Evaluation of a low-residue diet for bowel preparation of colonoscopy
10.3760/cma.j.issn.1007-5232.2019.12.010
- VernacularTitle: 低渣全营养配方粉在结肠镜肠道准备中的应用价值初探
- Author:
Peng PAN
1
;
Shengbing ZHAO
2
;
Rundong WANG
1
;
Shuling WANG
1
;
Hongxin SUN
1
;
Tian XIA
1
;
Xin CHANG
1
;
Lun GU
1
;
Zhaoshen LI
1
;
Yu BAI
1
Author Information
1. Department of Gastroenterology, Changhai Hospital, Naval Medical University, Shanghai 200433, China
2. National Clinical Research Center for Digestive Diseases, Shanghai 200433, China
- Publication Type:Journal Article
- Keywords:
Colonoscopy;
Enteral nutrition;
Food, formulated;
Recommended dietary allowances;
Bowel preparation
- From:
Chinese Journal of Digestive Endoscopy
2019;36(12):923-927
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the clinical value of a commercial low-residue diet (LRD) for bowel preparation of colonoscopy.
Methods:This study was a prospective, endoscopist-blind, and randomized controlled trial. Participants were randomly assigned to two groups according to administration of LRD: the experimental group and the control group. Bowel preparation quality, compliance and tolerability of the two groups were compared.
Results:A total of 61 patients were enrolled, with 32 in the experimental group and 29 in the control group. The outcomes were as follows: Boston Bowel Preparation Scale (BBPS) (7.8±1.0 VS 7.1±1.3, P=0.037), the rate of bowel preparation adequacy (87.5% VS 79.3%, P=0.388), compliance rate of dietary restriction (78.1% VS 55.2%, P=0.057), preparation completion rate (93.8% VS 93.1%, P=0.919), cecal intubation rate (both were 100.0%) and cecum arrival time (9.1±2.9 min VS 9.8±3.7 min, P=0.417), incidence of adverse (3.1% VS 3.4%, P=0.944), and hunger rate before colonoscopy (34.4% VS 48.3%, P=0.102).
Conclusion:The LRD for bowel preparation of colonoscopy significantly improves BBPS, but its effect on improving the bowel preparation adequacy, patient compliance and tolerability needs to be confirmed by further larger-scale trials.