Kaur Sumanpreet, Jindal Neha, Kaur Amandeep, Chatterjee Abhirup, Dutta Usha, Sharma Vishal
Department of Gastroenterology, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
BMC Gastroenterol. 2025 Aug 29;25(1):625. doi: 10.1186/s12876-025-04242-x.
BACKGROUND: Colonoscopy is important for diagnosis, assessment and dysplasia screening in inflammatory bowel disease (IBD). A good bowel preparation is required for complete and adequate assessment. TRIAL DESIGN: Randomised, assessor blinded parallel arm trial with 1:1 allocation. METHODS: Patients with IBD undergoing colonoscopy were randomised to control group (standard preparation with written instructions) or experimental group (additional brief video educational intervention). Outcome assessors and colonoscopist were masked to the allocation. Primary outcome was adequacy of bowel preparation (Boston bowel preparation score of ≥ 6). RESULTS: Of 130 patients randomised, 107 (57% males, mean age 38.4 years, 84% with ulcerative colitis) were analysed. The groups were similar for baseline characters (age, gender, rural residence, educational status, duration of illness, IBD therapies, and endoscopic activity). Adequate bowel preparation was present similar numbers in experimental group compared to control group (43.1% versus 35%) (p = 0.43). The groups were similar for perfect preparation (7.8% versus 8.9%) (p = 0.84), worsening of disease activity (3.9% versus 3.7%) (p = 1.00), time to cecal intubation (240, 191 s versus 268, 228 s) (p = 0.43), tolerance (45.1% versus 30.4%)(p = 0.12), and willingness to undergo a repeat colonoscopy (54.9% versus 55.4%)(p = 0.97). CONCLUSION: A brief educational video intervention did not improve bowel preparation in patients with IBD undergoing colonoscopy. TRIAL REGISTRATION: CTRI/2023/09/057436 on 11 September 2023.
背景:结肠镜检查对于炎症性肠病(IBD)的诊断、评估和发育异常筛查至关重要。为了进行全面且充分的评估,需要做好肠道准备。 试验设计:随机、评估者盲法平行组试验,分配比例为1:1。 方法:接受结肠镜检查的IBD患者被随机分为对照组(提供书面说明的标准准备)或试验组(额外进行简短视频教育干预)。结果评估者和结肠镜检查医生对分组情况不知情。主要结局是肠道准备的充分性(波士顿肠道准备评分≥6分)。 结果:在随机分组的130例患者中,分析了107例(男性占57%,平均年龄38.4岁,84%为溃疡性结肠炎患者)。两组在基线特征(年龄、性别、农村居住情况、教育程度、病程、IBD治疗方法和内镜检查活动)方面相似。试验组与对照组中肠道准备充分的人数相似(43.1%对35%)(p = 0.43)。两组在完美准备情况(7.8%对8.9%)(p = 0.84)、疾病活动度恶化情况(3.9%对3.7%)(p = 1.00)、到达盲肠插管的时间(240,191秒对268,228秒)(p = 0.43)、耐受性(45.1%对30.4%)(p = 0.12)以及接受重复结肠镜检查的意愿(54.9%对55.4%)(p = 0.97)方面相似。 结论:简短的教育视频干预并未改善接受结肠镜检查的IBD患者的肠道准备情况。 试验注册:2023年9月11日,CTRI/2023/09/057436。
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