Post written by Mehul Lamba, FRACP, from the Department of Gastroenterology and Hepatology, Royal Brisbane and Women’s Hospital, Herston, Queensland, Australia. Capsule endoscopy (CE) is an investigation of choice for the assessment of suspected small intestinal bleeding. Because CE lacks the ability to wash or suction intestinal contents, diagnostic utility is reliant on adequate small-bowel preparation. …
Tag: bowel preparation
Artificial intelligence for the assessment of bowel preparation
Post written by Ji Young Lee, MD, PhD, from the Health Screening and Promotion Center, Asan Medical Center, College of Medicine, University of Ulsan, Seoul, South Korea. This study demonstrated objective assessment of bowel preparation adequacy using an artificial intelligence (AI)/convolutional neural network algorithm developed from colonoscopy videos. An adequate bowel preparation impacts quality indicators …
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Low-residue diet before colonoscopy
Douglas L. Nguyen, MD¹ and Matthew L. Bechtold, MD, FASGE² discuss their systematic review and meta-analysis titled "Low-residue versus clear liquid diet before colonoscopy: a meta-analysis of randomized, controlled trials." The focus of the study was to evaluate the effects of a low-residue diet compared to a clear liquid diet on the day prior to …
Gastric volume after split-dose bowel prep
Deepak Agrawal, MD, MPH, from the University of Texas Southwestern Medical Center in Dallas, Texas, USA discusses this Original Article "Gastric residual volume after split-dose compared with evening-before polyethylene glycol bowel preparation." In this study we measured the volume of liquid remaining in the stomach 2-3 hours after ingesting the bowel preparation (GoLytely) and compared it …
Bowel preparation before colonoscopy
John R. Saltzman, MD, FASGE, Director of Endoscopy at Brigham and Women's Hospital, Associate Professor of Medicine at Harvard Medical School, and Associate Editor of GIE describes this latest document from the ASGE Standards of Practice committee titled "Bowel preparation before colonoscopy." The latest information about the current available preps including their efficacy, cost, safety …
BBPS scores and bowel preparation adequacy
Audrey Calderwood, MD, MS, FASGE from the Boston Medical Center in Boston, Massachusetts, USA discusses her Original Article "Boston Bowel Preparation Scale scores provide a standardized definition of adequate for describing bowel cleanliness" from the August issue. The assessment of bowel cleanliness during colonoscopy (while not a glamorous topic!) is critical to the practice of …
Editor’s Choice- Bowel preparation and patient compliance
Associate Editor Dr. Klaus Mergener highlights this article from the May issue: "Patient compliance and suboptimal bowel preparation with split-dose bowel regimen in average-risk screening colonoscopy" by Stacy B. Menees, MD, MS, H. Myra Kim, ScD, Patricia Wren, PhD, Brian J. Zikmund-Fisher, PhD, Grace H. Elta, MD, Stephanie Foster, MPH, Sheryl Korsnes, MA, Brittany Graustein, …
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Outpatient colonic preparation
Mayur Brahmania, MD at St. Paul’s Hospital in Vancouver, British Columbia, Canada discusses his original article "2L vs. 4L PEG 3350 + electrolytes for outpatient colonic preparation: a randomized controlled trial" from the March issue. Low volume bowel preparations are ideal to ensure patient compliance, enabling high quality examinations. We examined the bowel-cleansing efficacy and …
Improving palatability of bowel prep
Ala Sharara, MD, from the American University of Beirut Medical Center in Beirut, Lebanon shares some insights about his Original Article "Sugar-free mentholyptus drops improve the palatability and bowel cleansing effect of PEG-Electrolyte solution" from the December issue. Colon preparations are generally poorly tolerated and, consequently, serve as an impediment to colorectal cancer screening and …
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 …
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