Achieving the best bowel preparation for colonoscopy

World Journal of Gastroenterology : WJG
Adolfo Parra-BlancoTakahiro Fujii

Abstract

Bowel preparation is a core issue in colonoscopy, as it is closely related to the quality of the procedure. Patients often find that bowel preparation is the most unpleasant part of the examination. It is widely accepted that the quality of cleansing must be excellent to facilitate detecting neoplastic lesions. In spite of its importance and potential implications, until recently, bowel preparation has not been the subject of much study. The most commonly used agents are high-volume polyethylene glycol (PEG) electrolyte solution and sodium phosphate. There has been some confusion, even in published meta-analyses, regarding which of the two agents provides better cleansing. It is clear now that both PEG and sodium phosphate are effective when administered with proper timing. Consequently, the timing of administration is recognized as one of the central factors to the quality of cleansing. The bowel preparation agent should be administered, at least in part, a few hours in advance of the colonoscopy. Several low volume agents are available, and either new or modified schedules with PEG that usually improve tolerance. Certain adjuvants can also be used to reduce the volume of PEG, or to improve the efficacy of other agents. Other ...Continue Reading

References

Jan 1, 1992·Gastrointestinal Endoscopy·D W MonahanF Goldner
Mar 1, 1989·World Journal of Surgery·F P RossiniM Pinna Pintor
Jun 1, 1984·Gastrointestinal Endoscopy·G CoremansG Vantrappen
Jun 1, 1984·Journal of Pediatric Gastroenterology and Nutrition·V ToliaR S Dubois
Nov 1, 1981·Gastrointestinal Endoscopy·K A Forde
May 1, 1995·Surgical Endoscopy·T UreG L Daniel
Jul 1, 1994·Diseases of the Colon and Rectum·S M CohenW B Ruderman
Aug 1, 1994·The Journal of Surgical Research·R H TurnageM Gross
Mar 1, 1994·Diseases of the Colon and Rectum·W J AdamsD W King
Dec 1, 1993·Gastroenterology Nursing : the Official Journal of the Society of Gastroenterology Nurses and Associates·J O Barrish, M A Gilger
May 1, 1996·Gastrointestinal Endoscopy·F R ZwasR N Eisen
Jul 1, 1996·Gastroenterology Nursing : the Official Journal of the Society of Gastroenterology Nurses and Associates·A L TrautweinS N Peck
Dec 1, 1996·Journal of Pediatric Gastroenterology and Nutrition·D A GremseS Raines
Jan 1, 1997·Journal of Pediatric Gastroenterology and Nutrition·M M da SilvaR W Shepherd
Jan 1, 1997·Diseases of the Colon and Rectum·D Frommer
Feb 19, 1998·The American Journal of Gastroenterology·K GeboesP Rutgeerts
May 18, 1999·Archives of Disease in Childhood·A Pinfield, M D Stringer
Jan 13, 2000·The New England Journal of Medicine·D M JensenT O Kovacs
May 19, 2001·Surgical Endoscopy·J A Lagares-GarciaR A Moore
Jun 23, 2001·The American Journal of Gastroenterology·R M NessN Chalasani
Feb 28, 2002·The American Journal of Gastroenterology·H E MulcahyP B Cotton
Jul 4, 2002·The American Journal of Gastroenterology·Douglas K RexUNKNOWN U.S. Multi-Society Task Force on Colorectal Cancer
Nov 26, 2002·Gastrointestinal Endoscopy·Lawrence C HookeyStephen Vanner
Feb 15, 2003·BMJ : British Medical Journal·J Carlos AyusAllen I Arieff
Feb 20, 2003·The American Journal of Gastroenterology·Lisa L Strate, Sapna Syngal
Apr 16, 2003·Archives of Internal Medicine·Yichayaou BelooseskyAvry Chagnac
Jul 3, 2003·Gastrointestinal Endoscopy·Gavin C HarewoodPat de Garmo
Jul 16, 2003·Archives of Pediatrics & Adolescent Medicine·Dinesh S PashankarWarren P Bishop
Oct 24, 2003·The American Journal of Gastroenterology·Jack A DiPalmaMark vB Cleveland
Mar 27, 2004·Gastrointestinal Endoscopy·Alaa Rostom, Emilie Jolicoeur
Jun 10, 2004·Human Pathology·Glen S MarkowitzVivette D D'Agati
Jun 15, 2004·Gastroenterology Nursing : the Official Journal of the Society of Gastroenterology Nurses and Associates·Timothy Reilly, Grace Walker
Jul 20, 2004·Drugs·Monique P Curran, Greg L Plosker
Dec 2, 2004·The American Journal of Gastroenterology·Srilekha Cherian, Pradip Singh
Jan 13, 2005·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·David S Fefferman, Richard J Farrell
Jan 14, 2005·Digestive and Liver Disease : Official Journal of the Italian Society of Gastroenterology and the Italian Association for the Study of the Liver·V CriscuoliM Cottone
Apr 7, 2005·Diseases of the Colon and Rectum·F A Frizelle, B M Colls
Sep 30, 2005·Journal of the American Society of Nephrology : JASN·Glen S MarkowitzVivette D D'Agati
Dec 27, 2005·Gastrointestinal Endoscopy·Annette Fritscher-RavensPaul Swain

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Citations

Oct 12, 2015·International Journal of Colorectal Disease·Andrew J MossArshad Malik
Dec 20, 2017·Middle East Journal of Digestive Diseases·Rose KhorasanynejadSima Besharat
Jul 22, 2017·Anesthesia and Analgesia·Sekar S Bhavani, Basem B Abdelmalak
Jul 15, 2015·Techniques in Coloproctology·R MantaG Bassotti
Nov 1, 2018·Journal of Investigative Surgery : the Official Journal of the Academy of Surgical Research·Giray Akgulİsmail Okan
Jan 27, 2016·Current Treatment Options in Gastroenterology·Carla G Abou FadelAla I Sharara
Oct 27, 2015·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·Tomoaki MatsumuraOsamu Yokosuka
Sep 22, 2017·World Journal of Gastroenterology : WJG·Sophie RestelliniAlan N Barkun
Aug 10, 2019·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Ibrahim Egemen ErtasSefa Kurt
Jun 6, 2017·Journal of Medical Imaging and Radiation Oncology·Andrew D CsillagLloyd J Ridley
Oct 22, 2019·JGH Open : an Open Access Journal of Gastroenterology and Hepatology·Dileep MangiraGregor Brown
Jan 12, 2019·World Journal of Gastrointestinal Endoscopy·Rodrigo Silva de Paula RochaEduardo Guimarães Hourneaux de Moura
Sep 12, 2015·Journal of Pediatric Gastroenterology and Nutrition·Vedrana VejzovicAnn-Cathrine Bramhagen
Mar 15, 2016·World Journal of Gastroenterology : WJG·Jae Seung Soh, Kyung-Jo Kim
Mar 18, 2020·Frontiers in Medicine·Xiaorong DengTingtao Chen
Jun 23, 2020·The Korean Journal of Internal Medicine·Young-Jae HwangDong Ho Lee
Mar 14, 2021·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·Yutaka SaitoHaruhiro Inoue

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