Exploring the improvement effect of intestinal network monitoring system on intestinal preparation quality of colonoscopy

Q: What was the study’s main objective?

To evaluate how an intestinal network monitoring system improves bowel preparation quality for colonoscopy and how it affects patients’ psychological/physiological responses, compliance, and adverse event rates.

Q: How were patients grouped in the study?

Between July 2019 and July 2020, 800 eligible enteroscopy patients were randomly divided into a network monitoring group (400) and a control group receiving verbal plus written preaching (400).

Q: What improvements were observed after using the network monitoring system?

After intervention, anxiety and depression scores were lower, heart rate and systolic blood pressure were lower than controls, Boston Bowel Preparation Scale scores improved, polyp detection and colonoscopy arrival rates increased, and adverse reaction incidence decreased to 11.00% in the experimental group.

Sep 28, 2026

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Colonoscopy effectiveness depends on adequate bowel preparation, while traditional education can lead to incomplete compliance. This retrospective study assessed whether an intestinal network monitoring system improves bowel preparation quality and influences psychological and physiological stress, compliance, and adverse event rates. Between July 2019 and July 2020, 800 enteroscopy patients were divided into network monitoring and verbal plus written preaching groups, with outcomes compared before and after intervention.

LanguageEnglish

CategoryHealthcare

FormatPDF

Pages9

Reading Time23 min

AccessFree to download

Abstract

Background

Aim

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Key Words

| W | J | G | O | World Journal of
Gastrointestinal Oncology | | --- | --- | --- | --- | --- | Submit a Manuscript: [https://www.f6publishing.com](https://www.f6publishing.com) World J Gastrointest Oncol 2025 December 15; 17(12): 111101 DOI: 10.4251/wjgo.v17.i12.111101 ISSN 1948-5204 (online) ORIGINAL ARTICLE Retrospective Study Exploring the improvement effect of intestinal network monitoring system on intestinal preparation quality of colonoscopy Mei-Juan Xi, Yan-Ping Gong, Jian Tao, Fang Li, Min-Yi Xu, Xing Gu, Han Bao, Sheng Jiang, Bing Xu Specialty type: Oncology Provenance and peer review: Unsolicited article; Externally peer reviewed. Peer-review model: Single blind Peer-review report’s classification Scientific Quality: Grade B, Grade C Novelty: Grade B, Grade C Creativity or Innovation: Grade B, Grade B Scientific Significance: Grade C, Grade C P-Reviewer: Barnes G, PhD, United States; Yamane T, PhD, Japan Received: June 27, 2025 Revised: August 1, 2025 Accepted: November 12, 2025 Published online: December 15, 2025 Processing time: 167 Days and 0.5 Hours Mei-Juan Xi, Jian Tao, Fang Li, Min-Yi Xu, Xing Gu, Han Bao, Sheng Jiang, Department of Gastroenterology, Changshu Hospital Affiliated to Nanjing University of Chinese Medicine, Changshu 215500, Jiangsu Province, China Yan-Ping Gong, Department of Anesthesiology, Hainan Hospital, General Hospital of the People’s Liberation Army, Sanya 572000, Hainan Province, China Bing Xu, Department of Gastroenterology, Danyang Traditional Chinese Medicine Hospital, Danyang 212300, Jiangsu Province, China Co-first authors: Mei-Juan Xi and Yan-Ping Gong. Corresponding author: Bing Xu, DM, Department of Gastroenterology, Danyang Traditional Chinese Medicine Hospital, No. 38 Yunyang Road, Danyang 212300, Jiangsu Province, China. [iq3431@126.com](iq3431@126.com) Abstract BACKGROUND Colonoscopy quality relies heavily on adequate bowel preparation, yet traditional methods often result in suboptimal compliance. Emerging network-based monitoring systems offer promise for improving both preparation quality and patient cooperation, potentially enhancing clinical outcomes. AIM To evaluate the effectiveness of an intestinal network monitoring system in enhancing the quality of bowel preparation for colonoscopy and its impact on patient psychological and physiological responses, compliance, and adverse event rates. METHODS Between July 2019 and July 2020, 800 enteroscopy patients who met the inclusion criteria in the outpatient clinic of the gastroenterology department of our hospital were randomly divided into 400 cases each in the experimental group (network monitoring group) and the control group (verbal + written preaching group), and the psychological and physiological stress response situation, colon Boston Bowel Preparation Scale, enteroscopy to blindness, arrival time to blindness, and polyp detection rate of the patients were compared before and after the intervention, compliance and adverse reactions were compared. WJGO [https://www.wjgnet.com](https://www.wjgnet.com) 1 December 15, 2025 Volume 17 Issue 12 Xi MJ et al. Network monitoring boosts bowel prep RESULTS There was no difference in anxiety and depression scores, heart rate and systolic blood pressure between the groups before the intervention (P > 0.05), and after the intervention, the patients’ anxiety and depression scores were lower and lower in the study group (P < 0.05); heart rate and systolic blood pressure were elevated, but lower in the test group (P < 0.05) . The left hemicolon, right hemicolon, transverse colon and total Boston Bowel Preparation Scale scores were lower in the test group than in the control group (P < 0.05), the colonoscopy arrival rate and polyp detection rate were higher than those in the control group, and the time to arrival and time to exit the scope were shorter than those in the control group (P < 0.05), and the d

FAQs

What was the study’s main objective?

To evaluate how an intestinal network monitoring system improves bowel preparation quality for colonoscopy and how it affects patients’ psychological/physiological responses, compliance, and adverse event rates.

How were patients grouped in the study?

Between July 2019 and July 2020, 800 eligible enteroscopy patients were randomly divided into a network monitoring group (400) and a control group receiving verbal plus written preaching (400).

What improvements were observed after using the network monitoring system?

After intervention, anxiety and depression scores were lower, heart rate and systolic blood pressure were lower than controls, Boston Bowel Preparation Scale scores improved, polyp detection and colonoscopy arrival rates increased, and adverse reaction incidence decreased to 11.00% in the experimental group.

Sep 28, 2026

Uploaded by Dipper