John R. Saltzman, MD, FASGE, Director of Endoscopy at Brigham and Women’s Hospital, Associate Professor of Medicine at Harvard Medical School, and Associate Editor of GIE describes this latest document from the ASGE Standards of Practice committee titled “Bowel preparation before colonoscopy.”
The latest information about the current available preps including their efficacy, cost, safety and tolerability, the optimal timing of the prep to achieve a good bowel prep and adjunctive measures in order to achieve an adequate result.
This guideline represents a major update from the prior guideline on bowel preps. For instance, the most common prep was previously a phosphosoda prep which now is not used due to safety concerns. In addition, split bowel preps are now a standard in colonoscopy and were not a prior recommendation. This guideline contains many practical tips in order to achieve a successful bowel prep as well as provides recommendations about what to do when the prep is inadequate.
The use of colonoscopy to detect polyps and prevent colon cancer is central to gastroenterologists. Having an effective bowel prep that is tolerated by the patient is essential and in fact is now a quality indicator for physicians. This guidelines updates all of the current available information about bowel preps and is essential reading for all gastroenterologists and endoscopists who perform colonoscopy.
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