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 27 June 2016

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News

Patients accept split-dose bowel preparation regimen for colonoscopy

July's issue of the Journal of Clinical Gastroenterology surveyed a group of colonoscopy patients and providers regarding their opinion about a split prep regimen.

News image

Split-dose bowel preparation (split prep) for colonoscopy has been shown to be superior to conventional dosing (entire dose taken on the evening preceding colonoscopy) and has been endorsed by recent guidelines.

A potential limitation is the requirement for patients to wake up early to drink the second half.

Dr Johnny Altawil and colleagues surveyed a group of colonoscopy patients, scheduled for morning procedures, regarding their opinion about a split prep regimen.

The researchers specifically asked if they would be willing to wake up at 4:00 am to drink the second half of the preparation.
64% of patients were willing to wake up early to complete a split prep
Journal of Clinical Gastroenterology

Primary care providers were given a similar survey asking for their opinion about the willingness of their patients to take a split prep regimen.

Among the 149 patients surveyed, the team found that 64% of patients were willing to wake up early to complete a split prep, whereas 36% were not.

The team noted that 68% of patients preferred an early morning appointment.

The research team observed that only 3% of patients preferred an afternoon one.

There were no statistically significant differences between patients in favor of a split or conventional preparation, in respect to demographics, family history of colorectal cancer, or prior experience with colonoscopy.

The team found that a total of 74% of primary care providers answered the survey.

Of these, only 56% thought their patients would be willing to wake up at 4:00 am to complete the preparation.

Dr Altawil's team comments, "Despite a high level of apprehension among primary care providers, the majority of colonoscopy patients seem willing to comply with a split prep."

"Therefore, split prep should be used whenever possible for colonoscopy."

J Clin Gastroenterol 2014: 48(6)
25 June 2014

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