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
...mendations
...ssment of preparation quality shoul...
...f the colonoscopy is complete to c...
...e preparation is deemed adequate an...
Dosing and Timing of Colon Cleansing Regimens
...and Timing of Colon Cleansing Reg...
...t-dose bowel cleansing regimen is st...
...same-day regimen is an acceptable alternat...
...he second dose of split preparation ideally...
Diet During Bowel Cleansing
...iet During Bowel Clean...
...split-dose bowel cleansing regimen, diet r...
Usefulness of Patient Education and Navigators for Optimizing Preparation Results
...ulness of Patient Education and Navigators for Op...
...rofessionals should provide both oral and written...
...e physician performing the colonosc...
Rating the Quality of Bowel Preparation During Colonoscopy
...ating the Quality of Bowel Preparation During Col...
...f bowel preparation should be assess...
...ement of the rate of adequate colon c...
...equate preparation, defined as cleansi...
FDA-Approved Preparations
...A-Approved Preparatio...
Selection of a bowel-cleansing regimen s...
...egimen of 4-L PEG-ELS provides high-quality bowe...
...lthy nonconstipated individuals, a 4-L PEG-...
OTC Non-FDA-Approved Preparations
...-FDA-Approved Preparations...
...bowel cleansing agents have variab...
...lthough the OTC purgatives generally are...