Authors (including presenting author) :
Chok KM(1), Fong KY(2), Cheung WI(3)
Affiliation :
(1)Endoscopy unit, Our Lady of Maryknoll Hospital, (2)Department of Surgery, Our Lady of Maryknoll Hospital,(3) Department of Medicine, Our Lady of Maryknoll Hospital
Introduction :
In our hospital, we used to offer bowel preparation education talk to our surgery patients undergoing colonoscopy 2 weeks before the procedure. During COVID-19 pandemic, the bowel preparation education talk was temporarily suspended and replaced by individual remind calls 1-2 weeks prior colonoscopy. For patients referred from other clinics, they are educated on the day they get the colonoscopy appointment and do not receive any remind calls.
Objectives :
To compare the bowel cleanliness of the patients receiving bowel preparation education talk two weeks prior colonoscopy, individual remind calls two weeks prior colonoscopy and without any reminder before the colonoscopy. The polyp detection rate and adenoma or more advanced leision detection rate among these groups of people would be compared.
Methodology :
A cross-sectional study was conducted. 124 patients were recruited. 32 patients were in the bowel preparation education talk group, 34 patients were in the individual remind calls group, 58 patients were in the without any reminder group. Patients’ bowel cleanliness were rated by endoscopists. Pathology results were reviewed.
Result & Outcome :
To identify the effectiveness of current means of bowel preparation education under the COVID-19 pandemic preventive measures. 13 patients receiving individual remind calls achieved good bowel preparation(38%), 4 patients in the bowel preparation education talk group achieved good bowel preparation(12.5%) and 3 patients in the without any reminder group achieved good bowel preparation(5%). The polyp detection rate for the bowel preparation education group was 17(53%), the individual remind calls group was 16(47%) and the without any reminder group was 22(38%). The adenoma or more advanced leision detection rate for the bowel preparation education talk group was 11(34%), the individual remind calls group was 10(29%) and the without any reminder group was 14(24%).
