FACTORS THAT ARE DETERMINANT IN THE PREPARATION OF EFFECTIVE AND RELIABLE COLONOSCOPY: A PROSPECTIVE CLINICAL STUDY FROM A SINGLE CENTER

Sümeyra Işik; Altay Kandemir; Yaşar Barış Turgut; Mehmet Hadi Yaşa; İsmail Taşkiran

Makale detayları

FACTORS THAT ARE DETERMINANT IN THE PREPARATION OF EFFECTIVE AND RELIABLE COLONOSCOPY: A PROSPECTIVE CLINICAL STUDY FROM A SINGLE CENTER

Yazarlar:

Sümeyra Işik | Altay Kandemir | Yaşar Barış Turgut | Mehmet Hadi Yaşa | İsmail Taşkiran

Yayıncı:

Aydin Adnan Menderes University

Ana Başlıklar:

Gastroenterology and Hepatology

Dergi:

Meandros Medical And Dental Journal Vol.25 Issue 4, pp.492-505

Belge Tipi:

Makale

Yayın Tarihi:

12/2024

Belge Dili:

İngilizce

Document ID (Org No.):

2001334517

pISSN:

2149-9063

Anahtar kelimeler:

Özet:

 Aim: For the diagnosis and treatment of colorectal diseases, it is very important that bowel preparation is sufficient before the colonoscopy procedure. In this study, it was aimed to evaluate the importance of colonoscopy preparation and to determine the factors that have a positive or negative effect on colonoscopy preparation. Method: All patients who underwent colonoscopy in the Endoscopy Unit of the Gastroenterology Clinic of XXX Hospital between January 2021 and January 2022 were included in this study. Results: A total of 303 patients, 155 female and 148 male, were included in the study. It was determined that LaxenoSennozid AB Calcium-containing preparations were used most frequently 55.4 for bowel cleansing. When drug-related side effects were evaluated, it was seen that the most common patients 45.6 experienced nausea and vomiting. When the Boston bowel readiness scale applied to the patients was evaluated, it was seen that the patients received 2 and 3 scores from all colon segments most frequently. A statistically significant difference was found between the pre- and post-procedure parameters in Lax phosphosodesodium phosphate drug in terms of P parameter, creatinine and P parameters between pre- and post-procedure in those using laxenosennozid AB calcium drug, and Ca parameter between pre- and post-procedure in those using pegdinepolyethyleneglycol drug. Conclusion: In conclusion, we found that age and gender had no effect on the quality of bowel cleansing in this study. When the difference in cleaning quality and the presence of side effects were evaluated among the agents used, no superiority was found to be among them. Furthermore, renal damage and electrolyte imbalance that may develop due to the agents used were also evaluated; there was no effect after the use of PEG, phosphate levels were high after NaP and senna use, and creatinine levels were found after senna use.

 Aim: For the diagnosis and treatment of colorectal diseases, it is very important that bowel preparation is sufficient before the colonoscopy procedure. In this study, it was aimed to evaluate the importance of colonoscopy preparation and to determine the factors that have a positive or negative effect on colonoscopy preparation. Method: All patients who underwent colonoscopy in the Endoscopy Unit of the Gastroenterology Clinic of XXX Hospital between January 2021 and January 2022 were included in this study. Results: A total of 303 patients, 155 female and 148 male, were included in the study. It was determined that LaxenoSennozid AB Calcium-containing preparations were used most frequently 55.4 for bowel cleansing. When drug-related side effects were evaluated, it was seen that the most common patients 45.6 experienced nausea and vomiting. When the Boston bowel readiness scale applied to the patients was evaluated, it was seen that the patients received 2 and 3 scores from all colon segments most frequently. A statistically significant difference was found between the pre- and post-procedure parameters in Lax phosphosodesodium phosphate drug in terms of P parameter, creatinine and P parameters between pre- and post-procedure in those using laxenosennozid AB calcium drug, and Ca parameter between pre- and post-procedure in those using pegdinepolyethyleneglycol drug. Conclusion: In conclusion, we found that age and gender had no effect on the quality of bowel cleansing in this study. When the difference in cleaning quality and the presence of side effects were evaluated among the agents used, no superiority was found to be among them. Furthermore, renal damage and electrolyte imbalance that may develop due to the agents used were also evaluated; there was no effect after the use of PEG, phosphate levels were high after NaP and senna use, and creatinine levels were found after senna use.

 Aim: For the diagnosis and treatment of colorectal diseases, it is very important that bowel preparation is sufficient before the colonoscopy procedure. In this study, it was aimed to evaluate the importance of colonoscopy preparation and to determine the factors that have a positive or negative effect on colonoscopy preparation. Method: All patients who underwent colonoscopy in the Endoscopy Unit of the Gastroenterology Clinic of XXX Hospital between January 2021 and January 2022 were included in this study. Results: A total of 303 patients, 155 female and 148 male, were included in the study. It was determined that LaxenoSennozid AB Calcium-containing preparations were used most frequently 55.4 for bowel cleansing. When drug-related side effects were evaluated, it was seen that the most common patients 45.6 experienced nausea and vomiting. When the Boston bowel readiness scale applied to the patients was evaluated, it was seen that the patients received 2 and 3 scores from all colon segments most frequently. A statistically significant difference was found between the pre- and post-procedure parameters in Lax phosphosodesodium phosphate drug in terms of P parameter, creatinine and P parameters between pre- and post-procedure in those using laxenosennozid AB calcium drug, and Ca parameter between pre- and post-procedure in those using pegdinepolyethyleneglycol drug. Conclusion: In conclusion, we found that age and gender had no effect on the quality of bowel cleansing in this study. When the difference in cleaning quality and the presence of side effects were evaluated among the agents used, no superiority was found to be among them. Furthermore, renal damage and electrolyte imbalance that may develop due to the agents used were also evaluated; there was no effect after the use of PEG, phosphate levels were high after NaP and senna use, and creatinine levels were found after senna use.

