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
...ommendations...
...ssessment of preparation quality shou...
...oscopy is complete to cecum, and the...
...he preparation is deemed adequate a...
Dosing and Timing of Colon Cleansing Regimens
...g and Timing of Colon Cleansing Regimens...
...of a split-dose bowel cleansing reg...
...regimen is an acceptable alternative t...
The second dose of split preparation ide...
Diet During Bowel Cleansing
...During Bowel Cleansing
...ng a split-dose bowel cleansing reg...
Usefulness of Patient Education and Navigators for Optimizing Preparation Results
...efulness of Patient Education and Navigators for O...
...professionals should provide both oral and written...
The physician performing the colonos...
Rating the Quality of Bowel Preparation During Colonoscopy
...e Quality of Bowel Preparation During Co...
...bowel preparation should be assessed after...
...f the rate of adequate colon cleansin...
...aration, defined as cleansing that allows a...
FDA-Approved Preparations
...roved Preparation...
Selection of a bowel-cleansing reg...
...it-dose regimen of 4-L PEG-ELS pro...
...healthy nonconstipated individuals, a 4-L...
OTC Non-FDA-Approved Preparations
...Non-FDA-Approved Preparations...
...bowel cleansing agents have variab...
...hough the OTC purgatives generally are...