Compliance efficacy and patient satisfaction with two litre polyethylene glycol ascorbic acid for colonoscopy preparation in a outreach rural setting

  • David Johannes De Villiers University of Cape Town
  • Paul A Goldberg University of Cape Town
  • Ursula Algar University of Cape Town
Keywords: Colonoscopic preparation

Abstract

Background: Annual surveillance of Lynch Syndrome patients from the rural Northern Cape Province of South Africa is conducted with a mobile colonoscopic unit. Excellent preparation of the colon is essential to detect small right sided lesions. We wished to evaluate a two litre polyethylene glycol (PEG) electrolyte solution containing ascorbic acid and sodium ascorbate Moviprep® as preparation for colonoscopy in this cohort.

Methods: Six weeks prior to the colonoscopy surveillance week, a team travelled to the area to prepare the patients for colonoscopy. Patients were individually counselled on the importance of bowel cleansing and the use of Moviprep®. Prior to their colonoscopy, subjects completed a product acceptability questionnaire. At the procedure, the quality of bowel preparation was assessed by a single individual (DJdV) using the Harefield cleansing scale grades; grades A or B were defined as good preparation and grades C or D as poor preparation.

Results: Sixty four of the 71 subjects seen on the preparation trip completed the questionnaire and took their Moviprep®. The questionnaire responses showed that 53 (83%) had used other colon preparations previously and 57 (89%) would prefer Moviprep® for their next colonoscopy. Eighteen patients did not undergo colonoscopy due to time constraints. Forty-one of the 46 subjects (89%) who underwent colonoscopy had successful colonic preparation 7 of whom received an extra litre of Moviprep due to stool based nursing assessment prior to colonoscopy. Side effects of nausea and hunger were occasionally troublesome but did not affect compliance.

Conclusion: When patients are pre-councelled, Moviprep® provides adequate colonic cleansing in 73% with the standard regimen and 89 % after additional prep in subjects undergoing surveillance colonoscopy in a rural setting. Moviprep was tolerated well and 88% of subjects would choose the same preparation for their next colonoscopy.

Author Biographies

David Johannes De Villiers, University of Cape Town
Colorectal Unit, Department of Surgery, Groote Schuur Hospital, University of Cape Town, South Africa
Paul A Goldberg, University of Cape Town
Colorectal Unit, Department of Surgery, Groote Schuur Hospital, University of Cape Town, South Africa
Ursula Algar, University of Cape Town
Colorectal Unit, Department of Surgery, Groote Schuur Hospital, University of Cape Town, South Africa
Published
2018-11-08
How to Cite
De Villiers, D., Goldberg, P., & Algar, U. (2018). Compliance efficacy and patient satisfaction with two litre polyethylene glycol ascorbic acid for colonoscopy preparation in a outreach rural setting. South African Journal of Surgery, 56(4), 19-22. Retrieved from http://sajs.redbricklibrary.com/index.php/sajs/article/view/2347
Section
General Surgery