以质量求发展,以服务铸品牌

Journal of Nursing ›› 2020, Vol. 27 ›› Issue (16): 28-34.doi: 10.16460/j.issn1008-9969.2020.16.028

Previous Articles     Next Articles

Best Evidence Summary for Bowel Preparation Before Colonoscopy in Adults

LIN Qiao, ZHANG Guang-qing, LIU Mei-juan, HUANG Ying, LIU Dan-yang, LIU Yu-ping, XING Tong-yin, CHEN Ji-hua   

  1. Nanfang Hospital, Southern Medical University, Guangzhou 510515, China
  • Received:2020-02-21 Online:2020-08-25 Published:2020-09-11

Abstract: Objective To retrieve, analyze and summarize available evidence on bowel preparation before colonoscopy in adults, and to provide reference for clinical nurses to carry out standardized bowel preparation. Methods Nursing problems of bowel preparation before colonoscopy in adults were raised using evidence-based method, and related studies of bowel preparation before colonoscopy in the past 5 years were searched. Database retrieved were as follows: Up To Date, BMJ Best Practice,National Institute for Health and Clinical Excellence (NICE), Australia based health care center syndrome (JBI) evidence summary database, Cochrane database, medical pulse flux, PubMed, CINAHL database and CNKI. The quality and grade of various studies were evaluated using the 2012 updated clinical guidelines research and evaluation system (AGREE Ⅱ) and the literature quality evaluation tool of JBI. Results Ten articles were enrolled, including 2 clinical decisions, 4 guidelines, 2 evidence summaries, and 2 systematic reviews. Totally 17 pieces of evidence for bowel preparation before colonoscopy in adults including health education, dietary guidance, timing of preparation, choice and use of laxatives, adjunctive drugs and bowel preparation for special patients were collected. Conclusion It is still necessary to combine the actual conditions of the medical institution, clinical experience of the medical staff and the needs of the patients to develop the best bowel preparation solutions.

Key words: colonoscopy, bowel preparation, satisfactory of colon-cleaning, evidence-based nursing, best evidence

CLC Number: 

