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
...Recommend...
...ssment of preparation quality should...
...f the colonoscopy is complete to cecum, and th...
...eparation is deemed adequate and the colonoscopy...
Dosing and Timing of Colon Cleansing Regimens
...Dosing and Tim...
...dose bowel cleansing regimen is strongly recomm...
...regimen is an acceptable alternative to split dosi...
...of split preparation ideally should begin 4...
Diet During Bowel Cleansing
...Diet During Bowel Cleansi...
...g a split-dose bowel cleansing regimen,...
Usefulness of Patient Education and Navigators for Optimizing Preparation Results
...Usefulness of Patien...
...ealth care professionals should provide both or...
...e physician performing the colonoscopy shoul...
Rating the Quality of Bowel Preparation During Colonoscopy
...Rating the Qua...
...el preparation should be assessed after...
...ement of the rate of adequate colon clean...
...preparation, defined as cleansing that al...
FDA-Approved Preparations
...of a bowel-cleansing regimen should t...
...regimen of 4-L PEG-ELS provides high-quality...
...n healthy nonconstipated individuals, a...
OTC Non-FDA-Approved Preparations
...OTC Non-F...
...bowel cleansing agents have variabl...
...C purgatives generally are safe, caution is...