Endoscopy 2023; 55(S 02): S244-S245
DOI: 10.1055/s-0043-1765660
Abstracts | ESGE Days 2023

Impact of colonic cleansing with improved instructions

O. Patrón
1   INSADIB Dr. Gustavo Oliver Patrón, Porto Cristo, Spain
M. D. Tello
2   General Hospital Nuestra Señora del Prado, Talavera de la Reina, Spain
› Author Affiliations

Aims To evaluate the quality of colonic cleansing using the Boston scale, comparing the "improved colonic preparation instructions" with conventional instructions.

Methods Prospective case-control study that analyzed the results of the colonic cleansing in subjects undergoing a colonoscopy between November 2021 and September 2022. Intestinal cleanliness was evaluated using the Boston scale. Enrolled subjects were randomized into two groups “according to time of intervention”, in group A or cases (from November 2021 to May 2022) conventional cleaning instructions were provided and in group B or group of intervention (from May to September 2022), in addition support was provided with improved instructions (audiovisual support and attention phone/WhatsApp, sent 3 to 5 days before the colonoscopy)

Results In group A or conventional instructions, a total of 213 cases were analyzed, 54.9% women (117) and 45% men (96), with a mean age of 58.9 years (range 19 to 89 years). In 88.2% of cases (189) there was a Boston of 9 to 6 (adequate preparation) and in 11.7% (25 cases) Boston was less than 6 (inadequate preparation). Cecal intubation was 98.1% (209 cases). In group B or enhanced instructions, data were analyzed for 207 procedures performed on 61.3% women (127) and 38.6% men (80), with a mean age of 54.5 years (range 19 to 89 years). In 92.7% of the controls (192) presented a Boston of 9 to 6 (adequate preparation) and in 7.2% (15) the Boston was less than 6 (inadequate preparation). Cecal intubation was performed in 99% of the controls (205).

Conclusions The improved instructions are an effective support to optimize internal cleaning allowing us to meet quality standards [1] [2] [3] [4] [5] [6] [7] [8] [9] [10] [11] [12]

Publication History

Article published online:
14 April 2023

© 2023. European Society of Gastrointestinal Endoscopy. All rights reserved.

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