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Optimal and Safe Bowel Preparation for Colonoscopy

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초록

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.

Abstract

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.

참고문헌 (48)

  1. Harewood GC, "Impact of colonoscopy preparation quality on detection of suspected colonic neoplasia", Gastrointest Endosc, 58, pp.76~79 (2003)
  2. Froehlich F, "Impact of colonic cleansing on quality and diagnostic yield of colonoscopy: the European Panel of Appropriateness of Gastrointestinal Endoscopy European multicenter study", Gastrointest Endosc, 61, pp.378~384 (2005)
  3. Rex DK, "Impact of bowel preparation on efficiency and cost of colonoscopy", Am J Gastroenterol, 97, pp.1696~1700 (2002)
  4. Senore C, "Acceptability and side-effects of colonoscopy and sigmoidoscopy in a screening setting", J Med Screen, 18, pp.128~134 (2011)
  5. Connor A, "Consensus guidelines for the safe prescription and administration of oral bowel-cleansing agents", Gut, 61, pp.1525~1532 (2012)
  6. Wu KL, "Impact of low-residue diet on bowel preparation for colonoscopy", Dis Colon Rectum, 54, pp.107~112 (2011)
  7. Adams WJ, "Bisacodyl reduces the volume of polyethylene glycol solution required for bowel preparation", Dis Colon Rectum, 37, pp.229~233 (1994)
  8. Soweid AM, "A randomized single-blind trial of standard diet versus fiber-free diet with polyethylene glycol electrolyte solution for colonoscopy preparation", Endoscopy, 42, pp.633~638 (2010)
  9. Park DI, "Efficacy of prepackaged, low residual test meals with 4L polyethylene glycol versus a clear liquid diet with 4L polyethylene glycol bowel preparation: a randomized trial", J Gastroenterol Hepatol, 24, pp.988~991 (2009)
  10. Lever EL, "Addition of enemas to oral lavage preparation for colonoscopy is not necessary", Gastrointest Endosc, 38, pp.369~372 (1992)
  11. Børkje B, "Effectiveness and acceptability of three bowel cleansing regimens", Scand J Gastroenterol, 26, pp.162~166 (1991)
  12. Golub RW, "Colonoscopic bowel preparations: which one? A blinded, prospective, randomized trial", Dis Colon Rectum, 38, pp.594~599 (1995)
  13. Tasci I, "Bowel cleansing for diagnostic colonoscopy: which method is preferable? Istanbul experience", Tech Coloproctol, 7, pp.18~21 (2003)
  14. Wu L, "Systematic review and meta-analysis of randomized controlled trials of Simethicone for gastrointestinal endoscopic visibility", Scand J Gastroenterol, 46, pp.227~235 (2011)
  15. Kilgore TW, "Bowel preparation with split-dose polyethylene glycol before colonoscopy: a meta-analysis of randomized controlled trials", Gastrointest Endosc, 73, pp.1240~1245 (2011)
  16. Church JM, "Effectiveness of polyethylene glycol antegrade gut lavage bowel preparation for colonoscopy: timing is the key!", Dis Colon Rectum, 41, pp.1223~1225 (1998)
  17. Varughese S, "Morning-only one-gallon polyethylene glycol improves bowel cleansing for afternoon colonoscopies: a randomized endoscopist-blinded prospective study", Am J Gastroenterol, 105, pp.2368~2374 (2010)
  18. Longcroft-Wheaton G, "Same-day bowel cleansing regimen is superior to a split-dose regimen over 2 days for afternoon colonoscopy: results from a large prospective series", J Clin Gastroenterol, 46, pp.57~61 (2012)
  19. Marmo R, "Effective bowel cleansing before colonoscopy: a randomized study of split-dosage versus non-split dosage regimens of high-volume versus low-volume polyethylene glycol solutions", Gastrointest Endosc, 72, pp.313~320 (2010)
  20. Eun CS, "The timing of bowel preparation is more important than the timing of colonoscopy in determining the quality of bowel cleansing", Dig Dis Sci, 56, pp.539~544 (2011)
  21. Siddiqui AA, "Duration of the interval between the completion of bowel preparation and the start of colonoscopy predicts bowel-preparation quality", Gastrointest Endosc, 69(3 Pt 2), pp.700~706 (2009)
  22. Tan JJ, "Which is the optimal bowel preparation for colonoscopy: a meta-analysis", Colorectal Dis, 8, pp.247~258 (2006)
