title: Quality bowel preparation for surveillance colonoscopy in patients with inflammatory bowel disease is a must.
abstract: Colonoscopy is routinely performed in patients with inflammatory bowel disease (IBD) for surveillance of dysplasia. Thorough bowel preparation is necessary to facilitate lesion detection. Patients with IBD do not have poorer bowel preparation outcomes but may have decreased preparation tolerance affecting adherence to surveillance protocols. A low-fiber prepreparation diet may improve preparation tolerance without affecting preparation quality. The standard preparation regimen should consist of split-dose administration of a polyethylene glycol-based purgative. Low-volume, hyperosmolar purgatives may be considered in patients with previous preparation intolerance, heightened anxiety, stenotic disease, or dysmotility. Appropriate patient education is critical to enhance preparation quality.
authors: Department of Medicine, University of California, San Francisco, 513 Parnassus Avenue, Room S-357, San Francisco, CA 94143, USA.
authors: Andrew
authors: A
authors: Nett
authors: Department of Medicine, University of California, San Francisco, 513 Parnassus Avenue, Room S-357, San Francisco, CA 94143, USA.
authors: Fernando
authors: F
authors: Velayos
authors: Department of Medicine, San Francisco VA Medical Center, University of California, San Francisco, 4150 Clement Street, Room 111-B, San Francisco, CA 94121, USA. Electronic address: krmcq@comcast.net.
authors: Kenneth
authors: K
authors: McQuaid
mesh_terms: D002400:Cathartics; D003113:Colonoscopy / Q000379:methods*; D015179:Colorectal Neoplasms / Q000175:diagnosis* / Q000209:etiology; D055088:Early Detection of Cancer / Q000379:methods; D006801:Humans; D015212:Inflammatory Bowel Diseases / Q000150:complications / Q000473:pathology*; D010349:Patient Compliance; D010353:Patient Education as Topic; D011230:Precancerous Conditions / Q000175:diagnosis* / Q000209:etiology
chemical_list: D002400:Cathartics
keywords: Bowel preparation; Dysplasia surveillance; Inflammatory bowel disease