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Qaagi - Book of Why

Causes

Effects

authors Dong Il Park BACKGROUND / AIMS Inpatient statuscan causeinadequate bowel preparation

needed.4 Factorscontributingto inadequate bowel preparation

Patient and administrative factorsinfluencingbowel preparation

Many risk factors have been identifiedto causeinadequate bowel preparation

the need to ingest a large volume as well as the unpleasant smell and taste of PEG frequently lead to poor patient complianceresultingin inadequate bowel preparation

sliding(passive) is caused byBowel preparation

However , the large volume ( 4 liters ) , the salty taste and the sulphur smell frequently lead to poor tolerability and compliancesometimes resultingin inadequate bowel preparation

a vasoconstrictionpreventingbowel preparation

the acutesettingBowel preparation

Diabetesmay contributeto poor bowel preparation

in lower colonoscopy completion rate , longer duration of colonoscopy , and lower diagnostic yield for polyps.2 Polyethylene glycol ( PEGmay resultin lower colonoscopy completion rate , longer duration of colonoscopy , and lower diagnostic yield for polyps.2 Polyethylene glycol ( PEG

Transient relative dehydration(passive) caused byTransient relative dehydration

overlooked small lesions [ 3can causeoverlooked small lesions [ 3

to poor colonic visualization , missed lesions , increased procedure time , and possibly a repeat procedurecan leadto poor colonic visualization , missed lesions , increased procedure time , and possibly a repeat procedure

in incomplete procedures , missed lesions , higher complication rates , and increased costs resulting from repeated procedurescan resultin incomplete procedures , missed lesions , higher complication rates , and increased costs resulting from repeated procedures

dehydration and disturbance of the balance of salts in the bodycan causedehydration and disturbance of the balance of salts in the body

kidney failure , heart failure or seizurescan causekidney failure , heart failure or seizures

to incomplete colonoscopy procedures , which in turn may cause increased patient morbidity , missed pathology , prolonged hospital stay , and increased costleadingto incomplete colonoscopy procedures , which in turn may cause increased patient morbidity , missed pathology , prolonged hospital stay , and increased cost

to failed colonoscopycan leadto failed colonoscopy

to increasing colonoscopy procedural timecan leadto increasing colonoscopy procedural time

to diseases being missed or for the procedure needing to be repeatedcan leadto diseases being missed or for the procedure needing to be repeated

in prolonged time under anaesthesia andmay resultin prolonged time under anaesthesia and

in prolonged procedure timecan resultin prolonged procedure time

to cancellation and rescheduling of outpatient casesoften leadsto cancellation and rescheduling of outpatient cases

in high false negative rates for adenomas or precancerous polyps and a need for repeat testsmay resultin high false negative rates for adenomas or precancerous polyps and a need for repeat tests

in repeat examinations at shorter intervalscan also resultin repeat examinations at shorter intervals

in missed colorectal adenoma that can evolve into interval colorectal cancercan resultin missed colorectal adenoma that can evolve into interval colorectal cancer

in failed detection of prevalent neoplastic lesionscan resultin failed detection of prevalent neoplastic lesions

to lower rates of cecal intubation and polyp detection , longer procedural timecan leadto lower rates of cecal intubation and polyp detection , longer procedural time

to inadequate examinations and shorter surveillance intervals for colorectal cancer screeningleadsto inadequate examinations and shorter surveillance intervals for colorectal cancer screening

to serious adverse eventshas ledto serious adverse events

in incomplete examinationmay resultsin incomplete examination

to wound contaminationleadingto wound contamination

in missed precancerous lesionsoften resultingin missed precancerous lesions

to incomplete and aborted evaluationsleadingto incomplete and aborted evaluations

alsomay ... leadalso

to cancellation of colonoscopy 2leadingto cancellation of colonoscopy 2

in the need for repeat colonoscopies or increasing the risk that diagnosis of disease , such as colorectal cancer , will be missedresultingin the need for repeat colonoscopies or increasing the risk that diagnosis of disease , such as colorectal cancer , will be missed

toprolonged procedure times , lower rates of cecal intuba - tion , reduced screening intervals , higher screeningcosts , and possibly , an guardingmindsatwork.ca Conducting a [ email protected ] Organizational Review : Getting Startedleadstoprolonged procedure times , lower rates of cecal intuba - tion , reduced screening intervals , higher screeningcosts , and possibly , an guardingmindsatwork.ca Conducting a [ email protected ] Organizational Review : Getting Started

complete visualization of the colon wall and limits detection and removal of colon polypspreventscomplete visualization of the colon wall and limits detection and removal of colon polyps

to error in colonoscopy causing your doctor to miss detection of polyps or lesionsmay leadto error in colonoscopy causing your doctor to miss detection of polyps or lesions

in decreased neoplasia detectioncan resultin decreased neoplasia detection

FACmay causeFAC

watery diarrhoea starting soon after the first dosewill usually causewatery diarrhoea starting soon after the first dose

faecal incontinence ... sleep disturbance and perianal soreness , and has been associated with altered plasma biochemistrymay causefaecal incontinence ... sleep disturbance and perianal soreness , and has been associated with altered plasma biochemistry

proliferation of colon epithelial cells.37 Colonoscopy was completed to the caecal pole in all participantsinfluencesproliferation of colon epithelial cells.37 Colonoscopy was completed to the caecal pole in all participants

to provide whole bowel cleansing for contribution to colonoscopy proceduresdesignedto provide whole bowel cleansing for contribution to colonoscopy procedures

to a repeat inpatient procedureleadingto a repeat inpatient procedure

to high quality pictures and have benefits for completion of the procedurecan leadto high quality pictures and have benefits for completion of the procedure

to significantly fewer SSIs even among resections with ileocolic anastomosisledto significantly fewer SSIs even among resections with ileocolic anastomosis

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Smart Reasoning:

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