Dr Maaike Denters performed a prospective questionnaire study in 2 regional hospitals, and 2 tertiary teaching hospitals in the Netherlands.
The research team evaluated a total of 797 consecutive patients scheduled for colonoscopy between 2009 and 2010.
The team noted that 146 had inflammatory bowel disease, 153 had adenoma or carcinoma surveillance, 104 familial predisposition, 280 had symptoms suggestive of cancer, and 114 irritable bowel syndrome-like symptoms.
The researchers administered 2 questionnaires, 1 on the day of the procedure and another 6 weeks after the procedure.
|All patients were less satisfied with the procedure at 6 weeks than directly after the colonoscopy|
|European Journal of Gastroenterology and Hepatology|
The main outcome measurements were embarrassment, pain, burden, most burdensome aspect, and overall level of satisfaction.
The team of researchers found that patients with inflammatory bowel disease and irritable bowel syndrome reported significantly more embarrassment and burden from the bowel preparation phase, and more pain during the colonoscopy procedure.
This difference in pain was also observed when adjusting for volume of sedation administered, familiarity with the endoscopist, duration of the colonoscopy, or whether or not an intervention was performed.
All patient groups were less satisfied with the procedure at 6 weeks than directly after the colonoscopy.
The patients recalled more embarrassment and burden, but less pain.
Dr Denters' team concludes, "Patient groups, defined by indication for colonoscopy, experience the colonoscopy procedure differently."