A Service Evaluation of Patient Educational Bowel Preparation Videos- Improving the Quality of Bowel Preparation for Colonoscopy
Natarajan B*, Landy J and
Gastroenterology, Watford General Hospital, Vicarage Road, Watford, WD18 0H0,
Author: Brenavan Natarajan,
Department of Gastroenterology, Watford General Hospital, Vicarage Road,
Watford, WD18 0H0, United Kingdom, E-mail: [email protected]
Citation: Natarajan B (2020) A
Service Evaluation of Patient Educational Bowel Preparation Videos- Improving
the Quality of Bowel Preparation for Colonoscopy World Journal of
Gastroenterology, Hepatology and Endoscopy Research.Vol (3): Issue (3): 1-4.
Copyright : ©2020
Natarajan B et al. This is an open access article distributed under the terms
of the Creative Commons Attribution License, which permits unrestricted use,
distribution, and build upon your work non-commercially.
1.1. Objective: Effective
bowel preparation is critical for efficient colonoscopy. We present evaluation
of the impact educational bowel preparation videos had upon our service.
1.2. Methods: All patients
undergoing colonoscopy with Moviprep were included over an eighteen-week
period. Links and QR codes to online educational videos were sent to patients,
along with written instructions for bowel perp prior to procedure. Endoscopy
nurses recorded whether patients had watched the videos on the day of
procedure. Bowel cleanliness was graded by the Endoscopist using Boston bowel
preparation (BBPS) and Aron chick scores.
1.3. Results: 1645 patients
were included in total (51% male, average age 63). 11.8% (194) watched the
educational videos (54% males, average age 59).
There was a statistically
significant difference comparing video to non-video groups in those that had a
good/excellent (85% v 79%; p=0.047) and excellent (33% v 24%, p<0.01)
preparation compared with non-video group. The mean BBPS was higher in the
video group overall (7.1 v 6.7; p<0.01) and for all colonic segments
including the right colon (p=0.02).
There were no significant
differences between the bowel preparation scores of those rated inadequate,
poor, fair or good preparation.
There was no significant
difference for caecal intubation rate
or polyp detection rate.
1.4. Discussion: In our
evaluation, video education improved bowel preparation in all bowel segments
but did not impact upon key performance indicators. Uptake of use of the online
video resource was low. We believe use of complimentary online videos can
improve bowel preparation quality which may improve colonoscopy service
A Service Evaluation of
Patient Educational Bowel Preparation videos- improving the quality of bowel
preparation for colonoscopy Natarajan B, Purkis E, Landy J.
Colorectal cancer screening.
Levin B, Lieberman DA,
McFarland B, Andrews KS, Brooks D, Bond J, et al. Screening
and surveillance for the early detection of colorectal cancer and
adenomatous polyps, 2008: a joint guideline from the American Cancer
Society, the US Multi-Society Task Force on Colorectal Cancer,
and the American College of Radiology. Gastroenterology. 2008;
Harewood GC, Sharma VK, de
Garmo P. Impact of colonoscopy preparation quality on
detection of suspected colonic neoplasia. Gastrointest Endosc. 2003;
Gavin DR, Valori RM,
Anderson JT, Donnelly MT, Williams JG, Swarbrick ET. The national
colonoscopy audit: a nationwide assessment of the quality and safety
of colonoscopy in the UK. Gut. 2013; 62(2): 242-9.
Johnson DA, Barkun AN,
Cohen LB, Dominitz JA, Kaltenbach T, Martel M, et al. Optimizing
adequacy of bowel cleansing for colonoscopy: recommendations from the US
multi-society task force on colorectal cancer.
Gastroenterology. [Meta-Analysis Practice Guideline Research Support, Non-U.S.
Gov’t Review]. 2014; 147(4): 903-24.
Froehlich F, Wietlisbach V,
Gonvers JJ, Burnand B, Vader JP. Impact of colonic cleansing on
quality and diagnostic yield of colonoscopy: The European Panel of
Appropriateness of Gastrointestinal Endoscopy European multicenter study.
Gastrointest Endosc. 2005; 61(3): 378-84.
Clark BT, Protiva P, Nagar
A, Imaeda A, Ciarleglio MM, Deng Y, et al. Quantification of
Adequate Bowel Preparation for Screening orSurveillance Colonoscopy in Men.
