A Low-Residue Breakfast Improves Patient Tolerance Without Impacting Quality of Low-Volume Colon Cleansing Prior to Colonoscopy: A Randomized Trial

Abstract

A low-residue breakfast on the day before elective colonoscopy does not compromise the overall quality of bowel preparation as compared with a standard clear-fluid diet and is likely to be preferred by patients.

The impact of diet liberalization on bowel preparation for colonoscopy

“…As greater acceptance of more effective regimens grows, liberalization of pre-procedure diets may be possible without sacrificing preparation adequacy. As compared to clear liquids alone, similar bowel cleansing scores have been demonstrated with a low-residue diet in conjunction with hyperosmotic bowel purgatives 6 7 8.…”

“…Preparation adequacy was not an endpoint, and those assigned to the low-residue arm were required to strictly adhere to one of 3 specific menu offerings. A third study compared a low-residue diet to clears alone and used sodium picosulfate plus magnesium 6. All patients received bisacodyl for 2 days prior to beginning the purgative.…”

A randomized controlled trial comparing a prepackaged low‐residue diet with a restricted diet for colonoscopy preparation: the impact on the results of colonoscopy in adenoma detection

“…The adenoma detection rate and patient tolerance were similar in the two groups. Previous randomized controlled trials have compared a low‐residue with a clear liquid diet . According to Melicharkova et al .…”

The White Diet is preferred, better tolerated, and non‐inferior to a clear‐fluid diet for bowel preparation: A randomized controlled trial

“…14 They were all compared with clear-fluid diets. Purgatives varied from low-volume sodium phosphate 9 or sodium sulfate based, 14 medium-volume picosulfate, 13 or large volume PEG-based. [10][11][12] All showed that dietary liberalization did not compromise bowel preparation, and all but one showed improved tolerance and satisfaction.…”