Effect of bowel preparation on mucosal visibility and safety of painless gastroscopy

doi:10.3877/cma.j.issn.2095-2015.2020.02.005

Abstract

Abstract:

Objective

To explore the effect of bowel preparation on gastric mucosal visibility and safety in painless gastroscopy.

Methods

From September to October 2019, 168 employees of a unit who received painless gastroscopy and colonoscopy were randomly divided into two groups: the observation group(n=90)received bowel preparation before operation and the gastrointestinal endoscopy was completed in one anesthesia; the control group(n=78)received painless gastroscopy first, followed by elective bowel preparation and painless enteroscopy.The visibility score and total score of gastric fundus, gastric body and antrum mucosa during gastroscopy were compared between the two groups, and the incidences of intraoperative anesthesia abnormalities and postoperative adverse reactions were recorded and compared between the two groups.

Results

The mucosal visibility score of fundus, body, antrum and total score in the observation group were lower than those in the control group: (1.54±0.56)points vs.(2.01±0.73)points, (1.67±0.57)points vs.(1.99±0.67)points, (1.40±0.58)points vs.(1.63±0.61)points, (4.32±1.21)points vs.(5.63±1.32)points, respectively; and the differences had statistical significance(P<0.05); the differences in the incidence rate of intraoperative anesthesia abnormalities and postoperative adverse reactions between the two groups had no statistical significance(P>0.05).

Conclusion

Bowel cleansing preparation with polyethylene glycol electrolyte powder can improve gastric mucosal visibility without increasing the anesthetic risk of painless gastroscopy.

Key words: Bowel preparation, Polyethylene glycol, Painless endoscopy, Mucosal visibility

Xiaoyan Lyu, Jianhua Song, Li Wang, Yanfeng Fang. Effect of bowel preparation on mucosal visibility and safety of painless gastroscopy[J]. Chinese Journal of Digestion and Medical Imageology(Electronic Edition), 2020, 10(02): 66-69.

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Figures/Tables 3

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组别	例数	性别		年龄(岁，±s)	体质量指数(kg/m²，±s )	文化程度		幽门螺杆菌感染		既往患病史
组别	例数	男	女	年龄(岁，±s)	体质量指数(kg/m²，±s )	本科以下	本科及以上	＋	－	无	有
观察组	90	54	36	42.00±6.11	23.36±1.83	14	76	36	54	73	17
对照组	78	45	33	40.62±6.16	23.48±1.91	10	68	30	48	65	13
t/χ²值	?	0.092		1.460	－0.060	0.255		0.041		0.141
P值	?	0.762		0.146	0.952	0.613		0.839		0.708

组别	例数	性别		年龄(岁，±s)	体质量指数(kg/m²，±s )	文化程度		幽门螺杆菌感染		既往患病史
组别	例数	男	女	年龄(岁，±s)	体质量指数(kg/m²，±s )	本科以下	本科及以上	＋	－	无	有
观察组	90	54	36	42.00±6.11	23.36±1.83	14	76	36	54	73	17
对照组	78	45	33	40.62±6.16	23.48±1.91	10	68	30	48	65	13
t/χ²值	?	0.092		1.460	－0.060	0.255		0.041		0.141
P值	?	0.762		0.146	0.952	0.613		0.839		0.708

组别	观察组	对照组	t值	P值
例数	90	78	?	?
胃底黏膜	1.54±0.56	2.01±0.73	－5.461	<0.001
胃体黏膜	1.67±0.57	1.99±0.67	－5.445	<0.001
胃窦黏膜	1.40±0.58	1.63±0.61	－2.5	0.013
总黏膜评分	4.32±1.21	5.63±1.32	－7.269	<0.001

组别	观察组	对照组	t值	P值
例数	90	78	?	?
胃底黏膜	1.54±0.56	2.01±0.73	－5.461	<0.001
胃体黏膜	1.67±0.57	1.99±0.67	－5.445	<0.001
胃窦黏膜	1.40±0.58	1.63±0.61	－2.5	0.013
总黏膜评分	4.32±1.21	5.63±1.32	－7.269	<0.001

组别	例数	术中异常	术后不良反应	总不良事件
观察组	90	5(5.55)	6(6.67)	11(12.22)
对照组	78	3(3.85)	3(3.85)	6(7.70)

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