Optimizing bowel preparation for colonoscopy: a guide to enhance quality of visualization

doi:10.20524/aog.2016.0005

Review

. 2016 Apr-Jun;29(2):137-46.

doi: 10.20524/aog.2016.0005.

Optimizing bowel preparation for colonoscopy: a guide to enhance quality of visualization

Matthew L Bechtold¹, Fazia Mir¹, Srinivas R Puli², Douglas L Nguyen³

Affiliations

¹ Departments of Medicine, University of Missouri, Columbia (Matthew L. Bechtold, Fazia Mir), USA.
² Departments of Medicine, University of Illinois, Peoria (Srinivas R. Puli), USA.
³ Departments of Medicine, University of California, Irvine (Douglas L. Nguyen), USA.

PMID: 27065725
PMCID: PMC4805732
DOI: 10.20524/aog.2016.0005

Review

Optimizing bowel preparation for colonoscopy: a guide to enhance quality of visualization

Matthew L Bechtold et al. Ann Gastroenterol. 2016 Apr-Jun.

. 2016 Apr-Jun;29(2):137-46.

doi: 10.20524/aog.2016.0005.

Authors

Matthew L Bechtold¹, Fazia Mir¹, Srinivas R Puli², Douglas L Nguyen³

Affiliations

¹ Departments of Medicine, University of Missouri, Columbia (Matthew L. Bechtold, Fazia Mir), USA.
² Departments of Medicine, University of Illinois, Peoria (Srinivas R. Puli), USA.
³ Departments of Medicine, University of California, Irvine (Douglas L. Nguyen), USA.

PMID: 27065725
PMCID: PMC4805732
DOI: 10.20524/aog.2016.0005

Abstract

Colonoscopy is an important screening and therapeutic modality for colorectal cancer. Unlike other screening tests, colonoscopy is dependent on pre-procedure bowel preparation. If the bowel preparation is poor, significant pathology may be missed. Many factors are known to improve bowel preparation. This review will highlight those factors that may optimize the bowel preparation, including choice of bowel preparation, grading or scoring of the bowel preparation, special factors that influence preparation, and diet prior to colonoscopy that affects bowel preparation. The aim of the review is to offer suggestions and guide endoscopists on how to optimize the bowel preparation for the patients undergoing colonoscopy.

Keywords: Colonoscopy; bowel preparation; diet; scales.

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Conflict of interest statement

Conflict of Interest: None

Comment in

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References

1. Bechtold ML, Choudhary A. Bowel preparation prior to colonoscopy:a continual search for excellence. World J Gastroenterol. 2013;19:155–157. - PMC - PubMed
1. Chokshi RV, Hovis CE, Hollander T, Early DS, Wang JS. Prevalence of missed adenomas in patients with inadequate bowel preparation on screening colonoscopy. Gastrointest Endosc. 2012;75:1197–1203. - PubMed
1. Hillyer GC, Basch CH, Lebwohl B, et al. Shortened surveillance intervals following suboptimal bowel preparation for colonoscopy:results of a national survey. Int J Colorectal Dis. 2013;28:73–81. - PMC - PubMed
1. Burke CA, Church JM. Enhancing the quality of colonoscopy:the importance of bowel purgatives. Gastrointest Endosc. 2007;66:565–573. - PubMed
1. Wexner SD, Beck DE, Baron TH, et al. A consensus document on bowel preparation before colonoscopy:prepared by a task force from the American Society of Colon and Rectal Surgeons (ASCRS), the American Society for Gastrointestinal Endoscopy (ASGE), and the Society of American Gastrointestinal and Endoscopic Surgeons (SAGES) Dis Colon Rectum. 2006;49:792–809. - PubMed

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[1] Bechtold ML, Choudhary A. Bowel preparation prior to colonoscopy:a continual search for excellence. World J Gastroenterol. 2013;19:155–157. - PMC - PubMed

[2] Bechtold ML, Choudhary A. Bowel preparation prior to colonoscopy:a continual search for excellence. World J Gastroenterol. 2013;19:155–157. - PMC - PubMed

[3] Chokshi RV, Hovis CE, Hollander T, Early DS, Wang JS. Prevalence of missed adenomas in patients with inadequate bowel preparation on screening colonoscopy. Gastrointest Endosc. 2012;75:1197–1203. - PubMed

[4] Chokshi RV, Hovis CE, Hollander T, Early DS, Wang JS. Prevalence of missed adenomas in patients with inadequate bowel preparation on screening colonoscopy. Gastrointest Endosc. 2012;75:1197–1203. - PubMed

[5] Hillyer GC, Basch CH, Lebwohl B, et al. Shortened surveillance intervals following suboptimal bowel preparation for colonoscopy:results of a national survey. Int J Colorectal Dis. 2013;28:73–81. - PMC - PubMed

[6] Hillyer GC, Basch CH, Lebwohl B, et al. Shortened surveillance intervals following suboptimal bowel preparation for colonoscopy:results of a national survey. Int J Colorectal Dis. 2013;28:73–81. - PMC - PubMed

[7] Burke CA, Church JM. Enhancing the quality of colonoscopy:the importance of bowel purgatives. Gastrointest Endosc. 2007;66:565–573. - PubMed

[8] Burke CA, Church JM. Enhancing the quality of colonoscopy:the importance of bowel purgatives. Gastrointest Endosc. 2007;66:565–573. - PubMed

[9] Wexner SD, Beck DE, Baron TH, et al. A consensus document on bowel preparation before colonoscopy:prepared by a task force from the American Society of Colon and Rectal Surgeons (ASCRS), the American Society for Gastrointestinal Endoscopy (ASGE), and the Society of American Gastrointestinal and Endoscopic Surgeons (SAGES) Dis Colon Rectum. 2006;49:792–809. - PubMed

[10] Wexner SD, Beck DE, Baron TH, et al. A consensus document on bowel preparation before colonoscopy:prepared by a task force from the American Society of Colon and Rectal Surgeons (ASCRS), the American Society for Gastrointestinal Endoscopy (ASGE), and the Society of American Gastrointestinal and Endoscopic Surgeons (SAGES) Dis Colon Rectum. 2006;49:792–809. - PubMed

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Optimizing bowel preparation for colonoscopy: a guide to enhance quality of visualization

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Optimizing bowel preparation for colonoscopy: a guide to enhance quality of visualization

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