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PWE-061 Split-dose Moviprep (low Volume Peg) And Afternoon Colonoscopy: A Step In The Right Direction
  1. S Ghuman,
  2. P George,
  3. K Jones,
  4. H Khan
  1. Gastroenterology, Wrexham Maelor Hospital, Wrexham, UK

Abstract

Introduction Good bowel preparation is essential for optimal mucosal visualisation during colonoscopy. The aim of this retrospective study was to evaluate the efficacy of three types of bowel preparation – Picolax (sodium picosulphate), single dose Moviprep and split-dose Moviprep.

Methods Two groups of patients; bowel cancer screening and symptomatic patients – who underwent colonoscopy at our institution over a 12-month period were identified. Within the two groups, 50 patients receiving each type of bowel preparation were selected providing a total of 300. Data collected included subjective endoscopist rating of bowel preparation quality (good, satisfactory, poor), depth of insertion, timing of endoscopy and polyp detection.

Results In symptomatic patients, 94% prescribed split-dose Moviprep had good or satisfactory bowel preparation with an unadjusted caecal intubation rate of 96%. 80% prescribed single dose Moviprep and 84% prescribed Picolax received the same rating with a caecal intubation rate of 88 and 92% respectively. More afternoon colonoscopies received a ‘good’ bowel preparation rating (65.3 vs 30.8%, p value <0.001) and more polyps (52.6 vs 47.4%) were detected regardless of preparation type. Moviprep was associated with the highest polyp detection rate (61 vs 34%, p value 0.03). In screening patients, 98% prescribed split-dose Moviprep had good or satisfactory bowel preparation. 94% prescribed single dose Moviprep and 90% prescribed picolax achieved the same rating. There was no significant difference in caecal intubation or polyp detection within the screening group.

Conclusion Split-dose Moviprep and colonoscopy performed in the afternoon are two independent factors facilitating better bowel cleansing and higher polyp detection.

Disclosure of Interest None Declared.

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