Improving Quality and Safety in the Endoscopy Unit (On-Demand) | August 2023-Optimizing Bowel Preparation in Your Endoscopy Unit

Video Transcription

Video Summary

Dr. Jason Dominance gives a lecture on optimizing bowel preparation in endoscopy units. He emphasizes the importance of split dose and same-day preparation and discusses barriers to adequate bowel preparation. Factors that can contribute to poor bowel preparation include older age, male gender, higher body mass index, inpatient status, polypharmacy, diabetes, and certain neurologic conditions. Dr. Dominance suggests various methods of educating patients about the bowel preparation process, such as educational booklets, videos, texting apps, and robotic calls. He also discusses different types of purgatives and laxatives that can be used for bowel preparation, including isosmotic full and low-volume preps, hyperosmotic low-volume preps, and over-the-counter products. Dr. Dominance emphasizes the importance of measuring bowel prep quality using the Boston Bowel Prep Scale and suggests adopting a low residue diet as an alternative to clear liquids on the day prior to colonoscopy. He concludes by encouraging clinicians to monitor and improve bowel prep adequacy on a peer-to-peer basis.

Asset Subtitle

Jason Dominitz, MD MHS FASGE

Keywords

bowel preparation

split dose

barriers

educating patients

purgatives

Boston Bowel Prep Scale