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Factors Influencing Quality of Bowel Preparation for Elective Colonoscopy at a Subsaharan Hospital

Abstract

Moses Semulya, Francis Basimbe* and Raymond Mwebaze

Introduction: The necessity to identify factors impacting the bowel preparation pre-colonoscopy arises from the fact that efficient colonoscopy requires adequate intestinal preparation, which has a significant impact on the diagnostic and therapeutic effectiveness of colonoscopy. We set out to determine the bowel preparation score and the factors associated with poor bowel preparation in our setting.

Methods: This was a prospective cross sectional study of 92 colonoscopies performed between November 2022 and February 2023. Data was collected on Patient demographics and indications included gastrointestinal hemorrhage, a change in bowel habits, and screening colonoscopies. This information was recorded using pretested questionnaires. Primary outcome was the Boston Bowel Preparation Scores (BBPS) and secondary outcome were the factors that affect how well the bowel is prepared for colonoscopy.

Methods: This was a prospective cross sectional study of 92 colonoscopies performed between November 2022 and February 2023. Data was collected on Patient demographics and indications included gastrointestinal hemorrhage, a change in bowel habits, and screening colonoscopies. This information was recorded using pretested questionnaires. Primary outcome was the Boston Bowel Preparation Scores (BBPS) and secondary outcome were the factors that affect how well the bowel is prepared for colonoscopy.

Conclusion and recommendations: Gender, literacy levels and socioeconomic levels are factors that influence bowel cleanliness pre-colonoscopy in our setting. There is need for efficient patient education strategies pre-colonoscopy to ensure improvement in the Boston bowel preparation scores and subsequently increase colonoscopy yield for patients.

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