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Canadian Journal of Gastroenterology
Volume 27, Issue 12, Pages 696-700
Original Article

Improving the Quality of Colonoscopy Bowel Preparation Using an Educational Video

Sateesh R Prakash,1,2 Siddharth Verma,3 John McGowan,4 Betsy E Smith,2 Anjali Shroff,1 Gregory H Gibson,1 Michael Cheng,1 Douglas Lowe II,1 Kavitha Gopal,1 and Smruti R Mohanty3

1Southern Gastroenterology Specialists, PC, Locust Grove, USA
2Mercer University School of Medicine, Macon, Georgia
3New York Methodist Hospital, Brooklyn, New York, USA
4Braintree Laboratories, Braintree, Massachusetts, USA

Received 7 August 2013; Accepted 15 September 2013

Copyright © 2013 Hindawi Publishing Corporation. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Colonoscopy is the preferred modality for colon cancer screening. A successful colonoscopy requires proper bowel preparation. Adequate bowel preparation continues to remain a limiting factor. One hundred thirty-three patients scheduled for an outpatient colonoscopy were prospectively randomized in a single-blinded manner to video or nonvideo group. In addition to written bowel preparation instructions, patients in the video group viewed a brief instructional video. Quality of colon preparation was measured using the Ottawa Bowel Preparation Quality scale, while patient satisfaction with preparation was evaluated using a questionnaire. Statistical analyses were used to evaluate the impact of the instructional colonoscopy video. There were significant differences in the quality of colonoscopy preparation between the video and the nonvideo groups. Participants who watched the video had better preparation scores in the right colon (P = 0.0029), mid-colon (P = 0.0027), rectosigmoid (P = 0.0008), fluid content (P = 0.03) and aggregate score (median score 4 versus 5; P = 0.0002). There was no difference between the two groups with regard to patient satisfaction. Income, education level, sex, age and family history of colon cancer had no impact on quality of colonoscopy preparation or patient satisfaction. The addition of an instructional bowel preparation video significantly improved the quality of colon preparation.