Comparison of Effectiveness between Abdominal Vibration Stimulation and Walking Exercise for Bowel Cleansing before Therapeutic Colonoscopy
2
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Background/Aims: Adequate bowel preparation is important for successful colonoscopy. We aimed to evaluate the clinical feasibility and effectiveness of abdominal vibration stimulation in bowel preparation before therapeutic colonoscopy. Methods: A single center, prospective, randomized, investigator-blinded study was performed between January 2016 and December 2016. Patients for therapeutic colonoscopy were prospectively enrolled and assigned to either the vibrator group or walking group. Patients who refused to participate in this study as part of the experimental group consented to register in the control group instead. During the preparation period, patients assigned to the walking group walked ≥3,000 steps, whereas those assigned to the vibrator group received abdominal vibrator stimulation and restricted walking. All patients received the same colon cleansing regimen: 4-L split-dose polyethylene glycol (PEG) solution. Results: Three hundred patients who received PEG solution for therapeutic colonoscopy were finally enrolled in this study (n=100 per group). Bowel cleansing with abdominal vibration stimulation showed almost similar results to that with walking exercise (Boston Bowel Preparation Scale score for the entire colon: vibrator vs walking vs control, 7.38±1.55 vs 7.39±1.55 vs 6.17±1.15, p<0.001). There were no significant differences between the vibrator group and walking group regarding instances of diarrhea after taking PEG, time to first diarrhea after taking PEG, total procedure time, and patient satisfaction. Conclusions: This study indicates that, compared with conventional walking exercise, abdominal vibration stimulation achieved similar rates of bowel cleansing adequacy and colonoscopy success without compromising safety or patient satisfaction.
Abstract
Background/Aims: Adequate bowel preparation is important for successful colonoscopy. We aimed to evaluate the clinical feasibility and effectiveness of abdominal vibration stimulation in bowel preparation before therapeutic colonoscopy. Methods: A single center, prospective, randomized, investigator-blinded study was performed between January 2016 and December 2016. Patients for therapeutic colonoscopy were prospectively enrolled and assigned to either the vibrator group or walking group. Patients who refused to participate in this study as part of the experimental group consented to register in the control group instead. During the preparation period, patients assigned to the walking group walked ≥3,000 steps, whereas those assigned to the vibrator group received abdominal vibrator stimulation and restricted walking. All patients received the same colon cleansing regimen: 4-L split-dose polyethylene glycol (PEG) solution. Results: Three hundred patients who received PEG solution for therapeutic colonoscopy were finally enrolled in this study (n=100 per group). Bowel cleansing with abdominal vibration stimulation showed almost similar results to that with walking exercise (Boston Bowel Preparation Scale score for the entire colon: vibrator vs walking vs control, 7.38±1.55 vs 7.39±1.55 vs 6.17±1.15, p<0.001). There were no significant differences between the vibrator group and walking group regarding instances of diarrhea after taking PEG, time to first diarrhea after taking PEG, total procedure time, and patient satisfaction. Conclusions: This study indicates that, compared with conventional walking exercise, abdominal vibration stimulation achieved similar rates of bowel cleansing adequacy and colonoscopy success without compromising safety or patient satisfaction.
참고문헌 (19)
- Hendry PO, "The impact of poor bowel preparation on colonoscopy : a prospective single centre study of 10, 571 colonoscopies", Colorectal Dis, 9, pp.745~748 (2007)
- Chokshi RV, "Prevalence of missed adenomas in patients with inadequate bowel preparation on screening colonoscopy", Gastrointest Endosc, 75, pp.1197~1203 (2012)
- Lebwohl B, "The impact of suboptimal bowel preparation on adenoma miss rates and the factors associated with early repeat colonoscopy", Gastrointest Endosc, 73, pp.1207~1214 (2011)
- Kim WH, "Factors affecting insertion time and patient discomfort during colonoscopy", Gastrointest Endosc, 52, pp.600~605 (2000)
- Kim HS, "Effectiveness of walking exercise as a bowel preparation for colonoscopy : a randomized controlled trial", Am J Gastroenterol, 100, pp.1964~1969 (2005)
- Lämås K, "Effects of abdominal massage in management of constipation : a randomized controlled trial", Int J Nurs Stud, 46, pp.759~767 (2009)
- Lämås K, "Experiences of abdominal massage for constipation", J Clin Nurs, 21, pp.757~765 (2012)
- Mimidis K, "Use of a device that applies external kneading-like force on the abdomen for treatment of constipation", World J Gastroenterol, 11, pp.1971~1975 (2005)
- Wu TJ, "Whole-body vibration for functional constipation : a single-centre, single-blinded, randomized controlled trial", Colorectal Dis, 14, pp.e779~e785 (2012)
- Lai EJ, "The Boston Bowel Preparation Scale : a valid and reliable instrument for colonoscopy-oriented research", Gastrointest Endosc, 69(3 Pt 2), pp.620~625 (2009)
- Kim EJ, "A Korean experience of the use of Boston Bowel Preparation Scale : a valid and reliable instrument for colonoscopy-oriented research", Saudi J Gastroenterol, 20, pp.219~224 (2014)
- Brookes SJ, "Initiation of peristalsis by circumferential stretch of flat sheets of guinea-pig ileum", J Physiol, 516(Pt 2), pp.525~538 (1999)
- Liu Z, "Mechanism of abdominal massage for difficult defecation in a patient with myelopathy(HAM", TSP), 2005, pp.252, 1280~1282
- Moyer CA, "A meta-analysis of massage therapy research", Psychol Bull, 130, pp.3~18 (2004)
- Ernst E, "Abdominal massage therapy for chronic constipation : a systematic review of controlled clinical trials", Forsch Komplementarmed, 6, pp.149~151 (1999)
- ASGE Standards of Practice Committee, "Bowel preparation before colonoscopy", Gastrointest Endosc, 81, pp.781~794 (2015)
- Bernstein C, "A prospective study of factors that determine cecal intubation time at colonoscopy", Gastrointest Endosc, 61, pp.72~75 (2005)
- Rice SC, "Video on diet before outpatient colonoscopy does not improve quality of bowel preparation : a prospective, randomized, controlled trial", Am J Gastroenterol, 111, pp.1564~1571 (2016)
- Gimeno-García AZ, "Comparison of two intensive bowel cleansing regimens in patients with previous poor bowel preparation : a randomized controlled study", Am J Gastroenterol, 112, pp.951~958 (2017)