 Amaç: Kolorektal hastalıkların tanı ve tedavisinde, kolonoskopi işlemi öncesinde bağırsak hazırlığının yeterli olması büyük önem taşımaktadır. Bu çalışmada kolonoskopi hazırlığının önemini değerlendirmek ve kolonoskopi hazırlığını olumlu ya da olumsuz etkileyen faktörleri belirlemek amaçlanmıştır. Yöntem: Bu çalışmaya, Ocak 2021 ile Ocak 2022 tarihleri arasında XXX Hastanesi Gastroenteroloji Kliniği Endoskopi Ünitesinde kolonoskopi yapılan tüm hastalar dahil edilmiştir. Bulgular: Çalışmaya 155i kadın, 148i erkek olmak üzere toplam 303 hasta dahil edilmiştir. Bağırsak temizliği için en sık kullanılan preparatın LaxenoSennozid AB Kalsiyum içeren preparatlar olduğu 55,4 belirlenmiştir. İlaçlara bağlı yan etkiler değerlendirildiğinde, hastaların en sık 45,6 bulantı ve kusma yaşadığı görülmüştür. Hastalara uygulanan Boston bağırsak hazırlık ölçeği değerlendirildiğinde, hastaların tüm kolon segmentlerinden en sık 2 ve 3 puan aldığı gözlenmiştir. Lax fosfosodsodyum fosfat ilacı kullanılan hastalarda P parametresi açısından, laxenosennozid AB kalsiyum ilacı kullananlarda işlem öncesi ve sonrası kreatinin ve P parametreleri açısından, pegdinepolietilen glikol ilacı kullananlarda işlem öncesi ve sonrası Ca parametresi açısından istatistiksel olarak anlamlı fark bulunmuştur. Sonuç: Sonuç olarak, bu çalışmada yaş ve cinsiyetin bağırsak temizliğinin kalitesi üzerinde bir etkisinin olmadığı bulunmuştur. Kullanılan ajanlar arasında temizlik kalitesi farkı ve yan etki varlığı değerlendirildiğinde, ajanlar arasında üstünlük saptanmamıştır. Ayrıca, kullanılan ajanlara bağlı gelişebilecek böbrek hasarı ve elektrolit dengesizliği de değerlendirilmiş; PEG kullanımından sonra bir etkisi olmadığı, NaP ve senna kullanımından sonra fosfat seviyelerinin yüksek olduğu ve senna kullanımından sonra kreatinin seviyelerinin arttığı bulunmuştur.

Makale detayları

FACTORS THAT ARE DETERMINANT IN THE PREPARATION OF EFFECTIVE AND RELIABLE COLONOSCOPY: A PROSPECTIVE CLINICAL STUDY FROM A SINGLE CENTER

Yazarlar:

Sümeyra Işik | Altay Kandemir | Yaşar Barış Turgut | Mehmet Hadi Yaşa | İsmail Taşkiran

Yayıncı:

Aydin Adnan Menderes University

Ana Başlıklar:

Gastroenterology and Hepatology

Dergi:

Meandros Medical And Dental Journal Vol.25 Issue 4, pp.492-505

Belge Tipi:

Makale

Yayın Tarihi:

12/2024

Belge Dili:

İngilizce

Document ID (Org No.):

2001334517

pISSN:

2149-9063

bowel cleaning quality

Boston bowel preparation scale

renal injuryBağırsak temizliği kalitesi

Boston bağırsak hazırlık ölçeği

Böbrek hasarı

Sayı

Makale detayları

FACTORS THAT ARE DETERMINANT IN THE PREPARATION OF EFFECTIVE AND RELIABLE COLONOSCOPY: A PROSPECTIVE CLINICAL STUDY FROM A SINGLE CENTER

Yazarlar: Sümeyra Işik | Altay Kandemir | Yaşar Barış Turgut | Mehmet Hadi Yaşa | İsmail Taşkiran

Yayıncı: Aydin Adnan Menderes University

Ana Başlıklar: Gastroenterology and Hepatology

Dergi: Meandros Medical And Dental Journal Vol.25 Issue 4, pp.492-505

Belge Tipi: Makale

Yayın Tarihi: 12/2024

Belge Dili: İngilizce

Document ID (Org No.): 2001334517

pISSN: 2149-9063

bowel cleaning quality

Boston bowel preparation scale

renal injuryBağırsak temizliği kalitesi

Boston bağırsak hazırlık ölçeği

Böbrek hasarı

Sayı

Yazarlar:

Sümeyra Işik | Altay Kandemir | Yaşar Barış Turgut | Mehmet Hadi Yaşa | İsmail Taşkiran

Yayıncı:

Aydin Adnan Menderes University

Ana Başlıklar:

Gastroenterology and Hepatology

Dergi:

Meandros Medical And Dental Journal Vol.25 Issue 4, pp.492-505

Belge Tipi:

Makale

Yayın Tarihi:

12/2024

Belge Dili:

İngilizce

Document ID (Org No.):

2001334517

pISSN:

2149-9063