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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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Autor principal: Moon, Won
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Korean Society of Gastrointestinal Endoscopy 2013
Materias:
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
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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.
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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
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