Emeka Ray?Offor|NJ Jebbin
Risk Factors for Inadequate Bowel Preparation During Colonoscopy in Nigerian Patients
University of Port Harcourt Teaching Hospital|University of Port Harcourt Teaching Hospital
backgroundthe past decades witnessed introduction various innovative technologies colon study colonoscopya wellprepared bowel crucial effective utilizationan inadequate bowel preparation colonoscopy associated increased technical difficulties enhanced risks perforation longer examination durations reduced adenoma detection rates additional costs related repeated colonoscopiesthere paucity literature africa multiple patient factors affect quality bowel preparation hence need identify patients risk inadequate bowel preparation allow diligence special group aimto study risk factors inadequate bowel preparation colonoscopy identify group patients need intensified preparation nigerian population methodsa casecontrol study consecutive patients undergoing colonoscopy open accessreferralbased multidisciplinary endoscopy facility port harcourt metropolis nigeria march 2014 november 2020consecutive adult patients underwent colonoscopy inadequate bowel preparation irrespective indication retrospectively identifiedeach case inadequate bowel preparation using particular bowel preparation agent matched next colon study adequate bowel preparation control agent 11 ratiothe variables collated age gender literacy level colonoscopy indication medical history bowel preparation agent timing endoscopy outcomestatistical analysis performed using statistical package social sciences spss version 25 ibm corp armonk ny resultsthere 143 cases inadequate bowel preparation colonoscopy included study equal number control cases adequate bowel preparationthe age patients ranged 24 years 92 yearsbleeding per rectum 122427and screening colorectal cancer 67234were leading indications colonoscopy study patientsbivariate analysis cases controls revealed significant difference educational status comorbidity hypertension constipation p 001 p 0082 p 0143 respectivelyin multivariate analysis risk factors odds ratio secondary level education 254 95 confidence interval ci 150430p 0001 hypertension 164 95 ci 098273p 0058 constipation 127 95 ci 052310p 0598 conclusionthe educational status patients strong risk factor associated inadequate bowel preparation colonoscopy nigerian populationthere need effective patient education especially patients low literacy level