You are here

Article Text

Article menu
Download PDFPDF
Top of Form
OC68 A multicentre assessment of adequacy of bowel preparation for paediatric ileocolonoscopy using the Boston bowel preparation scale (BBPS)
  1. H Barraclough1,
  2. P Gillett2,
  3. D Basude3,
  4. R Bremner4,
  5. A Butt5,
  6. I Chalmers6,
  7. R Gowda7,
  8. R Hansen8,
  9. J Hart9,
  10. A Kapoor1,
  11. S Loganathan10,
  12. A Mallikarjuna3,
  13. R Mardare11,
  14. A Pigott12,
  15. E Renji13,
  16. N Skoutelis14,
  17. C Taylor7,
  18. M Thomson1,
  19. P Tierney14,
  20. P Narula1
  1. 1Sheffield Children’s Hospital, S10 2TH, UK
  2. 2Royal Hospital Children and Young People, EH16 4TJ UK
  3. 3University Hospitals Bristol and Weston NHS Foundation Trust, BS1 3NU, UK
  4. 4Birmingham Women’s and Children’s NHS Foundation Trust, B15 2TG, UK
  5. 5Royal Alexandra Children’s Hospital, BN2 5BE, UK
  6. 6Royal Aberdeen Children’s Hospital AB25 2ZG, UK
  7. 7Maidstone and Tunbridge Wells Hospital, TN2 4QJ, UK
  8. 8Royal Hospital for Children, G51 4TF, UK
  9. 9Royal Devon and Exeter NHS Foundation Trust, EX2 5DW, UK
  10. 10Nottingham Children’s Hospital, NG7 2UH, UK
  11. 11Barts Health NHS Trust, E1 1BB, UK
  12. 12University Hospitals of North Midlands, ST4 6QG, UK
  13. 13Alder Hey Children’s Hospital, L14 5AB, UK
  14. 14Belfast Health and Social Care Trust, BT12 6BA, UK

Abstract

Adequate bowel preparation facilitates ileocolonoscopy completion. Pediatric Endoscopy Quality Improvement Network (PEnQuIN) quality standards recommend unadjusted rates of adequate bowel preparation of ≥ 80% and terminal ileal intubation ≥85%. A Boston Bowel Preparation Scale (BBPS) score of ≥6 is adequate. This study aims to identify whether UK hospitals are attaining PEnQuIN standards, and reviews medications used.

Fifteen UK hospitals participated. Local governance processes were followed. Each hospital provided anonymous BBPS data. Patients were grouped according to bowel preparation drug type. Patients were excluded if procedures were abandoned due to significant bleeding, stricture, previous resections or severe disease and if a subgroup had below 5 patients. A single factor Anova test and two sample T-Test was performed.

Complete data for 209 patients from 12 hospitals was collated. Five of 12 participating hospitals attained the PEnQuIN standard for adequate bowel preparation. Bowel preparation drugs varied greatly among hospitals. Patients were grouped according to drug type for analysis

(see table 1).

View this table:
Abstract OC68 Table 1

Only Group C achieved the desired adequate bowel preparation rate of ≥ 80%. Not all groups are equal (p<0.006) on single factor Anova analysis. Significant differences in BBPS scores between groups A&C and B&C were found on a paired T test. Significant subgroup variability exists regarding drug timing, dosage and frequency resulting in heterogeneity.

This initial study highlighted marked variability in the UK use of bowel preparation medications. Only Group C attained the PEnQuIN standard for adequate bowel preparation. Groups A and B achieved high ileal intubation rates despite not meeting the standard. A large prospective multi-centred trial is required to establish the ideal medication type and protocol for bowel preparation in children.

https://doi.org/10.1136/flgastro-2023-bspghan.67

Statistics from Altmetric.com

    Request Permissions

    If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.