title: A Retrospective Case-Control Study Evaluating the Bowel Preparation Quality during Surveillance Colonoscopy after Colonic Resection.
abstract: Purpose. Bowel preparation for surveillance endoscopy following surgery can be impaired by suboptimal bowel function. Our study compares two groups of patients in order to evaluate the influence of colorectal resection on bowel preparation. Methods. From April 2010 to December 2011, 351 patients were enrolled in our retrospective study and divided into two homogeneous arms: resection group (RG) and control group. Surgical methods were classified as left hemicolectomy, right hemicolectomy, anterior rectal resection, and double colonic resection. Bowel cleansing was evaluated by nine skilled endoscopists using the Aronchick scale. Results. Among the 161 patients of the RG, surgery was as follows: 60 left hemicolectomies (37%), 62 right hemicolectomies (38%), and 33 anterior rectal resections (20%). Unsatisfactory bowel preparation was significantly higher in resected population (44% versus 12%; P value = 0.000). No significant difference (38% versus 31%, P value = ns) was detected in the intermediate score, which represents a fair quality of bowel preparation. Conclusions. Our study highlights how patients with previous colonic resection are at high risk for a worse bowel preparation. Currently, the intestinal cleansing carried out by 4 L PEG based preparation does not seem to be sufficient to achieve the quality parameters required for the post-resection endoscopic monitoring.
authors.affiliation: Department of Surgical Sciences, "Sapienza" University of Rome, Viale Regina Elena 324, 00161 Rome, Italy.
authors.forename: Stefano
authors.initials: S
authors.lastname: Pontone
authors.affiliation: Department of Surgical Sciences, "Sapienza" University of Rome, Viale Regina Elena 324, 00161 Rome, Italy.
authors.forename: Giovanni
authors.initials: G
authors.lastname: Leonetti
authors.affiliation: Department Pietro Valdoni, "Sapienza" University of Rome, Italy.
authors.forename: Antonietta
authors.initials: A
authors.lastname: Lamazza
authors.affiliation: Department of Surgical Sciences and Organ Transplantation-P. Stefanini, "Sapienza" University of Rome, Italy.
authors.forename: Fausto
authors.initials: F
authors.lastname: Fiocca
authors.affiliation: Department of Surgical Sciences, "Sapienza" University of Rome, Viale Regina Elena 324, 00161 Rome, Italy.
authors.forename: Angelo
authors.initials: A
authors.lastname: Filippini
authors.affiliation: Department of Surgical Sciences and Organ Transplantation-P. Stefanini, "Sapienza" University of Rome, Italy.
authors.forename: Gianfranco
authors.initials: G
authors.lastname: Fanello
authors.affiliation: Department of Surgical Sciences and Organ Transplantation-P. Stefanini, "Sapienza" University of Rome, Italy.
authors.forename: Fabrizio
authors.initials: F
authors.lastname: Cereatti
authors.affiliation: Department Pietro Valdoni, "Sapienza" University of Rome, Italy.
authors.forename: Enrico
authors.initials: E
authors.lastname: Fiori
authors.affiliation: Department of Surgical Sciences, "Sapienza" University of Rome, Viale Regina Elena 324, 00161 Rome, Italy.
authors.forename: Rita
authors.initials: R
authors.lastname: Angelini
authors.affiliation: Department of Surgical Sciences, "Sapienza" University of Rome, Viale Regina Elena 324, 00161 Rome, Italy.
authors.forename: Gregorio
authors.initials: G
authors.lastname: Patrizi
authors.affiliation: Department of Surgical Sciences, "Sapienza" University of Rome, Viale Regina Elena 324, 00161 Rome, Italy.
authors.forename: Manuela
authors.initials: M
authors.lastname: Brighi
authors.affiliation: Department of Surgical Sciences, "Sapienza" University of Rome, Viale Regina Elena 324, 00161 Rome, Italy.
authors.forename: Simone
authors.initials: S
authors.lastname: Vetere
authors.affiliation: Department Pietro Valdoni, "Sapienza" University of Rome, Italy.
authors.forename: Angelo
authors.initials: A
authors.lastname: Antoniozzi
authors.affiliation: Department of Surgical Sciences, "Sapienza" University of Rome, Viale Regina Elena 324, 00161 Rome, Italy.
authors.forename: Daniele
authors.initials: D
authors.lastname: Pironi
authors.affiliation: Department of Surgery E Durante, "Sapienza" University of Rome, Italy.
authors.forename: Simone
authors.initials: S
authors.lastname: Manfredelli
authors.affiliation: Department of Surgical Sciences, "Sapienza" University of Rome, Viale Regina Elena 324, 00161 Rome, Italy.
authors.forename: Paolo
authors.initials: P
authors.lastname: Pontone
references.citation: Neurogastroenterol Motil. 2005 Jun;17 Suppl 1:41-9
references.pmid: 15836454
references.citation: Gastrointest Endosc. 2009 Mar;69(3 Pt 2):620-5
references.pmid: 19136102
references.citation: Surg Endosc. 2012 Jun;26(6):1554-9
references.pmid: 22170320
references.citation: Endoscopy. 2013 Jul;45(7):545-52
references.pmid: 23580411
references.citation: Gastroenterology. 2006 May;130(6):1865-71
references.pmid: 16697749
references.citation: Am J Gastroenterol. 2010 Nov;105(11):2318-22
references.pmid: 21048676
references.citation: Gastrointest Endosc. 2005 Mar;61(3):378-84
references.pmid: 15758907
references.citation: Surg Today. 2011 Sep;41(9):1200-6
references.pmid: 21874415
references.citation: Gastrointest Endosc. 2004 Apr;59(4):482-6
references.pmid: 15044882
references.citation: Clin Gastroenterol Hepatol. 2012 May;10(5):501-6
references.pmid: 22239959
references.citation: Am J Gastroenterol. 2010 Jun;105(6):1319-26
references.pmid: 20485282
references.citation: Gastroenterology. 2008 May;134(5):1570-95
references.pmid: 18384785
references.citation: Gut. 2001 Jun;48(6):812-5
references.pmid: 11358901
references.citation: Ann R Coll Surg Engl. 1990 Jan;72(1):60-3
references.pmid: 2301905
references.citation: Gastroenterology. 1992 Sep;103(3):794-9
references.pmid: 1499929
references.citation: Dig Dis Sci. 2012 Dec;57(12):3219-25
references.pmid: 22678462
references.citation: World J Gastroenterol. 2011 Nov 14;17(42):4689-95
references.pmid: 22180711
references.citation: ANZ J Surg. 2011 Apr;81(4):272-4
references.pmid: 21418472
references.citation: Int J Colorectal Dis. 2013 Jan;28(1):73-81
references.pmid: 22885884
references.citation: Colorectal Dis. 2006 May;8(4):247-58
references.pmid: 16630226
references.citation: J Clin Gastroenterol. 2009 May-Jun;43(5):448-52
references.pmid: 18978506
references.citation: Endoscopy. 2013;45(2):142-50
references.pmid: 23335011
references.citation: Drugs. 2008;68(4):417-37
references.pmid: 18318561
references.citation: World Health Organ Tech Rep Ser. 2000;894:i-xii, 1-253
references.pmid: 11234459
references.citation: Gastrointest Endosc. 2010 Aug;72(2):313-20
references.pmid: 20561621
references.citation: Gastrointest Endosc. 2002 Jul;56(1):89-94
references.pmid: 12085041
references.citation: Am J Gastroenterol. 2001 Jun;96(6):1797-802
references.pmid: 11419832
references.citation: Dis Colon Rectum. 2012 Jan;55(1):10-7
references.pmid: 22156862