A consensus document on bowel preparation before colonoscopy: prepared by a task force from the American Society of Colon and Rectal Surgeons (ASCRS), the American Society for Gastrointestinal Endoscopy (ASGE), and the Society of American Gastrointestinal and Endoscopic Surgeons (SAGES)

Wexner, Steven D.; Beck, David E.; Baron, Todd H.; Fanelli, Robert D.; Hyman, Neil; Shen, Bo; Wasco, Kevin E.

doi:10.1007/s00464-006-0152-y

Cited by 72 publications

(52 citation statements)

References 115 publications

(76 reference statements)

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“…There are many choices for preparation of the bowel before elective surgery, which include various preparations of PEG, bisacodyl tablets, aqueous and tablet sodium diphosphate (NaP), and saline laxatives. 13 However, the most popular among surgeons in the United States are PEG and NaP. 14 Traditional PEG is given to patients as a 4-L solution.…”

Section: Complications Of Mechanical Bowel Preparationmentioning

confidence: 99%

Mechanical Bowel Preparation in Intestinal Surgery: A Meta-Analysis and Review of the Literature

Pineda

Shelton

Hernandez‐Boussard

et al. 2008

Journal of Gastrointestinal Surgery

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Section: Complications Of Mechanical Bowel Preparationmentioning

confidence: 99%

Mechanical Bowel Preparation in Intestinal Surgery: A Meta-Analysis and Review of the Literature

Pineda

Shelton

Hernandez‐Boussard

et al. 2008

Journal of Gastrointestinal Surgery

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“…Methods of bowel preparation have evolved from the traditional approach of dietary restriction and enemas, which although effective, are time-consuming and uncomfortable (5). An early preparative agent was mannitol, but it results in the production of methane, hydrogen, and other flammable gases and has been associated with fatal colonic explosions during polypectomy and electrocautery (6,7).…”

mentioning

confidence: 99%

Adverse Renal and Metabolic Effects Associated with Oral Sodium Phosphate Bowel Preparation

Heher¹,

Thier²,

Rennke³

et al. 2008

Clinical Journal of the American Society of Nephrology

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Colorectal cancer can be prevented by the removal of adenomatous polyps during screening colonoscopy, but adequate bowel preparation is required. Oral sodium phosphate (OSP), an effective bowel purgative, is available over the counter and requires a substantially lower volume than polyethylene glycol-based preparative agents. Accumulating reports implicate OSP in electrolyte disturbances as well as acute kidney injury (AKI) in a syndrome termed phosphate nephropathy (a form of nephrocalcinosis). Despite published case reports and case series, the actual incidence, risk factors, and natural history of phosphate nephropathy remain largely undefined. Several recent observational studies have provided new information on these important issues while supporting a link between OSP and acute phosphate nephropathy as well as the development of chronic kidney disease in elderly patients, many of whom had a normal serum creatinine at the time of OSP ingestion. This review summarizes current knowledge about the renal complications of OSP, risk factors for its development, and the pathophysiology of acute and chronic kidney damage in nephrocalcinosis.

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“…Bowel preparation includes the use of different laxative regimens and dietary restrictions and various medications to ensure that the bowel is clear. Laxatives regimens can be broadly separated into osmotic laxatives such as sodium phosphate (NaP) and polyethylene glycol (PEG), and stimulant laxatives such as senna [6,7]. Typically, the most frequently used oral bowel preparation regimens are NaP and PEG.…”

Section: Introductionmentioning

confidence: 99%

A Modified Bowel Preparation Regimen for Colonoscopy Providing the Patients’ Satisfaction and Convenience

2017

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BackgroundA complete cleansing of the bowel is a critical factor that impacts the diagnostic accuracy of colonoscopies. However, the common bowel preparation regimen of two 45 mL doses of sodium phosphate (2×NaP) often leads to uncomfortable symptoms and subsequently lower patient adherence. To improve patient adherence and satisfaction, we proposed a modified regimen composed of two sennoside tablets and one bottle of NaP (S+NaP) and we then evaluated bowel preparation quality and patient satisfaction.Material/MethodsA total of 531 patients who underwent colonoscopies at the outpatient coloproctology clinic from January 2016 to December 2016 were retrospectively reviewed. Eligible patients were divided into two groups: S+NaP group (n=93) and 2×NaP group (n=60). We compared bowel preparation quality, adenoma detection rate (ADR), self-reported patient satisfaction scores, and adverse events among the two groups.ResultsRegarding high bowel preparation quality, our results showed that there was no significant difference among the two groups (p=0.775), as well as no significant differences in ADRs (p=0.187). However, a lower proportion of nausea was found in the S+NaP group compared to the 2×NaP group (24.7% versus 41.7%, respectively, p=0.028). In addition, patients in the S+NaP group were more likely to be very satisfied with the regimen compared with patients in the 2×NaP group (odds ratio: 5.58; 95% confidence interval: 2.36–13.213, p<0.001).ConclusionsOur modified bowel preparation regimen, S+NaP, yielded significantly higher patient satisfaction with less nausea while maintaining similar bowel preparation quality.

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A consensus document on bowel preparation before colonoscopy: prepared by a task force from the American Society of Colon and Rectal Surgeons (ASCRS), the American Society for Gastrointestinal Endoscopy (ASGE), and the Society of American Gastrointestinal and Endoscopic Surgeons (SAGES)

Cited by 72 publications

References 115 publications

Mechanical Bowel Preparation in Intestinal Surgery: A Meta-Analysis and Review of the Literature

Mechanical Bowel Preparation in Intestinal Surgery: A Meta-Analysis and Review of the Literature

Adverse Renal and Metabolic Effects Associated with Oral Sodium Phosphate Bowel Preparation

A Modified Bowel Preparation Regimen for Colonoscopy Providing the Patients’ Satisfaction and Convenience

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