Tolerance to colonoscopy preparation with Fortrans and predictors of negative effects

Abstract

Background. The tolerance of colon cleansing by Fortrans is associated with a number of negative factors. This determines patient compliance and quality of bowel preparation. The relevance of this issue is increasing due to the prevalence of this method in the diagnosis and treatment of colon pathology.The aim of the study was to investigate tolerance to Fortrans in colon preparation for colonoscopy and factors affecting comfort.Materials and methods. Before colonoscopy, a questionnaire method was used to study 84 patients who underwent colon preparation with Fortrans. Patient satisfaction with the preparation was evaluated on the visual analogue scale (VAS).Results. 45 (52.4%) people were satisfied with comfort of the preparation and rated its level 0–2 points on the VAS. 39 (47.6%) patients were not satisfied with the preparation, a discomfort level of 3–10 points was estimated. Factors affecting patient tolerance of Fortrans administration were determined.Conclusion. Satisfactory tolerance of the colon preparation by Fortrans is observed in half of the patients, which depends on their psychological state and expectations of the preparation comfort. The intolerance predictors to the colon preparation are negative side effects of Fortrans, which are largely leveled by the use of the split mode, as well as incorrigible factors: higher education, repeated colonoscopy, history of constipation.

Keywords

• подготовка кишечника
• предикторы переносимости
• нежелательные явления при подготовке фортрансом