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] MA Ying, YE Jun-rong, HUANG Zhao-jun, XIA Zhi-chun, XU Dan, DENG Ai-ping, LIU Ming-he, LUO Si-li, ZHANG Jian-long. Construction of Evidence-based Sensitive Indicators of Psychiatric Nursing Quality [J]. Journal of Nursing, 2020, 27(9): 27-32.
[2] LV Yun-xia, FENG Shao-juan, LI Dan-feng, WU Xuan-lin, CHEN Yan-qiu, CHEN Liu-mei, LIU Jie, HUANG Jie-ying, LIU Zheng-wei. Best Evidence Summary for Post-tonsillectomy Pain Management in Children [J]. Journal of Nursing, 2020, 27(7): 38-43.
[3] WANG Huan-huan, CHENG Xiang-wei, WANG Pei-hong, DING Ying, ZHOU Ying-feng, ZHANG Wen, XIONG Cai-xia, LV Yong-li, TU Feng-ming. Best Evidence Summary for Management of Hypoglycaemia in Neonates of Mother with Gestational Diabetes Mellitus [J]. Journal of Nursing, 2020, 27(3): 31-36.
[4] LU Shu-ying, LIU Ning, Wei Lu-hua, Liang Dong-mei, LI Yan. Best Evidence Summary Regarding Prevention and Management of Postpartum Hemorrhage [J]. Journal of Nursing, 2020, 27(12): 18-22.
[5] LIU Xiao-cheng, YING Wen-juan, LIU Zhi-li, ZHENG Rui-hua, XU Nuo, LIU Hui. Best Evidence Summary for Assessment of Sexuality and Intimacy Relationship for Patients with Terminal Stage [J]. Journal of Nursing, 2020, 27(12): 23-27.
[6] YAN Rong, LI Su-yun, LIU Yun-fang. Evidence-based Nursing Ability of Surgical Nurses and Its Influence Factors: A 210-case Study [J]. Journal of Nursing, 2019, 26(6): 47-50.
[7] HUANG Pei-pei, SHI Ping, MI Yuan-yuan, ZHANG Qiong, WU Bai-nv, YANG Xi-qun, BAO Ying-xue, CHEN Xiao-min. Evidence-based Nursing of Inadvertent Intraoperative Hypothermia for Patients with Liver Tumor [J]. Journal of Nursing, 2019, 26(5): 30-34.
[8] YANG Zhong-shan, XU Ni-na, ZHAN Yu-xin, LIU Ning, LI Zhao-hui, LE Ge-fen. Summary of Best Evidence for Standardized Management of Physical Restraint in Inpatients [J]. Journal of Nursing, 2019, 26(4): 31-36.
[9] LI Jia-mei, CHEN Hong-fang, LIU Ning, SONG Xia, JIA Li. Evidence Summary for Good Limb Position Management in Hemiplegic Patients with Cerebral Infarction [J]. Journal of Nursing, 2019, 26(24): 22-27.
[10] HE Wen-bin, LIAO Raon, YIN Xi, YANG Qian, HU Jun'e, YAN Yan, ZHOU Xue-guo, YAO Xiao-yun, CHEN Hong-yu. Evidence Summary for Cardiac Rehabilitation in Patients after Cardiac Valve Replacement [J]. Journal of Nursing, 2019, 26(18): 32-36.
[11] WANG Rui-na, LAI Xiao-fan, LIU Qiu-li, ZHANG Ting-ting, LIANG Qiong-wen, NI Dan-xia. Best Evidence Summary for Pain Relief of Capillary Blood Sampling [J]. Journal of Nursing, 2019, 26(11): 45-48.
[12] ZHAN Yu-xin, YANG Zhong-shan, LI Su-yun, YU Jiao-hua, MI Yuan-yuan, HUANG Hai-yan, SHI Wen-jia, CHEN Jian-ping. Construction of Evidence-based Evaluation Index System for Nursing Quality of Enteral Nutrition for Hospitalized Patients [J]. Journal of Nursing, 2019, 26(10): 26-31.
[13] LI Fei,SONG Mei-xuan,LI Xian-rong. Guideline Summary on Successful Removal of Urinary Catheter in Patients with Long-term Indwelling Urinary Catheters [J]. Journal of Nursing, 2018, 25(5): 1-5.
[14] HUANG Hai-yan, MI Yuan-yuan, YU Jiao-hua, ZHOU Ying-feng, WANG Yu-mei, WU Wei. Evidence-based Practice of Prevention and Management of Incontinence-associated Dermatitis in ICU Adult Patients [J]. Journal of Nursing, 2018, 25(19): 34-39.
[15] LI Fei,DENG Bo,ZHU Shi-qin,LI Xian-rong. Evidence Summary on Repositioning Interval among Patients with Risk of Pressure Ulcer [J]. Journal of Nursing, 2018, 25(11): 21-25.
Viewed
Full text


Abstract

Cited

  Shared   
[1] HUANG Jie-ying, WANG Jing, CHEN Yu. Status of Autonomous Learning Ability of College Nursing Students and Its Influence Factors:A 1,008-case Study[J]. Journal of Nursing, 2020, 27(15): 1 -6 .
[2] CHEN Fei-fei, PANG Yong-hui, MAO Nai-quan, LUO Jie-ning, CAI Dao-ling. Frailty of Elderly Patients with Lung Cancer and Its influence Factors[J]. Journal of Nursing, 2020, 27(15): 7 -11 .
[3] ZHONG Xue-yi, ZHANG Gang-na, LIU Hao-da, ZHONG Pei-qi, BAO Qiu-yan, LUO Dong-yi, YE Dan-feng, SU Xi. Influence of Verbal Violence on Professional Identity of Intern Nurses[J]. Journal of Nursing, 2020, 27(15): 12 -16 .
[4] SHI Dong-li, LI Na, ZHANG Zhen-mei. Establishment and Practice of Case Management Model for Patients with Deep Venous Thrombosis[J]. Journal of Nursing, 2020, 27(15): 17 -20 .
[5] DENG Hui, LI Min, WANG Chun-xia, ZUO Feng-lin. Effect of Community-hospital-family Interaction Management Mode on Community Elderly with Frailty[J]. Journal of Nursing, 2020, 27(15): 21 -24 .
[6] . [J]. Journal of Nursing, 2020, 27(15): 25 -28 .
[7] . [J]. Journal of Nursing, 2020, 27(15): 29 -32 .
[8] LIU Chao-han, FU Mo, DING Juan, YAN Yu-jiao. Best Evidence Summary for In-hospital Transport of Critically Ill Patients[J]. Journal of Nursing, 2020, 27(15): 33 -38 .
[9] LIAO Yuan-yuan, ZHOU Yi-feng, QIN Yue-lan, TAO Meiyi, LI Zhen. Best Evidence Summary for Protecting Prone Positioned Patients from Intraoperative Facial Pressure Injury[J]. Journal of Nursing, 2020, 27(15): 39 -43 .
[10] . [J]. Journal of Nursing, 2020, 27(15): 44 -49 .