Editor’s Choice- John Saltzman

Associate Editor, John Saltzman, MD, recommends the article “A low-residue diet improved patient satisfaction with split-dose oral sulfate solution without impairing colonic preparation” by Sipe et al from the June issue of GIE.

This article shows that a low residue diet the day before a colonoscopy is as effective as a clear liquid diet and is associated with higher patient satisfaction scores.

This article is directly applicable to the everyday practice of gastroenterology. Despite the effectiveness of colon cancer screening, colorectal cancer remains the second leading cause of cancer death in the United States. Although colonoscopy is highly effective at preventing and detecting early colon cancer, the screening population rates remain low at 62%. One of the main barriers to patient adherence with colorectal screening guidelines is the perceived difficulty with the prep and the requirement for prolonged clear liquids. Although the preps have improved markedly in recent years, including the use of split-dose preps, the standard dietary recommendation remains clear liquids the day before the procedure.

Table 1

In this study, the authors evaluated the use of a low-residue diet the day before and found that the bowel prep quality was similar to a clear liquid prep and that patient satisfaction scores were higher. In addition, a greater number of patients presented to colonoscopy who received the low-residue diet. The low residue diet was one that had several options for patients that included three categories: easy to prepare, healthy, and restaurant based diets. This dietary recommendation is easy to adapt into clinical practice, will be welcomed by patients, and may result in improved patient adherence with recommendations and rates of colorectal screening.

A low residue diet the day before colonoscopy did not decrease the quality of the bowel prep compared to a clear liquid diet and improved patient satisfaction.

Read the abstract of the article here.

The information presented in Endoscopedia reflects the opinions of the authors and does not represent the position of the American Society for Gastrointestinal Endoscopy (ASGE). ASGE expressly disclaims any warranties or guarantees, expressed or implied, and is not liable for damages of any kind in connection with the material, information, or procedures set forth.

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