  23. Worthington J, "A randomised controlled trial of a new 2 litre polyethylene glycol solution versus sodium picosulphate+magnesium citrate solution for bowel cleansing prior to colonoscopy", Curr Med Res Opin, 24, pp.481~488 (2008)
  24. Lawrance IC, "Bowel cleansing for colonoscopy: prospective randomized assessment of efficacy and of induced mucosal abnormality with three preparation agents", Endoscopy, 43, pp.412~418 (2011)
  25. Jansen SV, "Preparation before colonoscopy: a randomized controlled trial comparing different regimes", Eur J Gastroenterol Hepatol, 23, pp.897~902 (2011)
  26. Pontone S, "Low-volume plus ascorbic acid vs high-volume plus simethicone bowel preparation before colonoscopy", World J Gastroenterol, 17, pp.4689~4695 (2011)
  27. Corporaal S, "Low-volume PEG plus ascorbic acid versus high-volume PEG as bowel preparation for colonoscopy", Scand J Gastroenterol, 45, pp.1380~1386 (2010)
  28. Singh H, "Risk of developing colorectal cancer following a negative colonoscopy examination: evidence for a 10-year interval between colonoscopies", JAMA, 295, pp.2366~2373 (2006)
  29. Baxter NN, "Association of colonoscopy and death from colorectal cancer", Ann Intern Med, 150, pp.1~8 (2009)
  30. Belsey J, "Systematic review: oral bowel preparation for colonoscopy", Aliment Pharmacol Ther, 25, pp.373~384 (2007)
  31. Belsey J, "Meta-analysis: the relative efficacy of oral bowel preparations for colonoscopy 1985-2010", Aliment Pharmacol Ther, 35, pp.222~237 (2012)
  32. Brunelli SM, "Association between oral sodium phosphate bowel preparations and kidney injury: a systematic review and meta-analysis", Am J Kidney Dis, 53, pp.448~456 (2009)
  33. Belsey J, "Systematic review: adverse event reports for oral sodium phosphate and polyethylene glycol", Aliment Pharmacol Ther, 29, pp.15~28 (2009)
  34. Pálmadóttir VK, "Incidence and outcome of acute phosphate nephropathy in Iceland", PLoS One, 5, pp.e13484~ (2010)
  35. Hookey LC, "Recognizing the clinical contraindications to the use of oral sodium phosphate for colon cleansing: a case study", Can J Gastroenterol, 18, pp.455~458 (2004)
  36. Wexner SD, "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)", Gastrointest Endosc, 63, pp.894~909 (2006)
  37. Markowitz GS, "Acute phosphate nephropathy", Kidney Int, 76, pp.1027~1034 (2009)
  38. Rostom A, "A randomized prospective trial comparing different regimens of oral sodium phosphate and polyethylene glycol-based lavage solution in the preparation of patients for colonoscopy", Gastrointest Endosc, 64, pp.544~552 (2006)
  39. Hassan C, "A predictive model identifies patients most likely to have inadequate bowel preparation for colonoscopy", Clin Gastroenterol Hepatol, 10, pp.501~506 (2012)
  40. Ben-Horin S, "The outcome of a second preparation for colonoscopy after preparation failure in the first procedure", Gastrointest Endosc, 69(3 Pt 2), pp.626~630 (2009)
  41. Ibáñez M, "Usefulness of an intensive bowel cleansing strategy for repeat colonoscopy after preparation failure", Dis Colon Rectum, 54, pp.1578~1584 (2011)
  42. Briggs GG, "Drugs in Pregnancy and Lactation. 9th ed" (2011), Lippincott Williams & Wilkins
  43. Rejchrt S, "A prospective, observational study of colonic mucosal abnormalities associated with orally administered sodium phosphate for colon cleansing before colonoscopy", Gastrointest Endosc, 59, pp.651~654 (2004)
  44. Colacchio TA, "Impact of modern diagnostic methods on the management of active rectal bleeding. Ten year experience", Am J Surg, 143, pp.607~610 (1982)
  45. Saito K, "Management of acute lower intestinal bleeding: what bowel preparation should be required for urgent colonoscopy?", Hepatogastroenterology, 56, pp.1331~1334 (2009)
  46. "British Consensus Guidelines on intravenous fluid therapy for adult surgical patients" (2009)[URL]
  47. Tjandra JJ, "Carbohydrate-electrolyte (E-Lyte) solution enhances bowel preparation with oral fleet phospho-soda", Dis Colon Rectum, 47, pp.1181~1186 (2004)
  48. Hookey LC, "Combined low volume polyethylene glycol solution plus stimulant laxatives versus standard volume polyethylene glycol solution: a prospective, randomized study of colon cleansing before colonoscopy", Can J Gastroenterol, 20, pp.101~105 (2006)

