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Ann Gastroenterol. 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.

Annals of gastroenterology

Matthew L Bechtold, Fazia Mir, Srinivas R Puli, Douglas L Nguyen

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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