  • R473.57
[1] 郭天安,谢丽,赵江,等. 中国结直肠癌1988-2009年发病率和死亡率趋势分析[J]. 中华胃肠外科杂志,2018,21(1):33-40. DOI:10.3760/cma.j.issn.1671-0274.2018.01.007.
[2] Zhang L, Cao F, Zhang G,et al.Trends in and Predictions of Colorectal Cancer Incidence and Mortality in China from 1990 to 2025[J]. Front Oncol, 2019, 9:98. DOI:10.3389/fonc.2019.00098.
[3] Chen W, Zheng R, Baade PD, et al.Cancer Statistics in China, 2015[J]. CA Cancer J Clin, 2016, 66(2):115-132. DOI:10.3322/caac.21338.
[4] 郑荣寿,孙可欣,张思维,等. 2015年中国恶性肿瘤流行情况分析[J].中华肿瘤杂志,2019,41(1):19-28. DOI:10.3760/cma.j.issn.0253-3766.2019.01.005.
[5] Rongshou Z, Hongmei Z, Siwei Z, et al.National Estimates of Cancer Prevalence in China, 2011[J]. Cancer Lett, 2016, 370(1):33-38. DOI:10.1016/j.canlet.2015.10.003.
[6] 李兆申,金震东,令狐恩强. 中国早期结直肠癌筛查流程专家共识意见(2019,上海)[J]. 中华内科杂志, 2019, 58(10): 736-744. DOI:10.3760/cma.j.issn.0578-1426.2019.10.004.
[7] Allemani C, Matsuda T, Di Carlo V, et al.Global Surveillance of Trends in Cancer Survival 2000-14(CONCORD-3): Analysis of Individual Records for 37513025 Patients Diagnosed with One of 18 Cancers from 322 Population-based Registries in 71 Countries[J].Lancet,2018,391(10125):1023-1075. DOI:10.1016/S0140-6736(17)33326-3.
[8] Sankaranarayanan R, Swaminathan R, Brenner H,et al.Cancer Survival in Africa, Asia, and Central America: A Population-Based Study[J]. Lancet Oncol, 2010,11(2):165-173. DOI:10.1016/S1470-2045(09)70335-3.
[9] 柏愚,杨帆,马丹,等. 中国早期结直肠癌筛查及内镜诊治指南(2014年,北京)[J]. 胃肠病学, 2015, 20(6):345-365. DOI: 10.3969/j.issn.1008-7125.2015.06.006.
[10] Froehlich F, Wietlisbach V, Gonvers J, et al.Impact of Colonic Cleansing on Quality and Diagnostic Yield of Colonoscopy: The European Panel of Appropriateness of Gastrointestinal Endoscopy European Multicenter Study[J]. Gastrointest Endosc, 2005, 61(3):378-384. DOI:10.1016/S0016-5107(04)02776-2.
[11] Menees SB, Kim HM, Elliott EE, et al.The Impact of Fair Colonoscopy Preparation on Colonoscopy Use and Adenoma Miss Rates in Patients Undergoing Outpatient Colonoscopy[J]. Gastrointest Endosc, 2013, 78(3):510-516. DOI:10.1016/j.gie.2013.03.1334.
[12] 朱政,胡雁,邢唯杰,等.不同类型循证问题的构成[J].护士进修杂志,2017,32(21):1991-1994.DOI:10.16821/j.cnki.hsjx.2017.21.025.
[13] Brouwers MC, Kho ME, Browman GP, et al.AGREE II: Advancing Guideline Development, Reporting and Evaluation in Health Care[J]. CMAJ, 2010,182(18):E839-E842. DOI:10.1503/cmaj.090449.
[14] 顾莺,张慧文,周英凤,等. JBI循证卫生保健中心关于不同类型研究的质量评价工具——系统评价的方法学质量评价[J]. 护士进修杂志, 2018, 33(8):701-703. DOI:10.16821/j.cnki.hsjx.2018.08.008.
[15] 王春青,胡雁. JBI证据预分级及证据推荐级别系统(2014版)[J].护士进修杂志,2015,30(11):964-967.DOI:10.16821/j.cnki.hsjx.2015.11.002.
[16] A-Rahim Y,Falchuk M.Bowel Preparation before Colonoscopy in Adults[EB/OL].(2020-02-10). http://uptodate.0007.isjp.top/contents/bowel-preparation-before-colonoscopy-in-adults?search=Bowel%20preparation%20before%20colonos-copy%20in%20adults&source=search_result&selectedTitle=1~150&usage_type=default&display_rank=1.
[17] Strate L. Approach to Acute Lower Gastrointestinal Bleeding in Adults [EB/OL].(2020-02-10). http://uptodate.0007.isjp.top/contents/approach-to-acute-lower-gastrointestinal-bleeding-in-adults?search=Approach%20to%20acute%20lower%20gastrointestinal%20bleeding%20in%20adults&source=search_result&selectedTitle=1~150&usage_type=default&display_rank=1.
[18] Hassan C, East J, Radaelli F, et al.Bowel Preparation for Colonoscopy:European Society of Gastrointestinal Endoscopy (ESGE) Guideline-Update 2019[J].Endoscopy,2019,51(8):775-794.DOI: https://doi.org/10.1055/a-0959-0505.
[19] Committee ASOP.Bowel Preparation before Colonoscopy[J]. Gastrointest Endosc, 2015, 81(4):781-794. DOI:10.1016/j.gie.2014.09.048.
