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Optimal and Safe Bowel Preparation for Colonoscopy
Effective colonoscopy requires an adequate level of cleansing as a basic component. This review will describe a compact review about general considerations in bowel preparation for colonoscopy and specific considerations for various patients. A low-fiber diet instead of a regular diet on the day bef...
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
The Korean Society of Gastrointestinal Endoscopy
2013
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3678056/ https://www.ncbi.nlm.nih.gov/pubmed/23767029 http://dx.doi.org/10.5946/ce.2013.46.3.219 |
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author | Moon, Won |
author_facet | Moon, Won |
author_sort | Moon, Won |
collection | PubMed |
description | Effective colonoscopy requires an adequate level of cleansing as a basic component. This review will describe a compact review about general considerations in bowel preparation for colonoscopy and specific considerations for various patients. A low-fiber diet instead of a regular diet on the day before colonoscopy is an independent predictor of adequate bowel preparation. Improved bowel cleansing does not result from the routine use of enemas or prokinetics in addition to oral bowel preparation. For morning colonoscopy, a split method of 4 L polyethylene glycol on the day before and the day of colonoscopy is recommended, while patients scheduled for afternoon colonoscopy typically receive a full method of 4 L polyethylene glycol on the day of the procedure. Valid alternatives are 2 L polyethylene glycol plus ascorbic acid or 2 L sodium picosulphate plus magnesium citrate. Although there are no statistically significant differences between polyethylene glycol and oral sodium phosphate for colon cleansing, polyethylene glycol-based bowel preparation is advisable in most situations because of safety concerns. |
format | Online Article Text |
id | pubmed-3678056 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2013 |
publisher | The Korean Society of Gastrointestinal Endoscopy |
record_format | MEDLINE/PubMed |
spelling | pubmed-36780562013-06-13 Optimal and Safe Bowel Preparation for Colonoscopy Moon, Won Clin Endosc Review Effective colonoscopy requires an adequate level of cleansing as a basic component. This review will describe a compact review about general considerations in bowel preparation for colonoscopy and specific considerations for various patients. A low-fiber diet instead of a regular diet on the day before colonoscopy is an independent predictor of adequate bowel preparation. Improved bowel cleansing does not result from the routine use of enemas or prokinetics in addition to oral bowel preparation. For morning colonoscopy, a split method of 4 L polyethylene glycol on the day before and the day of colonoscopy is recommended, while patients scheduled for afternoon colonoscopy typically receive a full method of 4 L polyethylene glycol on the day of the procedure. Valid alternatives are 2 L polyethylene glycol plus ascorbic acid or 2 L sodium picosulphate plus magnesium citrate. Although there are no statistically significant differences between polyethylene glycol and oral sodium phosphate for colon cleansing, polyethylene glycol-based bowel preparation is advisable in most situations because of safety concerns. The Korean Society of Gastrointestinal Endoscopy 2013-05 2013-05-31 /pmc/articles/PMC3678056/ /pubmed/23767029 http://dx.doi.org/10.5946/ce.2013.46.3.219 Text en Copyright © 2013 Korean Society of Gastrointestinal Endoscopy http://creativecommons.org/licenses/by-nc/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Review Moon, Won Optimal and Safe Bowel Preparation for Colonoscopy |
title | Optimal and Safe Bowel Preparation for Colonoscopy |
title_full | Optimal and Safe Bowel Preparation for Colonoscopy |
title_fullStr | Optimal and Safe Bowel Preparation for Colonoscopy |
title_full_unstemmed | Optimal and Safe Bowel Preparation for Colonoscopy |
title_short | Optimal and Safe Bowel Preparation for Colonoscopy |
title_sort | optimal and safe bowel preparation for colonoscopy |
topic | Review |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3678056/ https://www.ncbi.nlm.nih.gov/pubmed/23767029 http://dx.doi.org/10.5946/ce.2013.46.3.219 |
work_keys_str_mv | AT moonwon optimalandsafebowelpreparationforcolonoscopy |