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Fecal Microbiota Transplantation via Colonoscopy for Recurrent C. difficile Infection
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Effect and Tolerability of Same-Day Repeat Colonoscopy.

Giray Akgul1, Abdullah Ozgur Yeniova2, Zeki Ozsoy3

  • 1Department of General Surgery, Faculty of Medicine, Mersin University, Mersin, Turkey.

Journal of Investigative Surgery : the Official Journal of the Academy of Surgical Research
|November 1, 2018
PubMed
Summary

Repeating colonoscopy on the same day with an extra laxative dose effectively improves bowel preparation. This strategy avoids patient burden and cost associated with rescheduling inadequate colonoscopies.

Keywords:
adenomabowel preparationcecumcolonoscopyinadequatequality

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Area of Science:

  • Gastroenterology
  • Endoscopy
  • Colorectal Cancer Screening

Background:

  • Adequate bowel preparation is crucial for colonoscopy effectiveness and cost-efficiency.
  • Inadequate colonoscopies necessitate rescheduling, causing economic and patient burdens.
  • Alternative strategies to rescheduling are needed for inadequate colonoscopies.

Purpose of the Study:

  • To evaluate the efficacy and safety of same-day repeat colonoscopy after an additional laxative dose.
  • To determine if this protocol can improve colonoscopy quality indicators.
  • To assess patient tolerance and satisfaction with the same-day repeat procedure.

Main Methods:

  • Patients with inadequate index colonoscopies received an additional laxative dose and a repeat colonoscopy the same day.
  • Demographic data and procedure details were collected via questionnaire.
  • Key quality indicators such as cecum intubation and polyp detection rates were analyzed.

Main Results:

  • 80% of repeat colonoscopies achieved adequate bowel preparation.
  • The cecum intubation rate was 83.3%.
  • No complications were reported, and polyp detection rate was 26.6%.

Conclusions:

  • Same-day repeat colonoscopy with an additional laxative is a safe and effective method for inadequate procedures.
  • This protocol meets quality standards for colonoscopy.
  • It offers a viable alternative to rescheduling, reducing patient and economic burdens.