[20] Johnson D, Barkun A, Cohen L, et al.Optimizing Adequacy of Bowel Cleansing for Colonoscopy:Recommendations from the US Multi-society Task Force on Colorectal Cancer[J]. Gastroenterology, 2014,147(4):903-924.DOI:10.1053/j.gastro.2014.07.002.
[21] 李兆申,令狐恩强. 中国消化内镜诊疗相关肠道准备指南(2019,上海)[J]. 中华内科杂志, 2019, 58(7):485-495. DOI:10.3760/cma.j.issn.0578-1426.2019.07.002.
[22] Lauren D. The Joanna Briggs Institute EBP Database Evidence Summary. Colonoscopy: Bowel Preparation[EB/OL]. [2019-12-04](2020-02-10). http://connect.jbiconnectplus.org/Search.aspx
[23] Priyanka P. The Joanna Briggs Institute EBP Database Evidence Summary.Colonoscopy:Bowel Preparation (Low Residue Diet)[EB/OL].[2019-05-23] (2020-02-10). http://connect.jbiconnectplus.org/Search.aspx
[24] Kurlander J.E, Sondhi A. R, Waljee A. K, et al. How Efficacious Are Patient Education Interventions to Improve Bowel Preparation for Colonoscopy? A Systematic Review[J].PloS one, 2016, 11(10).DOI:10.1371/journal.pone.0164442.
[25] Rocha RSP, Ribeiro IB, de Moura DTH, et al. Sodium Picosulphate or Polyethylene Glycol before Elective Colonoscopy in Outpatients? A Systematic Review and Meta-Analysis[J].World J Gastrointest Endosc, 2018,10(12):422-441. DOI10.4253/wjge.v10.i12.422.
[26] Wang SL, Wang Q, Yao J, et al.Effect of WeChat and Short Message Sservice on Bowel Preparation:An Endoscopist Blinded,Randomized Controlled Trial[J].Eur J Gastroenterol Hepatol,2019, 31(2):170-177.DOI:10.1097/MEG.0000000000001303.
[27] Kang X, Zhao L, Leung F, et al. Delivery of Instructions via Mobile Social Media App Increases Quality of Bowel Preparation[J]. Clin Gastroenterol Hepatol, 2016, 14(3):429-435.e3. DOI:10.1016/j.cgh.2015.09.038.
[28] Gimeno-Garcia AZ, de la Barreda Heuser R, Reygosa C, et al. Impact of a 1-day Versus 3-day Low-Residue Diet on Bowel Cleansing Quality Before Colonoscopy:A Randomized Controlled Trial[J]. Endoscopy,2019,51(7):628-636. DOI: 10.1055/a-0864-1942.
[29] Shah H, Desai D, Samant H, et al.Comparison of Split-dosing vs. Non-split (Morning) Dosing Regimen for Assessment of Quality of Bowel Preparation for Colonoscopy[J].World J Gastrointest Endosc,2014, 6(12):606-611.DOI:10.4253/wjge.v6.i12.606.
[30] Kotwal VS, Attar BM, Carballo MD, et al.Morning-only Polyethylene Glycol Is Noninferior but Less Preferred by Hospitalized Patients as Compared with Split-dose Bowel Preparation[J]. J Clin Gastroenterol,2014,48(5):414-418. DOI:10.1097/MCG.0b013e31829f30e9.
[31] Chan WK, Azmi N, Mahadeva S, et al.Split-Dose vs. Same-day Reduced-volume Polyethylene Glycol Electrolyte Lavage Solution for Morning Colonoscopy[J]. World J Gastroenterol, 2014, 20(39):14488-14494.DOI:10.3748/wjg.v20.i39.14488.
[32] Siddiqui AA, Yang K, Spechler SJ,et al.Duration of the Interval Between the Completion of Bowel Preparation and the Start of Colonoscopy Predicts Bowel-preparation Quality[J]. Gastrointest Endosc,2009,69(3 Pt 2):700-706. DOI:10.1016/j.gie.2008.09.047.
[33] Seo EH, Kim TO, Park MJ, et al.Optimal Preparation-to-colonoscopy Interval in Split-dose PEG Bowel Preparation Determines Satisfactory Bowel Preparation Quality: An Observational Prospective Study[J].Gastrointest Endosc, 2012,75(3):583-590. DOI:10.1016/j.gie.2011.09.029.
[34] Bucci C, Rotondano G, Hassan C, et al. Optimal Bowel Cleansing for Colonoscopy:Split the Dose!A Series of Meta-analyses of Controlled Studies[J].Gastrointest Endosc, 2014,80(4):566-576.e2. DOI:10.1016/j.gie.2014.05.320.
[35] Zhang S, Li M, Zhao Y, et al.3-L Split Dose Is Superior to 2-L Polyethylene Glycol in Bowel Cleansing in Chinese Population: A Multicenter Randomized, Controlled Trial[J].Medicine, 2015,94(4):e472.DOI:10.1097/MD. 0000000000000472.
