Journals / Annals of Medical Research / 2020 / Cilt: 27 - Sayı: 4

Colonoscopy preparation quality in diabetic patients

Pages
1051–1056
Publication Date
2022-10-12
DOI
—
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We also found that bowel cleansing of right colon and transverse colon in the nondiabetics was superior to diabetics.Conclusion: Diabetes isn’t a negative factor for detection of colonic polyps and isn’t associated with inadequate bowel cleansing, but it associated with poor bowel cleansing in right and transverse colon, so physicians must be further careful for the possibility of obscure lesions of right and transverse colon in diabetic patients.

📌 3 Key Takeaways

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Objective & Hypothesis:AbstractAim: Colonoscopy is the established standard method for the evaluation of the colon.
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Key Findings & Data:We aimed to evaluate the bowel preparation quality of type 2 diabetic and non-diabetic patients.Material and Methods: I62 diabetic and 65 non-diabetic patients were enrolled in this study and colon preparation quality was evaluated for each segment of colon (right, transverse and left) and total score was obtained according to Boston Bowel Preparation scale.Results: The successful bowel preparation rates were 64.5% in the diabetics and 75.4% in the non-diabetics, which wasn’t statistically significant.
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Conclusion & Impact:We also found that bowel cleansing of right colon and transverse colon in the nondiabetics was superior to diabetics.Conclusion: Diabetes isn’t a negative factor for detection of colonic polyps and isn’t associated with inadequate bowel cleansing, but it associated with poor bowel cleansing in right and transverse colon, so physicians must be further careful for the possibility of obscure lesions of right and transverse colon in diabetic patients.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

AbstractAim: Colonoscopy is the established standard method for the evaluation of the colon. It has been reported that diabetes was associated with poor bowel cleansing and colorectal cancer in some studies. We aimed to evaluate the bowel preparation quality of type 2 diabetic and non-diabetic patients.Material and Methods: I62 diabetic and 65 non-diabetic patients were enrolled in this study and colon preparation quality was evaluated for each segment of colon (right, transverse and left) and total score was obtained according to Boston Bowel Preparation scale.Results: The successful bowel preparation rates were 64.5% in the diabetics and 75.4% in the non-diabetics, which wasn’t statistically significant. Cecal intubation rate was 80.6% in the diabetics, 90.8% in the non-diabetics and mean cecal intubation time was 7.78 min in diabetics, 8.9 min in non-diabetics. There were no significant differences in terms of cecal intubation time, cecal intubation rate and polyp detection rates between groups. We also found that bowel cleansing of right colon and transverse colon in the nondiabetics was superior to diabetics.Conclusion: Diabetes isn’t a negative factor for detection of colonic polyps and isn’t associated with inadequate bowel cleansing, but it associated with poor bowel cleansing in right and transverse colon, so physicians must be further careful for the possibility of obscure lesions of right and transverse colon in diabetic patients.

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Cite This Article

COSKUN, Y. (2022). Colonoscopy preparation quality in diabetic patients. Annals of Medical Research, Cilt: 27 - Sayı: 4, 1051–1056. https://ajindex.com/articles/446244

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References (14)

  1. Froehlich F, Wietlisbach V, Gonvers JJ, et al. Impact of colonic cleansing on quality and diagnostic yield of colonoscopy: the European Panel of Appropriateness of Gastrointestinal Endoscopy European multicenter study. Gastrointestinal Endoscopy 2005;61:378-84
  2. Kim WH, Cho YJ, Park JY, et al.Factors affecting insertion time and patient discomfort during colonoscopy. Gastrointestinal Endoscopy 2000;52:600-5
  3. Rex DK, Johnson DA, Anderson JC, et al. American College of Gastroenterology guidelines for colorectal cancer screening 2009 [corrected]. Am J Gastroenterol 2009;104:739-50
  4. Saltzman JR, Cash BD, Pasha SF, et al. Bowel preparation before colonoscopy. Gastrointestinal Endoscopy 2015;81:781-94
  5. Aoun E, Abdul-Baki H, Azar C, et al. A randomized single-blind trial of split-dose PEG-electrolyte solution without dietary restriction compared with whole dose PEG-electrolyte solution with dietary restriction for colonoscopy preparation. Gastrointestinal Endoscopy 2005;62:213-8
  6. Park JS, Sohn CI, Hwang SJ, et al. Quality and effect of single dose versus split dose of polyethylene glycol bowel preparation for early-morning colonoscopy. Endoscopy 2007;39:616-9
  7. Rosch T, Classen M. Fractional cleansing of the large bowel with "Golytely" for colonoscopic preparation: a controlled trial. Endoscopy 1987;19:198-200
  8. Tooson JD, Gates LK, Jr. Bowel preparation before colonoscopy. Choosing the best lavage regimen. Postgrad Med 1996;100:203-4, 7-12, 14
  9. Lomax AE, Sharkey KA, Furness JB. The participation of the sympathetic innervation of the gastrointestinal tract in disease states. Neurogastroenterol Motil 2010;22:7-18
  10. Choi KM, Gibbons SJ, Nguyen TV, et al. Heme oxygenase-1 protects interstitial cells of Cajal from oxidative stress and reverses diabetic gastroparesis. Gastroenterology 2008;135:2055-64, 64 e1-2
  11. Kashyap P, Farrugia G. Diabetic Gastroparesis: what we have learned and had to unlearn in the past 5 years. Gut 2010;59:1716-26
  12. Bytzer P, Talley NJ, Leemon M, Young LJ, Jones MP, Horowitz M. Prevalence of gastrointestinal symptoms associated with diabetes mellitus: a populationbased survey of 15,000 adults. Arch Intern Med 2001;161:1989-96
  13. Feldman M, Schiller LR. Disorders of gastrointestinal motility associated with diabetes mellitus. Ann Intern Med 1983;98:378-84
  14. Samsom M, Vermeijden JR, Smout AJ, et al. Prevalence of delayed gastric emptying in diabetic patients and relationship to dyspeptic symptoms: a prospecti