Compliance Of The Patients To The Instructions Of Colonic Preparations Undergoing Elective Colonoscopy; A Survey Study

42241

Objective: Enough bowel preparation prior to colonoscopy for the diagnosis and treatment of colorectal is very important. In this study; we aimed to assess the effectiveness of cleansing the colon provided through oral and enema prior to colonoscopy and the compliance of the patients.Material and Methods: 400 patients were enrolled to this study scheduled for a colonoscopy and bowel preparation made with 250 ml Sennozit A-B and calcium salt solution containing 210 ml of sodium hydrogen phosphate containing enema. A questionnaire containing questions will be administered during colonoscopy preparation and processing before the colonoscopy. Before the colonoscopy from patients themselves were asked to fill in the questionnaire consisting of 14 questions related to demographic, clinical data and bowel preparation. The results of the survey were evaluated. Results: A total of 400; 213 male and 187 female patients has a mean age of 48.6±12.3(18-80) years. Patients height, weight and body mass index were; 158.6±27.5cm(142-197), 76.8±9.7kg(47-152), 27.9±4.2kg/m²(22-41), respectively. From questions from the survey patients compliance to oral, rectal cleansing and diet was found to be 93.2%, 90.5%, and 88.0%, respectively. The amount of fluid taken daily on the day before the procedure was found to be 3litre and over at a large majority (71.8%). Complaints of patients encountered while cleansing the colon were; nausea (30.3%), abdominal pain or cramps (15.5%) and distention (12.8%). Approximately 45.5% of the patients were in the process of colon cleansing in case of failure is also announced that it would not make the process again because of their difficulties. The majority of patients have Anesthesia score as ASA I and Cleansing Score was evaluated as well. Conclusion: For colon cleansing, oral solution containing the 210 ml Sennozit A-B and calcium salt rectal enema consisting of sodium dihydrogen phosphate and disodium hydrogen phosphate can be used safely.

13

Colonoscopy , bowel preparation , survey

Kocatepe Medical Journal

17

Kocatepe Medical Journal