Effect of Colon Preparation in Outpatient before Colonoscopy at Endoscopic Center Surat Thani Hospital

Authors

  • ปราณี ใบเศวต กลุ่มการพยาบาล โรงพยาบาลสุราษฎร์ธานี
  • Chittima Srithong Suratthani Hospital
  • Thanichaya Hannarong โรงพยาบาลสุราษฎร์ธานี

Keywords:

colon cleanliness, colonoscopy, preparation before colonoscopy

Abstract

              Effect of colon preparation in outpatient before colonoscopy at Endoscopic Center Surat Thani Hospital aims to study the level of colon cleanliness by using the patient preparation guidelines for colonoscopy. The sample was 80 patients who were diagnosed with colon disorders through a colonoscopy. The research instruments consist of 1) pre-endoscopic patient preparation practices guideline, including advising patients' preparation before colonoscopy, colonoscopy preparation brochure, follow-up call 3 days and 1 day before appointment 2) Data collection for colonoscopy preparations form including general data records form, eating and water intake records form, colon preparation practice compliance form had reliability of 0.9, and colon cleanliness records of Boston Bowel Preparation Scale had reliability of 1.0 The content validity of the instruments had been verifies by 3 professional expert. Data was analyzed by using descriptive and chi-square statistic.

              The results revealed that the samples ate according to the prescribed guidelines that can be divided into five patterns.  Pattern 1 (day 1-2, low fiber diet, day 3, clear liquid diet) was 86.25 percent demonstrated good and very good colon cleanliness level at 83.75 percent. The samples who did not eat according to prescribed guidelines was 13.75 percent by eating according to pattern 2 (day 1, low fiber diet, days 2-3 clear liquid diet). The sample who ate according to pattern 2 demonstrated 100 percent of colon cleanliness. In addition, 7.50 percent of sample who ate according to other patterns were found to have the same 50 percent cleanliness of the colon and unclean colon.

              In conclusion, the preparation of colon cleanliness by abstaining from low fiber diet more than 2 days and clear liquid diet for 1 day in combination with pre-endoscopy laxatives, had a higher level of colon cleanliness than other forms of eating.

References

American Cancer Society. (2017). American Cancer Society Colorectal cancer facts & figures 2017-2019. Retrieved January 19, 2021, from https://www.cancer.org/content/dam /cancer-org/research/cancer-facts-and-statistics/colorectal-cancer-facts-and-figures/ colorectal-cancer-facts-and-figures-2017-2019.pdf

Bray, F., Ferlay, J., Soerjomataram, I., Siegel, R.L., Torre, L.A., & Jemal, A. (2018). Global cancer statistics 2018: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. A Cancer Journal for Clinicians. 68(6), 394-424.

Chang, C.W., Shih, S.C., Wang, H.Y., Chu, C.H., Wang, T.E., Hung, C.Y., et al. (2015). Meta-analysis: The effect of patient education on bowel preparation for colonoscopy. Endoscopy International Open, 3. E646–E652. Retrieved January 19, 2021, from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4683152/pdf/10-1055-s-0034-1392365.pdf

Colorectal cancer: Statistics. (2020). Doctor-Approved Patient Information from ASCO. Retrieved July 9, 2020, form https://www.cancer.net/cancer-types/colorectal-cancer/statistics

Corley, D.A., Jensen, C.D., Marks, A.R., Zhao, W.K., Lee, J.K., Doubeni, C.A., et al (2014). Adenoma detection rate and risk of colorectal cancer and death. The New England Journal of Medicine, 370(14), 1298-306. Retrieved January 19, 2021, from https://pubmed.ncbi.nlm.nih.gov/24693890/

Doubeni, C.A., Corley, D.A., Quinn, V.P., Jensen, C.D., Zauber, A.G., Goodman, M., et al. (2018). Effectiveness of screening colonoscopy in reducing the risk of death from right and left colon cancer: a large community-based study. Endoscopy, 67. 291-298. Retrieved January 20, 2021, from https://gut.bmj.com/content/ gutjnl/67/2/291 .full. pdf

Doubeni, C.A., Weinmann, S., Adams, K., Kamineni, A., Buist, D., Ash, A.S., et al. (2013). Screening colonoscopy and risk of incident late-stage colorectal cancer diagnosis in average-risk adults: a nested case-control study. Annals of Internal Medicine. 158(501), 312-320. Retrieved January 19, 2021, from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3752391/pdf/nihms480551.pdf

Elvas, L., Brito, D., Areia, M., Carvalho, R., Alves, S., Saraiva, S., et al. (2017). Impact of personalised patient education on bowel preparation for colonoscopy: prospective randomised controlled trial. Journal of gastroenterology, 24. 22-30. Retrieved January 23, 2021, from https://www.karger.com/Article/Pdf/450594

Ferlay, J., Colombet, M., Soerjomataram, I., Dyba, T., Ramdi, G., Gavin, A., et al. (2018). Cancer incidence and mortality patterns in Europe: Estimates for 40 countries and 25 major cancers in 2018. European Journal of Cancer, 103, 356-387. Retrieved January 19, 2021, from https://www.sciencedirect.com/science/article/abs /pii/ S0959804918309559

