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Audrey Abella, 16 Oct 2019
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Early enteral nutrition (EEN) speeds up the recovery of gastrointestinal function after laparoscopic common bile duct exploration (LCBDE), according to a study. However, EEN also increases complications such as diarrhoea and abdominal distension.
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Medication burden, poor health literacy tied to inadequate bowel preparation

06 Oct 2019

Poor health literacy, functional status and number of daily medications are significantly associated with inadequate bowel preparation, which is a problem that accounts for the reduced yield of screening and increased healthcare cost, according to a study in a tertiary care setting.

A cross-sectional survey was performed in patients undergoing outpatient colonoscopy within the Johns Hopkins Health System to identify factors impacting the quality of bowel preparation.

Inadequate bowel preparation was defined as a Boston Bowel Preparation Score (BBPS) of <5. The strength of the association for selected factors with a BBPS <5 was assessed using Fisher’s exact, χ2 tests, and univariate and multivariate binary logistic regression.

A total of 467 patients (76.3 percent response rate) completed the survey between August 2017 and October 2017. The median BBPS was 7. Of the participants, 81.4 percent had an adequate bowel preparation (BBPS ≥5).

Factors associated with bowel preparation adequacy were as follows: level of education, health literacy, functional status, income and medication burden.

After adjusting for other factors, inadequate bowel preparation was significantly associated with poor confidence in filling forms (odds ratio [OR], 24.1; p<0.001), multiple daily prescription medications (OR, 12.49; p=0.02) and poor functional status (OR, 2.82; p=0.03).

“Inadequate bowel preparation is encountered in 17–32 percent of colonoscopies performed in the US,” the authors said. “Suboptimal colonic visualization reduces the yield of screening colonoscopies and increases healthcare costs because of longer procedure times and aborted procedures.”

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Most Read Articles
Audrey Abella, 16 Oct 2019
The PD-1* inhibitor nivolumab showed significant survival benefit and a favourable safety profile than taxane chemotherapy in patients with unresectable advanced or recurrent oesophageal squamous cell carcinoma (OSCC) refractory or intolerant to previous fluoropyrimidine- and platinum-based chemotherapy, according to the findings of ATTRACTION-3** presented at ESMO 2019.
03 Oct 2019
Early enteral nutrition (EEN) speeds up the recovery of gastrointestinal function after laparoscopic common bile duct exploration (LCBDE), according to a study. However, EEN also increases complications such as diarrhoea and abdominal distension.
01 Sep 2019
A third of Clostridium difficile infection (CDI) patients with cirrhosis have been readmitted in a span of 30 days primarily due to recurrent CDI, a recent study has found. In addition, there is a high rate of mortality linked to CDI in patients with cirrhosis, in which a poor prognosis is predicted by decompensation and 30-day readmission.
26 Sep 2019
Use of proton pump inhibitors contributes to increased risk of cholangitis, a large cohort study suggests.