Is bowel preparation necessary for early colonoscopy in patients with suspected colonic diverticular bleeding?: A multicenter retrospective study with propensity score matching analysis
Abstract Objectives There are few reports on bowel preparation for early colonoscopy in patients with suspected colonic diverticular bleeding (CDB). We aim to clarify in a retrospective, multicenter study. Methods In a multicenter retrospective cohort study at 10 institutions, we analyzed clinical f...
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2024-04-01
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| Online Access: | https://doi.org/10.1002/deo2.311 |
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| author | Takahiro Gonai Yosuke Toya Norihiko Kudara Keinosuke Abe Sera Sawaguchi Takao Fujiwara Makoto Eizuka Minami Hirai Manami Miura Jun Urushikubo Shun Yamada Tomo Kumei Satoko Yamaguchi Kyohei Sugai Kensuke Asakura Shunsuke Orikasa Takayuki Matsumoto |
| author_facet | Takahiro Gonai Yosuke Toya Norihiko Kudara Keinosuke Abe Sera Sawaguchi Takao Fujiwara Makoto Eizuka Minami Hirai Manami Miura Jun Urushikubo Shun Yamada Tomo Kumei Satoko Yamaguchi Kyohei Sugai Kensuke Asakura Shunsuke Orikasa Takayuki Matsumoto |
| author_sort | Takahiro Gonai |
| collection | DOAJ |
| description | Abstract Objectives There are few reports on bowel preparation for early colonoscopy in patients with suspected colonic diverticular bleeding (CDB). We aim to clarify in a retrospective, multicenter study. Methods In a multicenter retrospective cohort study at 10 institutions, we analyzed clinical features of patients diagnosed with CDB, who underwent early colonoscopy within 24 h. We compared patients who were prepared with polyethylene glycol lavage (PEL) and those without PEL. We evaluated the effects of PEL for early colonoscopy in patients with suspected CDB. Results A total of 129 (53%) underwent under preparation with PEL and 113 patients without PEL. The PEL group was younger, had fewer comorbidities, and had better performance status. After adjusting for these variables with propensity score matching, the PEL group had a significantly shorter hospital stay (7.9 ± 4.7 vs. 10.1 ± 5.2 days; p = 0.001), and a higher cecal intubation rate (91.1% vs. 50.0%; p < 0.001). There were no significant differences in adverse event rates, identification of stigmata of recent hemorrhage, or frequency in endoscopic hemostatic treatment. Conclusions PEL may be preferred for early colonoscopy in patients suspected of having CDB. |
| format | Article |
| id | doaj-art-c5ca4d858a504e45afe4a45c7652d833 |
| institution | DOAJ |
| issn | 2692-4609 |
| language | English |
| publishDate | 2024-04-01 |
| publisher | Wiley |
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| spelling | doaj-art-c5ca4d858a504e45afe4a45c7652d8332025-08-20T02:55:03ZengWileyDEN Open2692-46092024-04-0141n/an/a10.1002/deo2.311Is bowel preparation necessary for early colonoscopy in patients with suspected colonic diverticular bleeding?: A multicenter retrospective study with propensity score matching analysisTakahiro Gonai0Yosuke Toya1Norihiko Kudara2Keinosuke Abe3Sera Sawaguchi4Takao Fujiwara5Makoto Eizuka6Minami Hirai7Manami Miura8Jun Urushikubo9Shun Yamada10Tomo Kumei11Satoko Yamaguchi12Kyohei Sugai13Kensuke Asakura14Shunsuke Orikasa15Takayuki Matsumoto16Division of Gastroenterology and Hepatology Department of Internal Medicine Iwate Medical University School of Medicine Iwate JapanDivision of Gastroenterology and Hepatology Department of Internal Medicine Iwate Medical University School of Medicine Iwate JapanDepartment of Gastroenterology Iwate Prefectural Ofunato Hospital Iwate JapanDepartment of Gastroenterology Iwate Prefectural Miyako Hospital Iwate JapanDepartment of Gastroenterology Iwate Prefectural Miyako Hospital Iwate JapanDepartment of Gastroenterology Morioka Red Cross Hospital Iwate JapanDivision of Gastroenterology and Hepatology Department of Internal Medicine Iwate Medical University School of Medicine Iwate JapanDivision of Gastroenterology and Hepatology Department of Internal Medicine Iwate Medical University School of Medicine Iwate JapanDepartment of Gastroenterology Iwate Prefectural Ninohe Hospital Iwate JapanDepartment