The modern bowel preparation in colonoscopy.
Adequate bowel preparation is essential for optimal colonoscopy. Suboptimal bowel preparation occurs in 25% to 40% of cases and is associated with canceled procedures, prolonged procedure time, incomplete examination, increased cost, and missed pathology. There are several effective formulations for colon cleansing with a good safety profile. Split dosing should be implemented whenever possible in an effort to enhance tolerance and adherence, and improve mucosal visibility and overall quality of the examination. In this review, modern bowel preparations are discussed including their mechanism of action, mode of use, safety, and how to optimize outcomes.
Division of Gastroenterology, Department of Internal Medicine, American University of Beirut Medical Center, Beirut, Lebanon. as08@aub.edu.lb
Ala I
AI
Sharara
Rachel R
RR
Abou Mrad
D002400:Cathartics / Q000008:administration & dosage*; D003106:Colon; D003113:Colonoscopy / Q000379:methods*; D006801:Humans
D002400:Cathartics
Cleaning; Colonoscopy; Preparation; Quality