[36] Kang X, Zhao L, Zhu Z, et al.Same-Day Single Dose of 2 Liter Polyethylene Glycol is Not Inferior to the Standard Bowel Preparation Regimen in Low-risk Patients: A Randomized, Controlled trial[J]. Am J Gastroenterol, 2018,113(4):601-610.DOI:10.1038/ajg.2018.25.
[37] Du YQ, Yuan YZ,Ge ZZ,et al.Comparison of Bowel Preparation Quality with A Bowel Purgative Containing Sodium Picosulfate, Magnesium Oxide and Citric Acid versus A PEG-ELS Solution: A Prospective RCT in China Using Chinese language Validated Ottawa Scale[J]. Gastrointest Endosc, 2012, 75(4):AB286.DOI:10.1016/j.gie.2012.03.728.
[38] Tan JJY, Tjandra JJ.Which Is the Optimal Bowel Preparation for Colonoscopy—A Meta-analysis[J]. Colorectal Dis,2006,8(4):247-258.DOI:10.1111/j.1463-1318.2006.00970.x.
[39] Jin Z, Lu Y, Zhou Y, et al.Systematic Review and Meta-Analysis:Sodium Picosulfate/Magnesium Citrate vs. Polyethylene Glycol for Colonoscopy Preparation[J]. Eur J Clin Pharmacol,2016,72(5):523-532. DOI:10.1007/s00228-016-2013-5.
[40] Lieshout IV, Munsterman ID, Eskes AM, et al.Systematic Review and Meta-analysis:Sodium Picosulphate with Magnesium Citrate as Bowel Preparation for Colonoscopy[J]. United European Gastroenterol J,2017, 5(7):917-943. DOI: 10.1177/2050640616684696.
[41] Rejchrt S, Bures J, Siroky M, et al.A Prospective, Observational Study of Colonic Mucosal Abnormalities Associated with Orally Administered Sodium Phosphate for Colon Cleansing before Colonoscopy[J].Gastrointest Endosc,2004,59(6):651-654. DOI:10.1016/s0016-5107(04)00158-0.
[42] Lawrance IC, Willert RP, Murray K.Bowel Cleansing for Colonoscopy: Prospective Randomized Assessment of Efficacy and of Induced Mucosal Abnormality with Three Preparation Agents[J].Endoscopy,2011,43(5):412-418.DOI: 10.1055/s-0030-1256193.
[43] Zwas FR, Cirillo NW, el-Serag HB, et al. Colonic Mucosal Abnormalities Associated with Oral Sodium Phosphate Solution[J]. Gastrointest Endosc,1996,43(5):463-466. DOI: 10.1016/s0016-5107(96)70286-9.
[44] Kim ES, Kim KO, Jang BI, et al.Crohn’s and Colitis Association in Daegu-gyeongbuk (CCAiD). Comparison of 4-L Polyethylene Glycol and 2-L Polyethylene Glycol Plus Ascorbic Acid in Patients with Inactive Ulcerative Colitis[J]. Dig Dis Sci, 2017,62(9):2489-2497. DOI:10.1007/s10620-017-4634-7.
[45] Manes G, Fontana P, de Nucci G, et al. Colon Cleansing for Colonoscopy in Patients with Ulcerative Colitis: Efficacy and Acceptability of a 2-L PEG Plus Bisacodyl Versus 4-L PEG[J]. Inflamm Bowel Dis,2015,21(9):2137-2144.DOI: 10.1097/MIB.0000000000000463.
[46] Restellini S, Kherad O, Bessissow T, et al.Systematic Review and Meta-analysis of Colon Cleansing Preparations in Patients with Inflammatory Bowel Disease[J].World J Gastroenterol, 2017, 23(32):5994-6002.DOI:10.3748/wjg.v23.i32.5994.
[47] Jensen DM, Machicado GA.Diagnosis and Treatment of Severe Hematochezia. The Role of Urgent Colonoscopy After Purge[J]. Gastroenterology,1988,95(6):1569-1574. DOI:10.1016/s0016-5085(88)80079-9.
[48] Saito K, Inamori M, Sekino Y, et al.Management of Acute Lower Intestinal Bleeding: What Bowel Preparation Should be Required for Urgent Colonoscopy?[J]. Hepatogastroenterology,2009,56(94/95):1331-1334.
[49] Lim DS, Kim HG, Jeon SR, et al.Comparison of Clinical Effectiveness of the Emergent Colonoscopy in Patients with Hematochezia According to the Type of Bowel Preparation[J]. J Gastroenterol Hepatol, 2013,28(11):1733-1737. DOI: 10.1111/jgh.12264.
[50] 秦榕,高建鹏,尧颖,等. 下消化道出血患者经不同肠道准备后急诊肠镜检查的效果比较[J]. 中华消化内镜杂志,2018, 35(3):212-214.DOI:10.3760/cma. j. issn.1007-5232.2018.03.016.
[51] 孙畅,何文英,王策,等. 住院患者肠道准备影响因素及相关护理干预的研究进展[J]. 护理学报,2018,25(10):41-44.DOI:10.16460/j.issn1008-9969.2018.10.041.