of Gastroenterology Iwate Prefectural Ninohe Hospital Iwate JapanDivision of Gastroenterology and Hepatology Department of Internal Medicine Iwate Medical University School of Medicine Iwate JapanDivision of Gastroenterology and Hepatology Department of Internal Medicine Iwate Medical University School of Medicine Iwate JapanDepartment of Gastroenterology Kazuno Kosei Hospital Akita JapanDivision of Gastroenterology and Hepatology Department of Internal Medicine Iwate Medical University School of Medicine Iwate JapanDepartment of Gastroenterology Iwate Prefectural Kuji Hospital Iwate JapanDepartment of Gastroenterology Kitakami Saiseikai Hospital Iwate JapanDivision of Gastroenterology and Hepatology Department of Internal Medicine Iwate Medical University School of Medicine Iwate JapanAbstract Objectives There are few reports on bowel preparation for early colonoscopy in patients with suspected colonic diverticular bleeding (CDB). We aim to clarify in a retrospective, multicenter study. Methods In a multicenter retrospective cohort study at 10 institutions, we analyzed clinical features of patients diagnosed with CDB, who underwent early colonoscopy within 24 h. We compared patients who were prepared with polyethylene glycol lavage (PEL) and those without PEL. We evaluated the effects of PEL for early colonoscopy in patients with suspected CDB. Results A total of 129 (53%) underwent under preparation with PEL and 113 patients without PEL. The PEL group was younger, had fewer comorbidities, and had better performance status. After adjusting for these variables with propensity score matching, the PEL group had a significantly shorter hospital stay (7.9 ± 4.7 vs. 10.1 ± 5.2 days; p = 0.001), and a higher cecal intubation rate (91.1% vs. 50.0%; p < 0.001). There were no significant differences in adverse event rates, identification of stigmata of recent hemorrhage, or frequency in endoscopic hemostatic treatment. Conclusions PEL may be preferred for early colonoscopy in patients suspected of having CDB.https://doi.org/10.1002/deo2.311acute lower gastrointestinal bleedingcolonic diverticular bleedingcolonic diverticular hemorrhagediverticular diseaseearly colonoscopy |
| spellingShingle | Takahiro Gonai Yosuke Toya Norihiko Kudara Keinosuke Abe Sera Sawaguchi Takao Fujiwara Makoto Eizuka Minami Hirai Manami Miura Jun Urushikubo Shun Yamada Tomo Kumei Satoko Yamaguchi Kyohei Sugai Kensuke Asakura Shunsuke Orikasa Takayuki Matsumoto Is bowel preparation necessary for early colonoscopy in patients with suspected colonic diverticular bleeding?: A multicenter retrospective study with propensity score matching analysis DEN Open acute lower gastrointestinal bleeding colonic diverticular bleeding colonic diverticular hemorrhage diverticular disease early colonoscopy |
| title | Is bowel preparation necessary for early colonoscopy in patients with suspected colonic diverticular bleeding?: A multicenter retrospective study with propensity score matching analysis |
| title_full | Is bowel preparation necessary for early colonoscopy in patients with suspected colonic diverticular bleeding?: A multicenter retrospective study with propensity score matching analysis |
| title_fullStr | Is bowel preparation necessary for early colonoscopy in patients with suspected colonic diverticular bleeding?: A multicenter retrospective study with propensity score matching analysis |
| title_full_unstemmed | Is bowel preparation necessary for early colonoscopy in patients with suspected colonic diverticular bleeding?: A multicenter retrospective study with propensity score matching analysis |
| title_short | Is bowel preparation necessary for early colonoscopy in patients with suspected colonic diverticular bleeding?: A multicenter retrospective study with propensity score matching analysis |
| title_sort | is bowel preparation necessary for early colonoscopy in patients with suspected colonic diverticular bleeding a multicenter retrospective study with propensity score matching analysis |
| topic | acute lower gastrointestinal bleeding colonic diverticular bleeding colonic diverticular hemorrhage diverticular disease early colonoscopy |
| url | https://doi.org/10.1002/deo2.311 |
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