Bowel Cleansing
Key Points
Key Points
The success of colonoscopy is linked closely to the adequacy of preprocedure bowel cleansing.
Up to 20%–25% of all colonoscopies are reported to have an inadequate bowel preparation. The Multi-Society Task Force sets a new benchmark that at least 85% of all colonoscopies are rated as adequate on a per-physician basis.
Adverse consequences of ineffective bowel preparation include lower adenoma detection rates, longer procedural time, lower cecal intubation rates, increased electrocautery risk, and shorter intervals between examinations.
Consequently, the choice of a bowel cleansing regimen should be based on cleansing efficacy first and patient tolerability second.
Recommendations
...commendati...
...minary assessment of preparation qu...
...onoscopy is complete to cecum, and the preparation...
...ration is deemed adequate and the colonos...
Dosing and Timing of Colon Cleansing Regimens
...ng of Colon Cleansing Regimens...
...it-dose bowel cleansing regimen is stro...
...same-day regimen is an acceptable...
...of split preparation ideally shoul...
Diet During Bowel Cleansing
Diet During Bowel Clea...
...sing a split-dose bowel cleansing regimen, die...
Usefulness of Patient Education and Navigators for Optimizing Preparation Results
...ess of Patient Education and Navigators for O...
...e professionals should provide both oral an...
...e physician performing the colonosc...
Rating the Quality of Bowel Preparation During Colonoscopy
...the Quality of Bowel Preparation During Colono...
...bowel preparation should be assessed after all app...
...surement of the rate of adequate colon cleans...
...uate preparation, defined as cleansing that all...
FDA-Approved Preparations
FDA-Approved Prepa...
...on of a bowel-cleansing regimen shoul...
...split-dose regimen of 4-L PEG-ELS provides high...
...ealthy nonconstipated individuals, a 4-L...
OTC Non-FDA-Approved Preparations
...DA-Approved Preparations...
...he OTC bowel cleansing agents have variabl...
...though the OTC purgatives generally are safe, ca...