[52] 周英凤,胡雁,顾莺,等. 基于证据的持续质量改进模式图的构建[J]. 中国循证医学杂志, 2017, 17(5):603-606. DOI:10.7507/1672-2531.201611090.
[1] LI Ruo-Yu, LIU Xin, LIN Ping, CHEN Dan, LIN Hua. Best evidence summary for medication safety management for discharged patients [J]. Journal of Nursing, 2025, 32(3): 50-55.
[2] YANG Xiao-juan, MAO Xiao-rong, WANG Jing, JIANG Hua, LI Rong, FAN Yu, WEN Qing, LI Lin-zhang, CHEN Xiao-rong. Best evidence summary for early enteral nutrition management in adults with severe burns [J]. Journal of Nursing, 2025, 32(3): 56-61.
[3] LIU Shuo-yi, XIONG Li-juan, LI Ling, WANG Yu-mei, HE Jia, LI Xin, YUAN Shi-lei, GUO Xue-qin, WANG Yang-jing, ZHANG Hui-juan. Quality evaluation and content analysis of clinical practice guidelines for prevention and management of frailty in elderly hospitalized patients [J]. Journal of Nursing, 2025, 32(2): 50-55.
[4] BI Ya-xin, DUAN Ye, HE Li-jun, XU Miao, GONG Rong-hua. Best evidence summary for prevention and management of osteoporosis after metabolic, bariatric surgery [J]. Journal of Nursing, 2025, 32(1): 44-49.
[5] CHEN Jie, MENG Qing-tong, LIU Jing-jin, WU Yan-ni. Development of guideline-based exercise rehabilitation handbook for patients with chronic heart failure [J]. Journal of Nursing, 2024, 31(9): 36-41.
[6] FU Lu-lu, XIE Yi-xuan, WANG Yue, WEI Wei, ZHANG Chuan-ying, ZHU Yu. Evidence summary for auditory stimulation intervention for procedural pain in neonates [J]. Journal of Nursing, 2024, 31(9): 42-47.
[7] JI Rui-ting, LIN Dan-na, LIU Xiao-cheng, LI Ting-ting, XIE Ying-mei, HU Bing, YING Wen-juan. Best evidence for colostrum as oral immune therapy in premature infants [J]. Journal of Nursing, 2024, 31(8): 37-42.
[8] ZHENG Tao-hua, GAO Xiang, KANG Mei, WEI Hai-xia, LIU Xiao, ZHANG Li. Application of 4R Crisis Management Theory in risk management of hypoglycemia during peri-colonoscopy period [J]. Journal of Nursing, 2024, 31(7): 22-26.
[9] ZHOU Yi-feng, YANG Ji-ping, HU Zheng-zhong, YUAN Hao. Evidence summary for target-oriented blood glucose monitoring in patients undergoing hepatocellular carcinoma resection [J]. Journal of Nursing, 2024, 31(7): 46-50.
[10] YANG Jian-guo, HE Xi-fei, YAN Jian-jun, ZHANG Meng, YANG Chun-zi, XU Rong, WANG Yan-fang. Best evidence summary for application and management of regional citrate anticoagulation in continuous renal replacement therapy [J]. Journal of Nursing, 2024, 31(4): 48-53.
[11] QI Shui-lin, LIN Hua, DENG Rui-ying, LI Rong-jie, LI Ruo-yu, WANG Feng-ting. Best evidence summary for non-pharmacological treatment of pruritus in elderly patients [J]. Journal of Nursing, 2024, 31(3): 46-50.
[12] YANG Li-na, HUANG Rong, YAO Mei-qi, WANG Zhu-qing, XU Yi-Ting, XIE Pei-min. Risk prediction models for postpartum breastfeeding behavior interruption: a systematic review [J]. Journal of Nursing, 2024, 31(23): 59-65.
[13] ZHANG Zhuo-ya, GAO Wen-yuan, LI jing, GUAN Chun-yan, WANG Miao, MI Yuan-yuan, HUANG Hai-yan. Development of review indicators for perioperative voice rehabilitation in patients with organic vocal fold dysphonia and its obstacle factors [J]. Journal of Nursing, 2024, 31(22): 35-40.
[14] LI Jia-qi, YE Xiang-hong, ZUO Jun-tao, XU Yao, YAO Hong-lin. Qualitative research on nutritional support decision-making process for patients with end-stage disease: a Meta-synthesis [J]. Journal of Nursing, 2024, 31(2): 53-58.
[15] CAO Chun-ju, WANG Wen, HUANG Mei-ying, HAN Bing, ZENG Mei, LUO Wen-jie, ZHANG Xiao-qin, HUANG Wei-ling, LI Wen-ying, SU Yun-tao, TANG Su-juan. Best evidence summary for management of pruritus in patients with cholestasis [J]. Journal of Nursing, 2024, 31(18): 39-44.
Viewed
Full text


Abstract

Cited

  Shared   
No Suggested Reading articles found!