Efficacy of rapid bowel preparation with new 1 L polyethylene glycol ascorbate solution in severe acute lower GI bleeding

Post written by Mauro Manno, MD, from the Gastroenterology and Digestive Endoscopy Unit, Azienda USL, Modena, Italy. A 70–year-old man with history of chronic atrial fibrillation ongoing anticoagulant therapy was hospitalized for hemorrhagic shock and severe anemia, secondary to massive LGIB. Resuscitation with fluids and blood transfusions was performed. The novel 1-liter PEG+ASC solution (Plenvu, …

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A novel artificial intelligence system for the assessment of bowel preparation

Post written by Honggang Yu, MD, from the Department of Gastroenterology, Renmin Hospital of Wuhan University, the Key Laboratory of Hubei Province for Digestive System Disease, Renmin Hospital of Wuhan University, and the Hubei Provincial Clinical Research Center for Digestive Disease Minimally Invasive Incision, Renmin Hospital of Wuhan University, Wuhan, China. The current study retrospectively …

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Impact of gum chewing on the quality of bowel preparation

Post written by Yu Bai, MD, PhD, from the Department of Gastroenterology, Changhai Hospital, Second Military Medical University, Shanghai, China. Polyethylene glycol (PEG) is widely used for bowel preparation; however, it is reported that up to 20 to 25% of patients have inadequate bowel preparation, so the methods to improve the quality of bowel preparation …

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Low-residue diet before colonoscopy

Douglas L. Nguyen, MD¹ and Matthew L. Bechtold, MD, FASGE² discuss their systematic review and meta-analysis titled "Low-residue versus clear liquid diet before colonoscopy: a meta-analysis of randomized, controlled trials." The focus of the study was to evaluate the effects of a low-residue diet compared to a clear liquid diet on the day prior to …

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Gastric volume after split-dose bowel prep

Deepak Agrawal, MD, MPH, from the University of Texas Southwestern Medical Center in Dallas, Texas, USA discusses this Original Article "Gastric residual volume after split-dose compared with evening-before polyethylene glycol bowel preparation." In this study we measured the volume of liquid remaining in the stomach 2-3 hours after ingesting the bowel preparation (GoLytely) and compared it …

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BBPS scores and bowel preparation adequacy

Audrey Calderwood, MD, MS, FASGE from the Boston Medical Center in Boston, Massachusetts, USA discusses her Original Article "Boston Bowel Preparation Scale scores provide a standardized definition of adequate for describing bowel cleanliness" from the August issue. The assessment of bowel cleanliness during colonoscopy (while not a glamorous topic!) is critical to the practice of …

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