The study of the effect of bowel preparation agent on the quality of colonoscopy in Hospital USM Kubang Kerian
Background: Colorectal cancer is one of the most common cancers worldwide and Malaysia. Screening colonoscopy reduce overall incidence and death due to CRC. Proper bowel cleanliness is one of the main factors that directly affect the quality of the colonoscopy. The objective of our studies is to...
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| Main Author: | |
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| Format: | Thesis |
| Language: | English |
| Published: |
2021
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| Subjects: | |
| Online Access: | http://eprints.usm.my/57269/1/DR%20ARWA%20ADNAN%20ABDULLAH%20ALSAKKAF-24%20pages.pdf |
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| Summary: | Background: Colorectal cancer is one of the most common cancers worldwide
and Malaysia. Screening colonoscopy reduce overall incidence and death due to
CRC. Proper bowel cleanliness is one of the main factors that directly affect the
quality of the colonoscopy. The objective of our studies is to compare the effect of
PEG versus OSP on the quality of colonoscopy measured by Boston bowel
preparation score, cecal intubation rate, and total procedural time.
Methods: This comparative cross-sectional study was conducted in
November 2020 till February 2021 Universiti Sains Malaysia. A total of 171 patients
underwent colonoscopy in the hospital endoscopy unit. 80 Patients received OSP,
while 91 received PEG bowel preparation. All patients’ information such as age,
gender, comorbidities, creatinine level, and indication for colonoscopy were recorded
and saved. The quality indicators of colonoscopy including the efficiency of bowel
cleanliness, the cecal intubation rate, and the total procedural time were compared
between these two groups. For statistical analysis, categorical data was presented as
frequency and percentage while numerical data was presented as mean and standard
deviation (SD). We applied Independent t-test, chi square, Fisher exact and Simple
Logistic Regression (SLR) appropriately in the univariate analysis. Then, we used
Analysis of Covariates (ANCOVA) for objective one and three and multiple Logistic
Regression (MLR) test to analyze our second objective. All assumptions for the tests
were met.
Results: Among 171 patients that underwent colonoscopy, 90 (52.6%) of them
received Fortrans bowel preparation, and 81(47.4%) received fleet bowel
preparation. 150 patients (87.7%) had a successful cecal intubation while, 21 patients |
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