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Abstract

Aim: To study if probiotics intake improves quality of bowel cleansing before colonoscopy. Patients & Method: 211 patients (79 male/132 female) submitted to our Endoscopy Department were prospectively included. Fiftytwo of them had taken probiotics (Lactobacillus reuteri) at least 10 days prior to colonoscopy. Bowel preparation was performed according to local protocols using sodium picosulphate/magnesium citrate. Quality of bowel cleansing was assessed using Boston and Ottawa scales. The same way, rate of adenoma detection according to probiotics intake was also assessed. Results: The global score achieved with both bowel preparation scales was significantly better in patients who had taken probiotics. Also, bowel preparation was better studying each colonic segment separately, even at the right colon. There were no differences in the quality of bowel preparation according age, sex or time of the day when the exploration was carried out. The better colonic cleansing achieved with probiotics intake led to a higher adenoma detection rate compared with patients who had â�?�?standardâ�? preparation, but these differences did not reach statistical significance (59/179 (32,9%) vs.6/32 (18,7%);p=0,078). Conclusions: Probiotics intake before colonoscopy improves quality of bowel cleasing and allows a higher adenoma detection rate.

Biography

Email: dsanchezm@digestivosanchezmunoz.com