Effect of the High-FODMAP Diet on Bowel Preparation for Colonoscopy: A Multicenter, Prospective Cohort Study
Background. Optimal bowel preparation for colonoscopy is fundamental to a successful examination. The FODMAP diet can increase the content of intestinal water and gas, but its impact on bowel cleanliness and bubbles has not been reported. This study was therefore aimed at evaluating the effect of th...
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| Format: | Article |
| Language: | English |
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Wiley
2020-01-01
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| Series: | Gastroenterology Research and Practice |
| Online Access: | http://dx.doi.org/10.1155/2020/1612040 |
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| author | Peng Cheng Ruijun Ma Shuling Wang Jun Fang Zhengrong Zhong Yu Bai Xiangjun Meng Zhaoshen Li |
| author_facet | Peng Cheng Ruijun Ma Shuling Wang Jun Fang Zhengrong Zhong Yu Bai Xiangjun Meng Zhaoshen Li |
| author_sort | Peng Cheng |
| collection | DOAJ |
| description | Background. Optimal bowel preparation for colonoscopy is fundamental to a successful examination. The FODMAP diet can increase the content of intestinal water and gas, but its impact on bowel cleanliness and bubbles has not been reported. This study was therefore aimed at evaluating the effect of the FODMAP diet on the quality of bowel preparation and the adenoma detection rate (ADR). Methods. This was a multicenter, prospective cohort study involving consecutive patients who underwent colonoscopy in two centers in China. Patients were assigned to one of two groups: high-FODMAP or nonhigh-FODMAP diet. ODMP Software was used for the identification of FODMAP diet types. The primary outcome was ADR; secondary outcomes were the quality of bowel preparation, measured by the Boston bowel preparation scale and bubble scores. Results. There were 365 patients included. Patients in the high-FODMAP-diet group showed poor bowel cleansing efficacy: BBPS≥6 in 76.8% vs. 90.3% (P<0.01) and bubble scores of 2.42±1.69 vs. 1.32±1.63 (P<0.001). The intubation time was significantly longer in the high-FODMAP-diet group (7.07±5.18 vs. 5.46±3.05 min; P=0.002). The High-FODMAP diet was an independent risk predictor for inadequate bowel preparation. There were no statistically significant differences in ADR between the two dietary groups. Conclusion. The high-FODMAP diet significantly reduced the quality of bowel preparation. We recommend the consumption of nonhigh-FODMAP diet in bowel preparation as a reference standard for dietary regimen. This method was effective, flexible, referable, and well tolerated, which could help to provide patients a valuable dietary guidance in bowel preparation. |
| format | Article |
| id | doaj-art-a1e05055ab9a4a31a6d36faf752e29a2 |
| institution | Kabale University |
| issn | 1687-6121 1687-630X |
| language | English |
| publishDate | 2020-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Gastroenterology Research and Practice |
| spelling | doaj-art-a1e05055ab9a4a31a6d36faf752e29a22025-02-03T06:43:25ZengWileyGastroenterology Research and Practice1687-61211687-630X2020-01-01202010.1155/2020/16120401612040Effect of the High-FODMAP Diet on Bowel Preparation for Colonoscopy: A Multicenter, Prospective Cohort StudyPeng Cheng0Ruijun Ma1Shuling Wang2Jun Fang3Zhengrong Zhong4Yu Bai5Xiangjun Meng6Zhaoshen Li7Department of Gastroenterology, Shanghai Ninth People’s Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, ChinaCenter for Gastrointestinal Endoscopy, Shanxi Provincial People’s Hospital, Taiyuan, ChinaDepartment of Gastroenterology, Changhai Hospital, Second Military Medical University, Shanghai, ChinaDepartment of Gastroenterology, Zhongnan Hospital of Wuhan University, Wuhan, ChinaDepartment of Clinical Laboratory, Shanghai Ninth People’s Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, ChinaDepartment of Gastroenterology, Changhai Hospital, Second Military Medical University, Shanghai, ChinaDepartment of Gastroenterology, Shanghai Ninth People’s Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, ChinaDepartment of Gastroenterology, Changhai Hospital, Second Military Medical University, Shanghai, ChinaBackground. Optimal bowel preparation for colonoscopy is fundamental to a successful examination. The FODMAP diet can increase the content of intestinal water and gas, but its impact on bowel cleanliness and bubbles has not been reported. This study was therefore aimed at evaluating the effect of the FODMAP diet on the quality of bowel preparation and the adenoma detection rate (ADR). Methods. This was a multicenter, prospective cohort study involving consecutive patients who underwent colonoscopy in two centers in China. Patients were assigned to one of two groups: high-FODMAP or nonhigh-FODMAP diet. ODMP Software was used for the identification of FODMAP diet types. The primary outcome was ADR; secondary outcomes were the quality of bowel preparation, measured by the Boston bowel preparation scale and bubble scores. Results. There were 365 patients included. Patients in the high-FODMAP-diet group showed poor bowel cleansing efficacy: BBPS≥6 in 76.8% vs. 90.3% (P<0.01) and bubble scores of 2.42±1.69 vs. 1.32±1.63 (P<0.001). The intubation time was significantly longer in the high-FODMAP-diet group (7.07±5.18 vs. 5.46±3.05 min; P=0.002). The High-FODMAP diet was an independent risk predictor for inadequate bowel preparation. There were no statistically significant differences in ADR between the two dietary groups. Conclusion. The high-FODMAP diet significantly reduced the quality of bowel preparation. We recommend the consumption of nonhigh-FODMAP diet in bowel preparation as a reference standard for dietary regimen. This method was effective, flexible, referable, and well tolerated, which could help to provide patients a valuable dietary guidance in bowel preparation.http://dx.doi.org/10.1155/2020/1612040 |
| spellingShingle | Peng Cheng Ruijun Ma Shuling Wang Jun Fang Zhengrong Zhong Yu Bai Xiangjun Meng Zhaoshen Li Effect of the High-FODMAP Diet on Bowel Preparation for Colonoscopy: A Multicenter, Prospective Cohort Study Gastroenterology Research and Practice |
| title | Effect of the High-FODMAP Diet on Bowel Preparation for Colonoscopy: A Multicenter, Prospective Cohort Study |
| title_full | Effect of the High-FODMAP Diet on Bowel Preparation for Colonoscopy: A Multicenter, Prospective Cohort Study |
| title_fullStr | Effect of the High-FODMAP Diet on Bowel Preparation for Colonoscopy: A Multicenter, Prospective Cohort Study |
| title_full_unstemmed | Effect of the High-FODMAP Diet on Bowel Preparation for Colonoscopy: A Multicenter, Prospective Cohort Study |
| title_short | Effect of the High-FODMAP Diet on Bowel Preparation for Colonoscopy: A Multicenter, Prospective Cohort Study |
| title_sort | effect of the high fodmap diet on bowel preparation for colonoscopy a multicenter prospective cohort study |
| url | http://dx.doi.org/10.1155/2020/1612040 |
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