Impact of bowel preparation on caecal intubation time during colonoscopy

  • Haris Alvi Dow University of Health Sciences
  • Tazeen Rasheed Dow University of Health Sciences
  • Majid Ahmed Shaikh Dow University of Health Sciences
  • Faiza Sadaqat Ali Dow University of Health Sciences
  • Bader Faiyaz Zuberi Dow University of Health Sciences https://orcid.org/0000-0001-7695-3922
  • Asad Ali Samejo Dow University of Health Sciences
Keywords: Boston Bowel Preparation Scale, Caecal Intubation Time, Colonoscopy, Adenoma Detection Rate

Abstract

Objective: To determine the caecal intubation time depending on bowel preparation as per Boston Bowel Preparation Scale.

Methods: This cross-sectional study was conducted at Dr. Ruth K. M. Pfau, Civil Hospital Karachi between August 2018 to February 2019. A total of 201 patients were included in the study. Time was recorded from insertion of colonoscope to the time required to reach the cecum. Bowel preparation was graded during withdrawal of colonoscope by using Boston Bowel Preparation Scale. Pearson Correlation test was used to study correlation of BBPS scores with CIT, gender, BMI, adenoma and polyp detection.

Results: In this study 201 patients undergoing colonoscopy were included. Mean ±SD of age of patients was 36.9 ±15.8 years. Out of the 201 patients 112 (56%) were males and 89 (44%) were females. The results of our study showed that increased Boston Bowel Preparation Scale Scores were associated with decreased caecal intubation time. The mean CIT was 10.7 ±5.4 minutes and Pearson correlation was significant at 0.002. Significant correlations of BBPS were also found with BMI and adenoma detection.

Conclusion: The diagnostic effectiveness of colonoscopy depends upon the quality of the preparation. Good bowel preparation improves the speed of colonoscopy and its completeness.

doi: https://doi.org/10.12669/pjms.35.6.1031

How to cite this:
Alvi H, Rasheed T, Shaikh MA, Ali FS, Zuberi BF, Samejo AA. Impact of bowel preparation on caecal intubation time during colonoscopy. Pak J Med Sci. 2019;35(6):1516-1519. doi: https://doi.org/10.12669/pjms.35.6.1031

This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Author Biographies

Haris Alvi, Dow University of Health Sciences

Professor Medicine

Tazeen Rasheed, Dow University of Health Sciences

Assistant Professor Medicine

Majid Ahmed Shaikh, Dow University of Health Sciences

Assistant Professor Medicine

Faiza Sadaqat Ali, Dow University of Health Sciences

Senior Registrar Medicine

Bader Faiyaz Zuberi, Dow University of Health Sciences

Professor Medicine

Asad Ali Samejo, Dow University of Health Sciences

Postgraduate Student

Published
2019-10-05
Section
Original Articles