Articoli originali
27 luglio 2023
V. 11 (2023)
Indagine descrittiva sull’adeguatezza della preparazione intestinale prima della colonscopia: protocollo di uno studio retrospettivo
Publisher's note
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
237
Visite
142
Downloads
Autori
Background: la colonscopia rappresenta la tecnica più utilizzata per lo studio della mucosa colorettale. L’accuratezza diagnostica e la certezza terapeutica dell’esame dipendono da molti fattori tra cui la qualità della pulizia intestinale. Scopo dello studio è quello di rilevare il livello di preparazione intestinale nei pazienti sottoposti a colonscopia. Metodi: studio osservazionale, retrospettivo, monocentrico. Saranno considerati i pazienti ambulatoriali e ricoverati sottoposti a colonscopia presso la SS Endoscopia Digestiva dell’ospedale di Alessandria nel periodo compreso tra 1 Gennaio 2021 e 31 Dicembre 2021. Lo studio prevede l’utilizzo della Boston Bowel Preparation Scale per valutare la preparazione intestinale. I dati dello studio verranno raccolti attraverso l’analisi delle cartelle cliniche e successivamente inseriti sulla piattaforma informatizzata online “Electronic Data Capture”. Conclusioni: la valutazione della qualità delle preparazioni intestinali è fondamentale per poter monitorare e rilevare eventuali problematiche che si riflettono poi sull’esito della procedura e consente agli operatori coinvolti di cercare delle possibili soluzioni.
Altmetrics
Downloads
La data di download non è ancora disponibile.
Citations
Urban G, Tripathi P, Alkayali T, et al. Deep Learning Localizes and Identifies Polyps in Real Time With 96% Accuracy in Screening Colonoscopy. Gastroenterology. 2018;155:1069-78.e8. DOI: https://doi.org/10.1053/j.gastro.2018.06.037
Kim SY, Kim HS, Park HJ. Adverse events related to colonoscopy: Global trends and future challenges. World J Gastroenterol. 2019;25:190–204. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6337013/ DOI: https://doi.org/10.3748/wjg.v25.i2.190
Sharara AI, El Reda ZD, Harb AH, et al. The burden of bowel preparations in patients undergoing elective colonoscopy. United Eur Gastroenterol J. 2016;4:314–8. DOI: https://doi.org/10.1177/2050640615594550
Hassan C, Bretthauer M, Kaminski MF, et al. Bowel preparation for colonoscopy: European Society of Gastrointestinal Endoscopy (ESGE) guideline. Endoscopy. 2013;45:142–50. DOI: https://doi.org/10.1055/s-0032-1326186
Hassan C, East J, Radaelli F, et al. Bowel preparation for colonoscopy: European Society of Gastrointestinal Endoscopy (ESGE) Guideline - Update 2019. Endoscopy. 2019;51:775–94. DOI: https://doi.org/10.1055/a-0959-0505
Bechtold ML, Mir F, Puli SR, Nguyen DL. Optimizing bowel preparation for colonoscopy: a guide to enhance quality of visualization. Ann Gastroenterol Q Publ Hell Soc Gastroenterol. 2016;29:137. Available from: https://www.ncbi.nlm.nih.gov/labs/pmc/articles/PMC4805732/ DOI: https://doi.org/10.20524/aog.2016.0005
Sweetser S, Baron TH. Optimizing bowel cleansing for colonoscopy. Mayo Clin Proc. 2015;90:520–6. DOI: https://doi.org/10.1016/j.mayocp.2015.01.015
Ruiz-Rebollo ML, Alcaide-Suárez N, Burgueño-Gómez B, et al. Adenoma detection rate and cecal intubation rate: Quality indicators for colonoscopy. Gastroenterol Hepatol Engl Ed. 2019;42:253–5. Available from: https://www.elsevier.es/en-revista-gastroenterologia-hepatologia-english-edition--382-articulo-adenoma-detection-rate-cecal-intubation-S2444382419300756 DOI: https://doi.org/10.1016/j.gastre.2018.05.022
Kluge MA, Williams JL, Wu CK, et al. Inadequate Boston Bowel Preparation Scale scores predict the risk of missed neoplasia on the next colonoscopy. Gastrointest Endosc. 2018;87:744–51. DOI: https://doi.org/10.1016/j.gie.2017.06.012
Clark BT, Laine L. High-quality Bowel Preparation Is Required for Detection of Sessile Serrated Polyps. Clin Gastroenterol Hepatol Off Clin Pract J Am Gastroenterol Assoc. 2016;14:1155–62. DOI: https://doi.org/10.1016/j.cgh.2016.03.044
