Effect of the High-FODMAP Diet on Bowel Preparation for Colonoscopy: A Multicenter, Prospective Cohort Study

Background. Optimal bowel preparation for colonoscopy is fundamental to a successful examination. The FODMAP diet can increase the content of intestinal water and gas, but its impact on bowel cleanliness and bubbles has not been reported. This study was therefore aimed at evaluating the effect of th...

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Bibliographic Details
Published in:Gastroenterology research and practice 2020, Vol.2020 (2020), p.1-8
Main Authors: Li, Zhaoshen, Bai, Yu, Zhong, Zhengrong, Fang, Jun, Wang, Shuling, Ma, Ruijun, Cheng, Peng, Meng, Xiangjun
Format: Article
Language:English
Subjects:
Abdomen
Analysis
Body mass index
Bubbles
Cohort analysis
Colon
Colonoscopy
Compliance
Constipation
Diabetes
Diaries
Diet
Food
Intestinal obstruction
Intubation
Irritable bowel syndrome
Medical research
Medicine, Experimental
Patient compliance
Patients
Polyethylene glycol
Polyps
Quality
Software
Tumors
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Summary:Background. Optimal bowel preparation for colonoscopy is fundamental to a successful examination. The FODMAP diet can increase the content of intestinal water and gas, but its impact on bowel cleanliness and bubbles has not been reported. This study was therefore aimed at evaluating the effect of the FODMAP diet on the quality of bowel preparation and the adenoma detection rate (ADR). Methods. This was a multicenter, prospective cohort study involving consecutive patients who underwent colonoscopy in two centers in China. Patients were assigned to one of two groups: high-FODMAP or nonhigh-FODMAP diet. ODMP Software was used for the identification of FODMAP diet types. The primary outcome was ADR; secondary outcomes were the quality of bowel preparation, measured by the Boston bowel preparation scale and bubble scores. Results. There were 365 patients included. Patients in the high-FODMAP-diet group showed poor bowel cleansing efficacy: BBPS≥6 in 76.8% vs. 90.3% (P
ISSN:1687-6121
1687-630X
DOI:10.1155/2020/1612040