지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2019.1
- 수록면
- 169 - 175 (7page)
이용수
초록· 키워드
오류제보하기
Background/Aims: The quality of bowel preparation is important for optimal colonoscopy. It is influenced by medical and personal factors. We aimed to evaluate the effect of bowel habit on the quality of bowel preparation and to identify predictors of inadequate bowel preparation among bowel habit factors. Methods: From June 2017 to September 2017, 90 volunteers were enrolled in this study. Each participant answered a questionnaire consisting of multiple questions about personal bowel habits, including stool form, frequency of bowel movements per week, duration, and degree of straining for bowel movement. Then, all volunteers underwent colonoscopic exam. Eleven endoscopists performed colonoscopies and used the Boston Bowel Preparation Scale (BBPS) as the index for bowel preparation. Two expert endoscopists simultaneously reviewed all colonoscopic images to confirm the final BBPS. Univariate and multivariate logistic regression analyses were performed to verify the correlation between bowel preparation adequacy and bowel habit. Results: Among the 90 participants, 20 (22.2%) had inadequate bowel preparation (total BBPS ≤6 or any segmental BBPS ≤1). In univariate analysis, infrequent bowel movement (0–2/week) (odds ratio [OR], 12.60; 95% confidence interval [CI], 1.22 to 129, p=0.03) and moderate straining (more than 1/4 of defecations) (OR, 4.40; 95% CI, 1.44 to 13.39; p=0.01) were significantly associated with inadequate bowel preparation. However, only moderate straining was significantly associated with inadequate bowel preparation in multivariate analysis (OR, 3.99; 95% CI, 1.26 to 12.65; p=0.02). Conclusions: Straining is a significant predictor for inadequate bowel preparation. For patients with straining during bowel movements, an intensified preparation regimen should be considered.
목차
등록된 정보가 없습니다.
참고문헌 (21)
참고문헌 신청
이보인 / 2012 / 대장암 선별과 대장폴립 진단검사 가이드라인 / 대한소화기학회지 59(2):65~84
Winawer SJ / 1993 / Randomized comparison of surveillance intervals after colonoscopic removal of newly diagnosed adenomatous polyps. The National Polyp Study Workgroup / N Engl J Med 328:901~906
Lebwohl B / 2011 / The impact of suboptimal bowel preparation on adenoma miss rates and the factors associated with early repeat colonoscopy / Gastrointest Endosc 73:1207~1214
Dik VK / 2015 / Predicting inadequate bowel preparation for colonoscopy in participants receiving split-dose bowel preparation : development and validation of a prediction score / Gastrointest Endosc 81:665~672
박홍준 / 2015 / Colon Transit Time May Predict Inadequate Bowel Preparation in Patients With Chronic Constipation / Intestinal research 13(4):339~345
Winawer SJ / 1993 / Randomized comparison of surveillance intervals after colonoscopic removal of newly diagnosed adenomatous polyps. The National Polyp Study Workgroup / N Engl J Med 328:901~906
Lebwohl B / 2011 / The impact of suboptimal bowel preparation on adenoma miss rates and the factors associated with early repeat colonoscopy / Gastrointest Endosc 73:1207~1214
Dik VK / 2015 / Predicting inadequate bowel preparation for colonoscopy in participants receiving split-dose bowel preparation : development and validation of a prediction score / Gastrointest Endosc 81:665~672
박홍준 / 2015 / Colon Transit Time May Predict Inadequate Bowel Preparation in Patients With Chronic Constipation / Intestinal research 13(4):339~345
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