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Achieving the best bowel preparation for colonoscopy

World Journal of Gastroenterology 2014年第47期20卷 17709-17726页

作者： Adolfo Parra-Blanco Alex Ruiz Manuel Alvarez-Lobos Ana Amorós Juan Cristóbal Gana Patricio Ibáez Akiko Ono Takahiro Fujii Department of Gastroenterology Escuela de MedicinaPontificia Universidad Católica de ChileSantiago 833-0024Chile Department of Gastroenterology Hospital Universitario de la Candelaria38916 Santa Cruz de TenerifeSpain Gastroenterology and Nutrition Unit Division of PediatricsEscuela de MedicinaPontificia Universidad Católica de ChileSantiago 833-0024Chile Department of Gastroenterology Hospital Universitario Virgen de la Arrixaca30001 MurciaSpain TF Clinic Tokyo 197-0804Japan

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

关键词： Colonoscopy Optimal preparation Polyethylene glycol Sodium phosphate special patients Timing

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