Abstract
We have read the innovative article by Walter et al,1Walter B. Klare P. Strehle K. et al.Improving the quality and acceptance of colonoscopy preparation by reinforced patient education with short message service: results from a randomized, multicenter study (PERICLES-II).Gastrointest Endosc. 2019; 89: 506-513Abstract Full Text Full Text PDF PubMed Scopus (35) Google Scholar which concluded that reinforcement of patient education with short message service messages before the colonoscopy increased the efficacy of bowel preparation. Previous abdominopelvic surgeries constitute an important factor for inadequate bowel cleansing, and almost 10% of both groups had surgery in this study.1Walter B. Klare P. Strehle K. et al.Improving the quality and acceptance of colonoscopy preparation by reinforced patient education with short message service: results from a randomized, multicenter study (PERICLES-II).Gastrointest Endosc. 2019; 89: 506-513Abstract Full Text Full Text PDF PubMed Scopus (35) Google Scholar, 2Martel M. Ménard C. Restellini S. et al.Which patient-related factors determine optimal bowel preparation?.Curr Treat Options Gastroenterol. 2018; 16: 406-416Crossref PubMed Google Scholar We would like to focus on bowel preparation in patients with surgeries for gastric cancer (PSGC). We re-evaluated our past 3 months’ results regarding insufficient bowel preparation and the effect of gastrectomy. We identified and analyzed the data of 15 PSGC procedures compared with the 16 patients operated on for breast cancer (POBC). The mean Boston Bowel Preparation Scale (BBPS) scores were 4.04 versus 6.06 for PSGC and for POBC, respectively (P = .039). Bowel preparation was inadequate for 53.3% in the gastrectomy group compared with 37.5 % patients without prior gastric surgery. Gastric cancer and colorectal cancer have a high co-incidence rate that may necessitate a screening colonoscopy after the diagnosis of gastric cancer.3Kim J.W. Jang J.Y. Chang Y.W. et al.Clinical features of second primary cancers arising in early gastric cancer patients after endoscopic resection.World J Gastroenterol. 2015; 21: 8358-8365Crossref PubMed Scopus (10) Google Scholar A previous study showed that prior gastrectomy causes inadequate colonoscopy in terms of completion and bowel cleansing (P = .047).4Kim S. Choi J. Kim T.H. et al.Effect of previous gastrectomy on the performance of postoperative colonoscopy.J Gastric Cancer. 2016; 16: 167-176Crossref PubMed Scopus (8) Google Scholar Bowel preparation after gastric surgery may become difficult as a result of intolerance to cleansing fluid. Adhesions causing fixation of the colon may affect the cleaning. It is worthwhile to anticipate the possibility of inadequate cleaning in such patients. All authors disclosed no financial relationships relevant to this publication. Improving the quality and acceptance of colonoscopy preparation by reinforced patient education with short message service: results from a randomized, multicenter study (PERICLES-II)Gastrointestinal EndoscopyVol. 89Issue 3PreviewSufficient bowel preparation is crucial for successful screening and surveillance colonoscopy. However, the rates of inadequate preparation are still high. We investigated the effects of reinforcing patient education and guidance by using the short message service (SMS). Full-Text PDF
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