The frequency of the bowel opening (BO) after completing bowel preparation regime till patient report to endoscopy unit selleck chemical for colonoscopy recorded. The quality of bowel preparation is assessed using the Boston Bowel Preparation Scale (BBPS). The bowel preparation assesses base on scoring, BBPS 9 (excellent), BBPS 8-7 (good), BBPS 6-4 (fair) and BBPS 0-3 (poor) Results: Total of 442 patients were recruited for this study. However only 424 patients were included for the study because 20 patients did not complete the bowel preparation. There were 303 (71.5%) male patients and 121 (28.5%) female patients. The mean age of the study population is 45.9 + 14.9. Based of BBPS scoring the, 223 (52.6%) patients

had excellent bowel preparation, 132 (31.1%)) patients had good bowel preparation, 25 (5.9%) patients had bowel preparation and 44 (10.5%) had poor bowel preparation. Following this the quality of bowel preparation further grouped into satisfactory group

380 (89.6%) (which included excellent, good and fair bowel preparation) and unsatisfactory group (10.4%) (poor bowel preparation). Those patient that had BO > 8 times had unsatisfactory bowel preparation (p-value 0.29 (95%CI 0.175–0.934)). Selleckchem MLN8237 Conclusion: The frequency of BO < 8 times can be taken as one of the predictors of quality of bowel preparation. This helps the endoscopist to predict the possibility of unsatisfactory bowel preparation before colonoscopy. Key Word(s): 1. Bowel preparation; 2. Colonoscopy; Presenting Author: BIN-BIN SHIH Additional Authors: HUA-CHING LIN, CHENG-HSIANG HSIAO, AI SHENG HO Corresponding Author: BIN-BIN SHIH, AI SHENG HO Affiliations: Cheng HSIN General Hospital; Division of Colorectal Surgery; Department of Anatamical Pathology; Division of Gastroenterology Objective: Cronkhite-Canada syndrome (CCS) is a rare non-hereditary disorder Rutecarpine with generalized gastrointestinal

polyposis, associated with ectodermal aberration. The patient is presented with alopecia, nail changes, taste disturbance, radiologic and endoscopic features of gastrointestinal (GI) polyposis with a carcinoma of the sigmoid colon. This report thus adds to the growing evidence that CCS could be a pre-malignant condition for colorectal carcinoma. Methods: A 76-year-old Chinese woman was presented with an altered sense of taste and cramping abdominal pain without weight loss or diarrhea for 2 months. She was noticed with a significant amount of hair loss as well as hyperpigementation of palms and nails change before the abdominal symptoms. She has had history of diabetes for 35 years. Physically, the patient did not appear cachectic, the abdomen was soft, and nontender. There were significant diffuse alopecia, dystrophic changes of finger nails and hyperpigmentation of palms. Anti-nuclear antibody was 1:80, hemoglobin level was 10.8 g/dl, the albumin level was 2.6 g/dl, the diurnal cortisol level, thyroid function and adrenocorticotrophic hormone stimulation test were within normal limit.