The goal of this study is to assess the clinical and cost-effectiveness of the AI bowel preparation evaluation system in reducing the consumption volume of the standard high-volume PEG regimen before colonoscopy among the older population.
Researchers will compare bowel preparation adequacy and other colonoscopy quality matrices, and patient satisfaction between patients using the AI system and those using Standard Practice.
individual aged 65 years or above
undergoing colonoscopy for any indication
requiring a standard high-volume PEG regimen for bowel preparation
having a smartphone themselves or their caregivers (including ward nurses) having one will be recruited.
allergy to PEG,
suspected or diagnosed gastrointestinal obstruction or perforation,
suspected or diagnosed ileus
suspected or diagnosed gastric retention
Parallel
AI
DeviceEach photo will be uploaded and analyzed by AI to predict the adequacy of their bowel preparation with immediate results of "pass" or "not pass," indicating if their bowel preparation is adequate or inadequate. If the result is "pass," patients will stop consuming the remaining PEG solution. If the result is "not pass," patients will be advised to gently rub their lower abdomen in a clockwise direction or walk around and continue consuming the remaining PEG until the AI evaluation gives a "pass" result or until the full dose of 3 L PEG have been consumed. If the patient's rectal effluent deems IBP after consumption of the full dose of 3 L of PEG, an additional 1 L or more of PEG will be administered as a remedial dose at the discretion of the physician-in-charge.
Volume of PEG consumed
The primary outcome of this study is the volume of PEG consumed before colonoscopy between the AI and SP groups.
BBPS score
BBPS during procedure
Bowel preparation adequacy rate
How adequate the bowel preparation rate
Caecal intubation rate
Rather it was successful or not caecum is reached during colonscopy
Adenoma detection rate
The chance of discovering adenoma
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This trial is not recruiting at the moment. You can still explore other options:
