Huaxi Hospital large-scale analysis: break the tradition of doing colonoscopy without having to eat only flow food

Enteroscopy is the most commonly used effective tool for colorectal cancer screening and is often used for the diagnosis and treatment of various lower digestive tract diseases.
usually requires intestinal preparation, including dietary restrictions and medication to clear the intestines, to improve the effectiveness and safety of the colonoscopy.
, however, is a test of the patient's willingness and compliance.
E.g. in terms of dietary restrictions, such as fruits and vegetables, flow food can eat and other trivial problems, so that many people are troubled;
recent years, more and more studies have begun to explore the need to reduce intestinal preparation to improve the patient experience without compromising the examination.
Recently, a team at Huaxi Hospital University published a study in Gastrointestinal Endoscopy, a well-known journal in the field of digestion, that supports the relaxation of preoperative diets and the use of a low-residual diet (low-fiber diet) without the traditional requirements of "hard" diet.
the results of this paper have also been praised by overseas counterparts.
Screenshot Source: Gastrointestinal Endoscopy This is a systematic evaluation and meta-analysis designed to provide a comprehensive assessment of the effects of a low-residual diet on intestinal preparation the day before the gooscope, based on available evidence.
study included 20 randomized controlled trials published between 2005 and 2019, covering a total of 4,323 subjects.
comparison of the low-residual diet with the clear-flow diet (Photo source: Reference 1) showed that, objectively assessed, the two groups of patients had comparable intestinal readiness and similar detection rates for psalms or adenomas.
patients on a low residual diet had fewer adverse reactions, and nausea, vomiting, hunger and headache were significantly reduced by 28%, 39%, 64% and 36%, respectively.
patients who received low residues also experienced significantly better subjective feelings.
Compared to the clear-flow diet, patients who said they were more likely to complete dietary restrictions were 86% more likely to be in the low-residual diet group, and were willing to re-prepare their intestines during future consultations, and 113% more likely to be in the low-residual diet group.
addition, the team used a method called "trial sequential analysis" to exclude partially incorporated false positive tests and useless data.
results support better intestinal preparation for both diets, but other indicators do not rule out bias and need further validation.
, Professor David Johnson, director of digestive medicine at the Eastern Virginia Medical School, praised the study, saying, "The research team conducted a meta-analysis based on best standards and included high-quality research."
" In Professor David Johnson's view, the choice of clinical practice strategy should not simply be based on the old-fashioned.
, who has been involved in the development of guidelines for intestinal preparation, notes that a low-residual diet does not receive enough attention in dietary restrictions.
, he argues, "although further assessment is needed, current studies have shown that a low-residual diet is as well prepared as a clear-flow diet, which is very important for patients."
" Considering that the analysis also excludes patients with specific conditions such as diabetes and renal insequanity, it is not enough to say that these conclusions apply to all patients, but "doctors may consider recommending a low residual diet to most patients."
David Johnson also shared a small story from his industry friend and expert in bowel mirrors, Professor Jerry Waye. Professor
Jerome Waye, who is known worldwide for pioneering colonoscopy techniques, is not "tough" when he does colonoscopies for patients and even tells them to eat ice cream the night before the test, which makes many patients happy to accept the process of intestinal preparation.
that although intestinal preparation may seem small, patient distress cannot be ignored.
2019 Lancet study is also quite a disruption to conventional cognition, suggesting that intestinal surgery may not even require intestinal cleansing.
starting with this high-quality study at The West Hospital, Professor David Johnson advocates improving the diagnosis and treatment of more diseases such as colorectal cancer by continuously improving the patient experience and making colonoscopy more available to more people.
References to the World, Xubing Zhang, et al., (2020). Low-residual diet versus clear-liquid diet for bowel content before colonoscopy: meta-analysis and trial sequential analysis of of randomized controlled trials. Gastrointestinal Endoscopy, DOI: Colonoscopy Prep: Opening the Clear-Liquid Diet. Retrieved October 23, 2020, from China Digestive Endoscopy-Related Intestinal Preparation Guide (2019, Shanghai)