관련 논문AI추천

A Clear Liquid Diet Is Not Mandatory for Polyethylene Glycol-Based Bowel Preparation for Afternoon Colonoscopy in Healthy Outpatients김성은, 김용수, 박동일, 석효선, 송창석, 은창수, 이석호, 이창균, 정윤숙, 한동수거트앤리버 소화기연관학회협의회 · Gut and Liver2013 · 제7권 제6호Comparison of Oral Sulfate Solution and Polyethylene Glycol Plus Ascorbic Acid on the Efficacy of Bowel Preparation강현우, 이성주, 임윤정, 홍석보, Jae Hak Kim, Ji Hyung Nam, Jin Ho Lee대한소화기내시경학회 · Clinical Endoscopy2020 · 제53권 제5호Does Polyethylene Glycol (PEG) Plus Ascorbic Acid Induce More Mucosal Injuries than Split-Dose 4-L PEG during Bowel Preparation?김민성, 김지연, 김태오, 김형준, 박승하, 박재현, 박종하, 양성연, 장현정, 주희린, 최준혁, 허내윤거트앤리버 소화기연관학회협의회 · Gut and Liver2016 · 제10권 제2호Sodium Picosulfate with Magnesium Citrate (SPMC) Plus Laxative Is a Good Alternative to Conventional Large Volume Polyethylene Glycol in Bowel Preparation: A Multicenter Randomized Single-Blinded Trial구훈섭, 김성은, 김진옥, 김태일, 김현건, 김현수, 김효종, 명승재, 박동일, 신정은, 양동훈, 이석호, 이지성, 이창균, 장동경, 주영은, 차재명, 허규찬, 홍승필거트앤리버 소화기연관학회협의회 · Gut and Liver2015 · 제9권 제4호One-day low-residue diet is equally effective as the multiple-day low-residue diet in achieving adequate bowel cleansing: a meta-analysis of randomized controlled trialsFesty Aldina Utami, Fiki Amalia, Mas Rizky A.A. Syamsunarno, Raeni Dwi Putri, Yunisa Pamela대한소화기내시경학회 · Clinical Endoscopy2025 · 제58권 제1호Importance of the Time Interval between Bowel Preparation and Colonoscopy in Determining the Quality of Bowel Preparation for Full-Dose Polyethylene Glycol Preparation강대환, 김수진, 김태경, 김형욱, 박수범, 장형하, 최철웅, 하종건, 홍영미거트앤리버 소화기연관학회협의회 · Gut and Liver2014 · 제8권 제6호

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