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Effects of Different Intervention Methods on Intestinal Cleanliness in Children Undergoing Colonoscopy
Yirong Yang1,2, Yuan Xiao2, Li Zhang2
1Department of Nursing, Ruijin Hospital Affiliated to Shanghai Jiaotong University School of Medicine, Shanghai 200025, China.
Insights
Liquid diet and enema with one laxative significantly improve intestinal cleanliness for pediatric colonoscopies. This method enhances child tolerance and reduces adverse reactions, making it ideal for clinical use.
Area of Science:
- Pediatric Gastroenterology
- Endoscopic Procedures
- Intestinal Preparation
Background:
- Effective intestinal preparation is crucial for successful pediatric colonoscopies.
- Current methods vary, impacting procedure efficiency and patient experience.
Purpose of the Study:
- To compare the efficacy of different pre-colonoscopy intestinal cleansing interventions in children.
- To evaluate the impact of dietary modifications and intervention methods on colonoscopy outcomes.
Main Methods:
- A randomized study involving 61 children undergoing colonoscopy.
- Three groups received different interventions: Group A (Kaiselu +1), Group B (Kaiselu +2), and Group C (enema +1 laxative).
- All groups followed a standardized diet, with variations in food consistency (liquid vs. common food) analyzed.
Main Results:
- Group C (enema +1 laxative) demonstrated significantly shorter colonoscopy times and higher Boston Bowel Preparation Scale (BBPS) scores compared to Groups A and B.
- Liquid diets improved BBPS scores across all groups, with Group C showing superior results.
- Group C exhibited a lower incidence of adverse reactions and a higher proportion of optimal preparation (Grade I).
Conclusions:
- The combination of a liquid diet and enema with one laxative is the most effective method for pediatric intestinal preparation before colonoscopy.
- This approach significantly enhances intestinal cleanliness, reduces adverse events, and improves patient tolerance and adaptability.
- The findings support the clinical application of this optimized preparation protocol for pediatric colonoscopies.
Objective:
To explore the effects of different intervention methods on intestinal cleanliness in children undergoing colonoscopy.
Methods:
61 children who underwent colonoscopy in our hospital from May 2020 to May 2021 were randomly divided into group A (n = 21), group B (n = 30), and group C (n = 10). The children in the three groups were intervened in different ways before the colonoscopy. Group A received a long-handled Kaiselu +1 cathartic intervention, while group B received a long-handled Kaiselu +2 cathartic intervention, and group C received an enema plus one cathartic intervention. The patients in the three groups were given the same diet before the examination until the examination was completed. The time-related indexes, cleanliness, adverse reactions, tolerance, and adaptability of the three groups under different dietary interventions and cleaning methods were evaluated.
Results:
The first defecation time in group C was lower than that in group A and group B, the hospital stay was longer than that in group A and group B (p > 0.05), and the colonoscopy time in group C was shorter than that in group A and group B (p < 0.05). The BBPS score of group C was (2.10 ± 0.32), which was significantly higher than that of group A (1.16 ± 0.19) and group B (1.77 ± 0.18) (p < 0.05). The BBPS scores of children with liquid food in the three groups were significantly higher than those of common food, and the BBPS scores of liquid food and common food in group C were significantly higher than those in group A and group B (p < 0.05). The incidence of adverse reactions in group C was 20.00%, which was significantly lower than 33.33% in group A and 23.33% in group B (p < 0.05). The proportion of grade I in group C was 50.00%, which was significantly higher than 38.10% in group A and 43.33% in group B (p < 0.05).
Conclusion:
Children undergoing colonoscopy take preintestinal preparation under different diets and intervention methods. The cleanliness of liquid food and enema + one-time laxative one day before colonoscopy is the best, which can significantly reduce adverse reactions and increase the acceptability and adaptability of children. It is worthy of clinical application.
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