Jung, K.W., Won, Y.J., Kong, H.J., & Lee, E.S. (2019). Prediction of cancer incidence and mortality in Korea, 2019. Cancer Research Treatment, 51(2), 431-437. Retrieved January 19, 2021, from https://www.ncbi.nlm.nih.gov/pmc/ articles/PMC6473283 /pdf/crt-2019-139.pdf

Kahi, C.J., Pohl, H., Myers, L.J., Mobarek, D., Robertson, D.J., & Imperiale, T.F. (2018). Colonoscopy and colorectal cancer mortality in the Veterans Affairs Health Care System. Annals of Internal Medicine, 168, 481-488. Retrieved January 20, 2021, from doi: 10.7326/M17-0723

Katseesung, P., Asdornwised, U., Pinyopasakul, W., & Akaraviputh, T. (2015). Effects of Continuing Care Program on Quality of Bowel Preparation and Anxiety in Who Receiving Ambulatory Colonoscopy. Nurs Sci, 33(3), 61-73. (in Thai)

Khlayphikul, K., & Chuwantanapakorn, T. (2018). The Effect of The Individual and Family Self Management Program on Bowel Preparation Behavior for Colonoscopy in Older Persons. HCU Journal, 21(42), 123-137. (in Thai)

Limsriwilai, C. (2015). Premalignant colon Lesion. in Supoj Pongprasobchai, Thawatchai Akarawiput & Chomsri Khositchaiwat (editor). Premalignant GI Conditions. (p96-112). Division of Gastroenterology Faculty of Medicine Siriraj Hospital Mahidol University: Bangkok Medical Publisher Ltd. (in Thai)

Medical record of endoscopic center Suratthani Hospital AD 2017-2019. (in Thai)

National cancer institute. (2019). Population-base cancer registry. Retrieved May 24, 2020, from http://tcb.nci.go.th/CWEB/reportBase.do;jsessionid=826452C7010722625A5114D97EB4B759?mode=inquiryPopGISCancer. (in Thai)

Onyoh, E.F., Hsu, W.F., Chang, L.C., Lee, Y.C., Wu, M.S., & Chiu, H.M. (2019). The Rise of colorectal cancer in Asia: Epidemiology, screening, and management. Current Gastroenterology Reports, 21 (36). Retrieved January 19, 2021, from https://doi.org/10.1007/s11894-019-0703-8

Prashanth, R., Tagore, S. & Adam, B. (2019). Epidermiology of colorectal cancer:

incidence, mortality, survival, and risk factors. Gastroenterology Rev. 14(2): 89-103.

Sharma, P., Burke, C.A., Johnson, D.A., & Cash, B.D. (2020). The importance of colonoscopy bowel preparation for the detection of colorectal lesions and colorectal cancer prevention. Endoscopy International Open, 8. E673–E683. Retrieved January 20, 2021, from https://www.ncbi.nlm.nih.gov /pmc/articles/PMC7165013/pdf/10-1055-a-1127-3144.pdf

Virani,S., Bilheem, S., Chansaard, W., Cjitapanarux, I., Daoprasert, K., Khuonchana,S., et al. (2017). National and Subnational Population-Based Incidence of Cancer in Thailand: Assessing Cancers with the Highest Burdens. Cancers, 9,108; Retrieved January 19, 2021, from https://www.mdpi.com/journal/cancers.

Waye, J. D., Rex, D. K., & Williams, B. C. (Eds.). (2003). Colonoscopy Principle and Practice. Oxford: Blackwell Publishing Ltd.

Wongtawee, S., Boonwiriya, S., Boonpipatanapong, T., Sriwanayos, K & Tongwong, M. (2016). Comparison of Efficacy between Low-Residue Diet and Clear-Liquid Diet in Colonoscopic Bowel Preparation in Surgical Clinic. Songkla Med J, 34(2):61-70. (in Thai)

Wongtawee, S., Saeshia, V., & Sriwanayos, K. (2009). Education on clean bowel level from Bowel Preparation practice guideline before Colonoscope in Surgical Clinic. Songklanagarind Journal of Nursing. 29(3), 61-68. (in Thai)

World Health Organization. (2020). Cancer Profile 2020. Retrieved July 9, 2020, form https://www.who.int/docs/default-source/documents/health-topics/cancer/global-country-profiles-on-burden-of-cancer-a-to-k.pdf?sfvrsn=45c42531_4

Zhang, L., Cao, F., Zhang, G., Shi, L., Chen, S., Zhang, Z., et al. (2019). Trends in and Predictions of Colorectal Cancer Incidence and Mortality in China From 1990-2025. Frontiers in Oncology Volume 9 Article 98.

Downloads

Published

2021-12-28

How to Cite

ใบเศวต ป., Srithong, C. ., & Hannarong, T. . (2021). Effect of Colon Preparation in Outpatient before Colonoscopy at Endoscopic Center Surat Thani Hospital. Journal of Health Research and Innovation, 4(2), 40–53. retrieved from https://he02.tci-thaijo.org/index.php/jhri/article/view/254543

Issue

Section

Research Articles