Gastroenterology. 2016; 150(2): 396-405.
Radaelli F, Paggi S, Hassan
C, Senore C, Fasoli R, Anderloni A, et al. Split-dose preparation for
colonoscopy increases adenoma detection rate: a randomised
controlled trial in an organised screening programme. Gut. [Multicenter Study
Randomized Controlled Trial]. 2017; 66(2): 270-77. Rex DK, Imperiale TF,
Latinovich DR, Bratcher LL. Impact of bowel preparation on
efficiency and cost of colonoscopy. Am J Gastroenterol. 2002; 97(7): 1696-700.
Sweetser S, Baron TH.
Optimizing bowel cleansing for colonoscopy. Mayo Clinic proceedings.
[Review]. 2015; 90(4): 520-6.
Ness RM, Manam R, Hoen H,
Chalasani N. Predictors of inadequate bowel preparation for
colonoscopy. Am J Gastroenterol. 2001; 96(6): 1797-802.
Verma S, Fogel J, Beyda DJ,
Bernstein B, Notar-Francesco V, Mohanty SR. Chronic methadone use,
poor bowel visualization and failed colonoscopy: a
preliminary study. World J Gastroenterol. 2012; 18(32): 4350-6.
uyen DL, Jamal MM, Nguyen
ET, Puli SR, Bechtold ML. Low-residue versus clear liquid diet before
colonoscopy: a meta- analysis of randomized, controlled trials. Gastrointest
Endosc. [Meta-Analysis Review].
2016; 83(3): 499-507.
Bucci C, Rotondano G,
Hassan C, Rea M, Bianco MA, Cipolletta L, et al. Optimal bowel cleansing for
colonoscopy: split the dose! A series of meta-analyses of controlled studies.
Gastrointest Endosc. [Meta-Analysis Review]. 2014; 80(4): 566-76.
Guo X, Yang Z, Zhao L,
Leung F, Luo H, Kang X, et al. Enhanced instructions improve the quality of
bowel preparation for colonoscopy: a meta-analysis of randomized controlled
trials. Gastrointest Endosc. 2017; 85(1): 90-7.
Abuksis G, Mor M, Segal N,
Shemesh I, Morad I, Plaut S, et al. A patient education program is
cost-effective for preventing failure of endoscopic procedures in a
gastroenterology department. Am J Gastroenterol. 2001; 96(6): 1786-90.
Liu X, Luo H, Zhang L,
Leung FW, Liu Z, Wang X, et al. Telephone- based re-education on the day before
colonoscopy improves the quality of bowel preparation and the polyp detection
rate: a prospective, colonoscopist-blinded, randomised, controlled study. Gut.
[Randomized Controlled Trial Research Support, Non-U.S. Gov’t]. 2014; 63(1):
Walter B, Klare P, Strehle
K, Aschenbeck J, Ludwig L, Dikopoulos N, et al. Improving the quality and
acceptance of colonoscopy preparation by reinforced patient education with
short message service: results from a randomized, multicenter study
Endosc. 2019; 89(3):
Rice SC, Higginbotham T,
Dean MJ, Slaughter JC, Yachimski PS, Obstein KL. Video on Diet Before
Outpatient Colonoscopy Does Not Improve Quality of Bowel Preparation: A
Prospective, Randomized, Controlled Trial. Am J Gastroenterol. 2016; 111(11):
Park JS, Kim MS, Kim H, Kim
SI, Shin CH, Lee HJ, et al. A randomized controlled trial of an educational
video to improve quality of bowel preparation for colonoscopy. BMC
gastroenterology. [Randomized Controlled Trial]. 2016; 16(1): 64.
Prakash SR, Verma S,
McGowan J, Smith BE, Shroff A, Gibson GH, et al. Improving the quality of
colonoscopy bowel preparation using an educational video. Can J Gastroenterol.
2013; 27(12): 696-700.
Lai EJ, Calderwood AH,
Doros G, Fix OK, Jacobson BC. The Boston bowel preparation scale: a valid and
reliable instrument for colonoscopy- oriented research. Gastrointest Endosc.
2009; 69(3 Pt 2): 620-5.
Aronchick CA. Bowel
preparation scale. Gastrointest Endosc. 2004; 60(6): 1037-8.