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Recently developed educational methods have improved patient compliance with bowel preparation for colonoscopy

Educational Methods Have Improved Bowel Prep Compliance

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Many methods have been developed, including educational booklets, videos, phone apps
Colorectal cancer detected after colonoscopy examination is more often located in the proximal colon and more likely to have DNA mismatch repair deficiency

CRC Detected After Colonoscopy Often Located in Proximal Colon

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Tumors more likely to have DNA mismatch repair deficiency, less likely to be metastatic
A colonoscopy may not provide much colorectal cancer prevention benefit after the age of 75

Little to No Benefit Found for Colonoscopy After Age 75

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But risk for adverse events low
Providing inpatients with an educational booklet before colonoscopy improves the odds of achieving adequate bowel preparation

Educational Booklet Improves Bowel Preparation for Inpatients

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Odds of achieving adequate bowel preparation increased for those receiving educational booklet
A low-residue diet prior to a colonoscopy may be better than clear liquids only

DDW: Eating Some Solid Foods May Be OK Before Colonoscopy

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Low-residue diet leads to improved bowel prep, more rested patients
Despite evidence for the benefits of carbon dioxide insufflation for reducing post-colonoscopy pain

Slow Adoption of CO2 Insufflation for Post-Colonoscopy Pain

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Evidence shows benefits of carbon dioxide insufflation in reducing pain
Esophageal rupture can occur in association with colonoscopy preparation

Esophageal Rupture Described After Drinking PEG Solution

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Case report describes 71-year-old man with severe epigastralgia and dyspnea after drinking PEG
Recommendations have been developed for colorectal cancer screening in primary care. The guidelines were published online Feb. 22 in CMAJ

Recommendations Developed for CRC Screening in Primary Care

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Screening with gFOBT or flexible sigmoidoscopy reduces incidence of late-stage CRC, mortality
Chewing gum relieves discomfort associated with ingestion of the polyethylene glycol solution for colonoscopy preparation

Chewing Gum Improves Colonoscopy Preparation

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Gum chewing minimizes discomfort and improves adherence to solution ingestion
The rate of missed adenomas larger than 5 mm is similarly low for men with Boston Bowel Prep Scale scores of 2 or 3

Rate of Missed Adenomas >5 mm Similarly Low for BBPS 2, 3

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Significantly higher rate of missed adenomas in colon segments with Boston Bowel Prep Scale score of 1