Retrospective analysis of 736 consecutive patients who had colonoscopy from 1(st) August to 31(st) December 2012. Patients with poor bowel preparation (Boston Bowel Prep Score 6 or less) were identified (n = 242). Colonoscopy reports of these patients analysed. Patients were stratified into two groups (am and pm) and results compared. Mean patient age 63.9 years (range 19-89). Male to female ratio 1:1. 92% of patients were given Moviprep. for bowel preparation. 32.9% (242/736) of patients were identified as having inadequate bowel preparation. 37.7% of morning list patients had poor bowel preparatioN 26.7% of afternoon list patients had poor bowel preparatioN 14.7% (108/736) had incomplete colonoscopy, of which 26.9% (29/108) were due to poor bowel preparation. The commonest reasons for incomplete examination were patient discomfort & bowel looping. Our study demonstrates that morning session patients had poorer bowel preparation than the afternoon session patients in contrast to published evidence in recent literature. This implies that timing of bowel preparation is probably more important than timing of colonoscopy. Poor bowel preparation does not seem to have a significant impact on the colonoscopy failure rate in this series.en
dc.language.isoenen
dc.relation.urlhttps://dx.doi.org/10.11604/pamj.2019.32.205.16016en
dc.titleQuality optimisation in colonoscopy: a function of time of colonoscopy or bowel preparationen
dc.typeArticleen
dc.contributor.departmentHairmyres Hospital, General Surgery, Colorectal Department, Glasgow, United Kingdomen
dc.identifier.journalPan African Medical Journal, Theen
dc.description.noteen]
refterms.dateFOA2019-09-17T20:16:13Z


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