AI Summary & Key Takeaways
AI InsightThis improvement was statistically significant in the female patient group with higher constipation rate.Conclusions: Use of enemas before purgatives in patients with constipation significantly improves adequacy of rightcolon cleansing.
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Özet
Objective: Enema administration in the morning of routine colonoscopy is known to be useless. However, the potential bowel cleansing effects of distal colon emptying with enema prior to purgatives are not known. The aim of thisstudy is to investigate the effects of enema use before purgatives in preparation for colonoscopy.Material and Methods: Two hundred twenty-seven patients were randomly assigned into three groups; enemabefore purgative use, enema after purgative use, and no enema. Patients were compared in terms of age, sex, BMI,Rome III constipation criteria, history of abdominal surgery, tolerance to the preparation procedure, complicationsduring preparation such as nausea, vomiting, headache and dizziness, cecal insertion time, total duration of colonoscopy, polyp determination rate and colonic cleansing based on the Boston Bowel Preparation Scale.Results: One hundred two (44.9%) patients were male and 125 (55.1%) female. The mean age and BMI was 55.4±11.8 yearsand 28.8±4.7, respectively. No difference was observed between the groups in terms of sex, age, or BMI. The number offulfilled Rome criteria and of previous abdominal surgeries were significantly higher in females than in men. Right colonBoston Bowel Preparation Scale score was higher in the group using enemas before purgatives than the scores of othergroups. This improvement was statistically significant in the female patient group with higher constipation rate.Conclusions: Use of enemas before purgatives in patients with constipation significantly improves adequacy of rightcolon cleansing.