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Comparison of a 4-Day versus 2-Day Low Fiber Diet Regimen in Barium Tagging CT Colonography in Incomplete Colonoscopy Patients.

Meric K, Bakal N, Şenateş E, Aydın S, Kılıçoğlu ZG, Bahadır Ülger FE, Yencilek E, Erkalma Şenateş B, Şimşek M - Gastroenterol Res Pract (2015)

Bottom Line: We graded the residual fluid, tagging quality for solid stool, and fluid per bowel segment.The prevalence of moderate discomfort was significantly higher in 4-day group (P < 0.001).Conclusion.

View Article: PubMed Central - PubMed

Affiliation: Department of Radiology, Haydarpasa Numune Training and Research Hospital, 34668 Istanbul, Turkey.

ABSTRACT
Our aim was to compare the amount of residual feces, residual fluid, the tagging quality, and patient compliance using 4-day versus 2-day low fiber diet regimen in barium tagging CT colonography in incomplete colonoscopy patients. Methods. A total of 101 patients who underwent CT colonography were assigned to 2-day diet group (n = 56) and 4-day diet group (n = 45). Fecal tagging was achieved with barium sulphate while bisacodyl and sennoside B were used for bowel preparation. Residual solid stool was divided into two groups measuring <6 mm and ≥6 mm. We graded the residual fluid, tagging quality for solid stool, and fluid per bowel segment. We performed a questionnaire to assess patient compliance. Results. 604 bowel segments were evaluated. There was no significant difference between 2-day and 4-day diet groups with respect to residual solid stool, residual fluid, tagging quality for stool, and fluid observed in fecal tag CT colonography (P > 0.05). The prevalence of moderate discomfort was significantly higher in 4-day group (P < 0.001). Conclusion. Our study shows that 2-day limited bowel preparation regimen for fecal tag CT colonography is a safe and reasonable technique to evaluate the entire colon, particularly in incomplete conventional colonoscopy patients.

No MeSH data available.


Limited bowel preparation acceptance between 4-day and 2-day diet group. Global discomfort of 2-day diet group patients was significantly higher than 4-day diet group (P < 0.001). None of the patients in the study stated severe discomfort.
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fig3: Limited bowel preparation acceptance between 4-day and 2-day diet group. Global discomfort of 2-day diet group patients was significantly higher than 4-day diet group (P < 0.001). None of the patients in the study stated severe discomfort.

Mentions: In 4-day diet group, 6 (13%) patients reported mild discomfort and 39 (87%) patients reported moderate discomfort whereas, in 2-day diet group, 45 (80%) patients reported mild discomfort and 11 (20%) patients reported moderate discomfort. The prevalence of moderate discomfort was statistically higher in 4-day diet group as compared to patients in 2-day diet group (P < 0.001, Figure 3). None of the patients in the study stated severe global discomfort.


Comparison of a 4-Day versus 2-Day Low Fiber Diet Regimen in Barium Tagging CT Colonography in Incomplete Colonoscopy Patients.

Meric K, Bakal N, Şenateş E, Aydın S, Kılıçoğlu ZG, Bahadır Ülger FE, Yencilek E, Erkalma Şenateş B, Şimşek M - Gastroenterol Res Pract (2015)

Limited bowel preparation acceptance between 4-day and 2-day diet group. Global discomfort of 2-day diet group patients was significantly higher than 4-day diet group (P < 0.001). None of the patients in the study stated severe discomfort.
© Copyright Policy - open-access
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC4385636&req=5

fig3: Limited bowel preparation acceptance between 4-day and 2-day diet group. Global discomfort of 2-day diet group patients was significantly higher than 4-day diet group (P < 0.001). None of the patients in the study stated severe discomfort.
Mentions: In 4-day diet group, 6 (13%) patients reported mild discomfort and 39 (87%) patients reported moderate discomfort whereas, in 2-day diet group, 45 (80%) patients reported mild discomfort and 11 (20%) patients reported moderate discomfort. The prevalence of moderate discomfort was statistically higher in 4-day diet group as compared to patients in 2-day diet group (P < 0.001, Figure 3). None of the patients in the study stated severe global discomfort.

Bottom Line: We graded the residual fluid, tagging quality for solid stool, and fluid per bowel segment.The prevalence of moderate discomfort was significantly higher in 4-day group (P < 0.001).Conclusion.

View Article: PubMed Central - PubMed

Affiliation: Department of Radiology, Haydarpasa Numune Training and Research Hospital, 34668 Istanbul, Turkey.

ABSTRACT
Our aim was to compare the amount of residual feces, residual fluid, the tagging quality, and patient compliance using 4-day versus 2-day low fiber diet regimen in barium tagging CT colonography in incomplete colonoscopy patients. Methods. A total of 101 patients who underwent CT colonography were assigned to 2-day diet group (n = 56) and 4-day diet group (n = 45). Fecal tagging was achieved with barium sulphate while bisacodyl and sennoside B were used for bowel preparation. Residual solid stool was divided into two groups measuring <6 mm and ≥6 mm. We graded the residual fluid, tagging quality for solid stool, and fluid per bowel segment. We performed a questionnaire to assess patient compliance. Results. 604 bowel segments were evaluated. There was no significant difference between 2-day and 4-day diet groups with respect to residual solid stool, residual fluid, tagging quality for stool, and fluid observed in fecal tag CT colonography (P > 0.05). The prevalence of moderate discomfort was significantly higher in 4-day group (P < 0.001). Conclusion. Our study shows that 2-day limited bowel preparation regimen for fecal tag CT colonography is a safe and reasonable technique to evaluate the entire colon, particularly in incomplete conventional colonoscopy patients.

No MeSH data available.