Parmar R, Martel M, Rostom A, Barkun AN. Validated Scales for Colon Cleansing: A Systematic Review. Am J Gastroenterol. 2016;111:197–204. DOI: https://doi.org/10.1038/ajg.2015.417
Mahmood S, Farooqui SM, Madhoun MF. Predictors of inadequate bowel preparation for colonoscopy: a systematic review and meta-analysis. Eur J Gastroenterol Hepatol. 2018;30:819–26. DOI: https://doi.org/10.1097/MEG.0000000000001175
D’Souza SM, Parekh PJ, Johnson DA. The Dirty Side of Colonoscopy: Predictors of Poor Bowel Preparation and Novel Approaches to Overcome the Shortcomings. Br J Gastroenterol. 2019;1. Available from: https://britishjournalofgastroenterology.com/the-dirty-side-of-colonoscopy-predictors-of-poor-bowel-preparation-and-novel-approaches-to-overcome-the-shortcomings DOI: https://doi.org/10.31488/bjg.1000103
Lai EJ, Calderwood AH, Doros G, et al. The Boston Bowel Preparation Scale: A valid and reliable instrument for colonoscopy-oriented research. Gastrointest Endosc. 2009;69:620. Available from: https://www.ncbi.nlm.nih.gov/labs/pmc/articles/PMC2763922/ DOI: https://doi.org/10.1016/j.gie.2008.05.057
Zhao S, Wang S, Pan P, et al. Magnitude, Risk Factors, and Factors Associated With Adenoma Miss Rate of Tandem Colonoscopy: A Systematic Review and Meta-analysis. Gastroenterology. 2019;156:1661-74.e11. Available from: https://www.sciencedirect.com/science/article/pii/S0016508519303609 DOI: https://doi.org/10.1053/j.gastro.2019.01.260
Martel M, Barkun AN, Menard C, et al. Split-Dose Preparations Are Superior to Day-Before Bowel Cleansing Regimens: A Meta-analysis. Gastroenterology. 2015;149:79–88. DOI: https://doi.org/10.1053/j.gastro.2015.04.004
Guo X, Yang Z, Zhao L, et al. Enhanced instructions improve the quality of bowel preparation for colonoscopy: a meta-analysis of randomized controlled trials. Gastrointest Endosc. 2017;85:90-7.e6. DOI: https://doi.org/10.1016/j.gie.2016.05.012
Horton N, Garber A, Hasson H, et al. Impact of Single- vs. Split-Dose Low-Volume Bowel Preparations on Bowel Movement Kinetics, Patient Inconvenience, and Polyp Detection: A Prospective Trial. Am J Gastroenterol. 2016;111:1330–7. DOI: https://doi.org/10.1038/ajg.2016.273
Lee DW, Koo JS, Kang S, et al. Association between bowel habits and quality of bowel preparation for colonoscopy. Medicine (Baltimore). 2017;96:e7319. DOI: https://doi.org/10.1097/MD.0000000000007319
Menees SB, Kim HM, Wren P, et al. Patient compliance and suboptimal bowel preparation with split-dose bowel regimen in average-risk screening colonoscopy. Gastrointest Endosc. 2014;79:811-20.e3. DOI: https://doi.org/10.1016/j.gie.2014.01.024
Nguyen DL, Wieland M. Risk factors predictive of poor quality preparation during average risk colonoscopy screening: the importance of health literacy. J Gastrointest Liver Dis JGLD. 2010;19:369–72.
Harrison NM, Hjelkrem MC. Bowel cleansing before colonoscopy: Balancing efficacy, safety, cost and patient tolerance. World J Gastrointest Endosc. 2016;8:4–12. DOI: https://doi.org/10.4253/wjge.v8.i1.4
Johnson DA, Barkun AN, Cohen LB, et al. Optimizing adequacy of bowel cleansing for colonoscopy: recommendations from the US multi-society task force on colorectal cancer. Gastroenterology. 2014;147:903–24. DOI: https://doi.org/10.1053/j.gastro.2014.07.002
Young LE, Sacks NC, Cyr PL, et al. Comparison of claims data on hospitalization rates and repeat procedures in patients receiving a bowel preparation prior to colonoscopy. SAGE Open Med. 2017;5:2050312117727999. DOI: https://doi.org/10.1177/2050312117727999
Come citare
Indagine descrittiva sull’adeguatezza della preparazione intestinale prima della colonscopia: protocollo di uno studio retrospettivo. (2023). Working Paper of Public Health, 11(1). https://doi.org/10.4081/wpph.2023.9680
Copyright (c) 2023 Claudia Gota, Claudia Bina, Roberta Di Matteo, Denise Gatti, Simona Arcidiacono, Tatiana Bolgeo, Antonio Maconi
Questo volume è pubblicato con la licenza Creative Commons Attribuzione - Non commerciale 4.0 Internazionale.
