Moreea, S.; Singhal, A.; Beckett, C.G.; Kay, C.L.
April 2003
Gut;Apr2003 Supplement 1, Vol. 52, pA25
Academic Journal
Aim: To evaluate the discomfort associated with bowel cleansing and the degree of discomfort/abdominal pain in patients having a virtual colonoscopy (VC), conventional colonoscopy (CC) and barium enema (BE) and to determine patient preference between VC and CC. Methods: Patients referred for CC were recruited to have a VC prior to their CC. A separate group of patients having a BE or CC alone were also recruited. Using a 100 point visual analogue scale, patients were asked to rate the Following after the individual procedure: discomfort caused by the bowel preparation (Kleanprep for VC/CC and picosulphate for BE), discomfort and abdominal pain during the procedure. They were asked about the lack of respect during the procedure, whether they would have the procedure again, their preferred procedure, and the length of time they were prepared to wait to have their preferred procedure. On the visual analogue scale 0 meant no discomfort/pain and 100 was severe discomfort/ pain. Conscious sedation was used for CC. Results: 33 patients had both a VC and CC, 32 patients had CC alone (total number of CCs: 65) and 61 patients had a BE. Discomfort of bowel cleansing was rated for VC/CC: 49/100, and for BE: 22/100. Mean procedure discomfort was VC: 34/100, CC: 25/100, and BE: 30/100. Mean procedure pain was VC: 37/100, CC: 22/100, and BE: 23/100. Lack of respect was reported in 9% of VCs, 4.6% of CCs, and none of the BEs. 9%, 12%, and 11% of patients would not have a repeat VC, CC, and BE, respectively. 27/33 patients in the VC/CC arm of the study returned a 24 h questionnaire: 11 preferred CC and 13 preferred VC and 3 had no preference. 54% of patients were prepared to wait For 4 weeks or more to have their preferred procedure. Conclusion: Bowel cleansing for VC/CC was more uncomfortable than the actual procedure and that for BE (picosulphate) was less uncomfortable than that of VC/CC (Kleanprep). Patients reported more pain with VC than with either CC or BE. The greater...


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