Novel Colon Preparation Method Combining Bowel Cleanser Reduction and Unique Walking.

Area of Science:

• Gastroenterology
• Endoscopy
• Colorectal Surgery

Background:

• Poor bowel preparation is a significant challenge in colonoscopy, impacting procedure efficiency and diagnostic accuracy.
• Effective colon cleansing is crucial for optimal visualization and detection of colorectal lesions.

Purpose of the Study:

• To evaluate a novel bowel preparation regimen using polyethylene glycol electrolyte formulation with ascorbic acid (PEG-Asc).
• To assess the efficacy of this new method in improving bowel cleansing quality and reducing preparation time.

Main Methods:

• A single-center, retrospective study comparing a new preparation method with a conventional approach.
• The new method involved a laxative pretreatment, PEG-Asc (MOVIPREP), and a prescribed walking regimen.
• Primary endpoints included bowel cleansing assessed by the Boston Bowel Preparation Scale (BBPS) and time to cecal intubation.

Main Results:

• The PEG-Asc group achieved significantly faster cecal intubation times (500±217.1 seconds) compared to the conventional group (606.5±225.8 seconds; P <0.05).
• The Boston Bowel Preparation Scale scores were significantly higher in the new method group (8.6±0.74) versus the conventional group (6.8±2.14; P <0.01), indicating superior cleansing.
• The combination of a 1L preparation and walking exercise proved effective.

Conclusions:

• The novel bowel preparation strategy, incorporating PEG-Asc and a walking protocol, significantly enhances bowel cleansing quality.
• This improved preparation method also leads to a statistically significant reduction in the time required for colonoscope advancement to the cecum.
• The findings suggest this combined approach is a valuable tool for optimizing colonoscopy procedures.