Making the most of currently available bowel preparations for colonoscopy

Abstract

Adequate bowel preparation is essential before colonoscopy. Choosing an agent can be confusing, since many are available. The authors review the available regimens, offer an algorithm for choosing an appropriate regimen, and provide bowel preparation instructions for patients.

A Dual-Action, Low-Volume Bowel Cleanser Administered the Day Before Colonoscopy: Results From the SEE CLEAR II Study

“…Although this endoscopists because inadequate preparation of the bowel is known to infl uence the eff ectiveness of a colonoscopy. Poor palatability and the inability to consume a large volume of purgative may deter patients from completing the bowel preparation as instructed ( 25 ). An inadequately prepared bowel may increase procedure time, complications, and patient expense ( 10,26 ) and decrease the detection rate for lesions and adenomas ( 12 ).…”

Colonoscopy Preparation: Efficacy and Efficiency of Hospitalmade Polyethylene Glycol (PEG) Compared with Commercial PEG

“…The quality of colonoscopy is determined by the ability of the clinician to examine the entire mucosa in the colon and to complete the examination within an optimum time. Adequate bowel preparation is essential before a colonoscopy because hindrance of the visualization of the colon by fecal material increases the probability of missing a lesion and lengthens the procedure time, which causes patient discomfort [18] . An effective method of bowel cleansing that will ensure patient compliance should improve the effectiveness of the examination and minimize the risk of procedural complications [19] .…”

“…The ideal method of colon cleansing should be fast and safe, and provide proper cleaning with minimal discomfort for the patient [16] . Inadequate bowel preparation for colonoscopy can lead to missed lesions, cancellation of the procedure, increased procedural time, and possibly increased complication rate [18] . We compared the demographic data, including age, gender, employment status, and educational level, between groups classified according to our national system of demography classification.…”

Preparation for colonoscopy: types of scales and cleaning products

“…The ideal method of colon cleansing should be fast, safe, and get a proper cleaning with minimal discomfort for the patient (5,6). It should be easy to perform to allow carrying out both inpatient and outpatient (7).…”