Achieving the best bowel preparation for colonoscopy

作     者：Adolfo Parra-Blanco Alex Ruiz Manuel Alvarez-Lobos Ana Amorós Juan Cristóbal Gana Patricio Ibáez Akiko Ono Takahiro Fujii 

作者机构：Department of GastroenterologyEscuela de MedicinaPontificia Universidad Católica de ChileSantiago 833-0024Chile Department of GastroenterologyHospital Universitario de la Candelaria38916 Santa Cruz de TenerifeSpain Gastroenterology and Nutrition UnitDivision of PediatricsEscuela de MedicinaPontificia Universidad Católica de ChileSantiago 833-0024Chile Department of GastroenterologyHospital Universitario Virgen de la Arrixaca30001 MurciaSpain TF ClinicTokyo 197-0804Japan 

出 版 物：《World Journal of Gastroenterology》 (世界胃肠病学杂志（英文版）)

年 卷 期：2014年第20卷第47期

页      面：17709-17726页

核心收录：

学科分类：1002[医学-临床医学] 100201[医学-内科学(含：心血管病、血液病、呼吸系病、消化系病、内分泌与代谢病、肾病、风湿病、传染病)] 10[医学] 

主　　题：Colonoscopy Optimal preparation Polyethylene glycol Sodium phosphate Special patients Timing 

摘      要：Bowel preparation is a core issue in colonoscopy,as it is closely related to the quality of the *** often find that bowel preparation is the most unpleasant part of the *** is widely accepted that the quality of cleansing must be excellent to facilitate detecting neoplastic *** spite of its importance and potential implications,until recently,bowel preparation has not been the subject of much *** most commonly used agents are high-volume polyethylene glycol(PEG)electrolyte solution and sodium *** has been some confusion,even in published meta-analyses,regarding which of the two agents provides better *** is clear now that both PEG and sodium phosphate are effectivewhen administered with proper ***,the timing of administration is recognized as one of the central factors to the quality of *** bowel preparation agent should be administered,at least in part,a few hours in advance of the *** low volume agents are available,and either new or modified schedules with PEG that usually improve *** adjuvants can also be used to reduce the volume of PEG,or to improve the efficacy of other *** factors apart from the choice of agent can improve the quality of bowel *** instance,the effect of diet before colonoscopy has not been completely clarified,but an exclusively liquid diet is probably not required,and a low-fiber diet may be preferable because it improves patient satisfaction and the quality of the *** patients,such as diabetics and persons with heart or kidney disease,require modified procedures and certain *** preparation for pediatric patients is also reviewed *** such cases,PEG remains the most commonly used *** detecting neoplasia is not the main objective with these patients,less intensive preparation may *** considerations must be made for patients with inflammatory bowel disease,including