Bowel preparation for colonoscopy
Authors:
G. Vepřeková; Š. Suchánek; J. Martínek; M. Zavoral
Authors‘ workplace:
Interní klinika 1. LF UK a ÚVN Praha
Published in:
Gastroent Hepatol 2012; 66(1): 57-62
Category:
Digestive Endoscopy: Review Article
Overview
Adequate bowel preparation is the basic prerequisite for carrying out a successful diagnostic, therapeutic and screening colonoscopic examination. Several methods of bowel preparation combine basic laxatives (polyethylene glycol, phosphates and saline solutions) with various types of auxiliary substances (bisacodyl, metoclopramide, simethicone, senna tablets). However, none of these preparatives is ideal and safe for every single patient. The aim of this article is to summarize the latest findings and recommendations. Tailored bowel preparation can reduce risks associated with colonoscopy and preparation itself, minimize the possibility of overlooking of colorectal neoplasms and lower the number of incomplete examinations caused by insufficient bowel preparation.
Key words:
sodium phosphate – colonoscopy – polyethylene glycol – laxatives – screening
Sources
1. Seeff LC, Nadel MR, Klabunde CN et al. Patterns and predictors of colorectal cancer test use in the adult U. S. population. Cancer 2004; 100(10): 2093–2103.
2. Wexner SD, Beck DE, Baron TH et al. 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). Surg Endosc 2006; 20(7): 1147–1160.
3. Reilly T, Walker G. Reasons for poor colonic preparation with inpatients. Gastroenterol Nurs 2004; 27(3): 115–117.
4. Lawrance IC, Willert RP, Murray K. Bowel cleansing for colonoscopy: prospective randomized assessment of efficacy and of induced mucosal abnormality with three preparation agents. Endoscopy 2001; 43(5): 412–418.
5. Kilgore TW, Abdinoor AA, Szary NM et al. Bowel preparation with split-dose polyethylene glycol before colonoscopy: a meta-analysis of randomized controlled trials. Gastrointest Endosc 2011; 73(6): 1240–1245.
6. Corporaal S, Kleibeuker JH, Koornstra JJ. Low-volume PEG plus ascorbic acid versus high-volume PEG as bowel preparation for colonoscopy. Scand J Gastroenterol 2010; 45(11): 1380–1386.
7. Huppertz-Hauss G, Bretthauer M, Sauar J et al. Polyethylene glykol versus sodium phosphate in bowel cleansing for colonoscopy. Endoscopy 2005; 37(6): 537–541.
8. Markowitz GS, Stokes MB, Radhakrishnan J et al. Acute phosphate nephropathy following oral sodium phosphate bowel purgative: an underrecognized cause of chronic renal failure. J Am Soc Nephrol 2005; 16(11): 3389–3396.
9. Zádorová Z. Kolonoskopie. Doporučený postup endoskopického vyšetření tlustého střeva. Ces a Slov Gastroent a Hepatol 2005; 59(1): 26–30.
10. Rejchrt S, Bures J, Siroký M et al. A prospective, observational study of colonic mucosal abnormalities associated with orally administered sodium phosphate for colon cleansing before colonoscopy. Gastrointest Endosc 2004; 59(6): 651–654.
11. Law WL, Choi HK, Chu KW et al. Bowel preparation for colonoscopy: a randomized controlled trial comparing polyethylene glycol solution, one dose and two doses of oral sodium phosphate solution. Asian J Surgery 2004; 27(2): 120–124.
12. Martínek J, Hess J, Delarive J et al. Cisapride does not improve precolonoscopy bowel preparation with either sodium phosphate or polyethylene glykol electrolyte lavage. Gastrointest Endosc 2001; 54(2): 180–185.
13. Renaut AJ, Raniga S, Frizelle FA et al. A randomized controlled trial comparing the efficacy and acceptability of phospho-soda buffered saline (Fleed) with sodium picosulphate/magnesium citrate (Picoprep) in the preparation of patiens for colonoscopy. Colorectal Dis 2007; 10(5): 503–505.
14. Lichtenstein G. Bowel preparations for colonoscopy: a review. Am J Health Syst Pharm 2009; 66(1): 27–37.
15. Mishima Y, Amano Y, Okita K et al. Efficacy of Prokinetic Agens in Impruving Bowel Preparation for Colonoscopy. Digestion 2008; 77(3–4): 166–172.
16. Tongprasert S, Sobhonslidsuk A, Rattanasiri S. Improving quality of colonoscopy by adding simethicone to sodium phosphate bowel preparation. World J Gastroenterol 2009; 15(24): 3032–3037.
17. Amato A, Radaelli F, Paggi S et al. Half doses of PEG-ES and senna vs. high-dose senna for bowel cleansing before colonoscopy: a randomized, investigator-blinded trial. Am J Gastroenterol 2010; 105(3): 675–681.
18. Rostom A, Jolicoeur E. Validation of a new scale for the assessment of bowel preparation quality. Gastrointest Endosc 2004; 59(4): 482–486.
19. Atkin W, Valori R, Kuipers EJ et al. Colonoscopic surveillance following adenoma removal. In: Segnan N, Patnick J, von Karsa L. European guidelines for quality assurance in colorectal cancer screening and diagnosis. 1st ed. European Union 2010: 274–297.
20. Frič P, Veselý V, Pouzar A et al. Perorální vyprázdnění obsahu tlustého střeva aromatizovaným izotonickým roztokem elektolytů a Macrogolum 300. Prakt lék 1985; 18: 675–676.
21. Varughese S, Kumar AR, George A et al. Morning-only one-gallon polyethylen glykol improves bowel cleansing for afternoon colonoscopies: a randomised endoscopist-blinded prospective study. Am J Gastroenterol 2010; 105(11): 2368–2374.
22. Church JM. Effectiveness of polyethylene glycol antegrade gut lavage bowel preparation for colonoscopy-timing is the key! Dis Colon Rectum 1998; 41(10): 1223–1225.
23. Hendry PO, Jenkins JT, Diament RH. The impact of poor bowel preparation on colonoscopy: a prospective single centre study of 10 571 colonoscopies. Colorectal Dis 2007; 9(8): 745–748.
24. Ell C, Fischbach W, Bronisch HJ et al. Randomized Trial of Low-Volume PEG Solution versus Standard PEG + Elektrolytes for Bowel Cleansing Before Colonoscopy. Am J Gastroenterol 2008; 103(4): 883–893.
25. Young CJ, Simpson RR, King DW et al. Oral sodium phosphate solution is a superior colonoscopy preparation to polyethylen glykol with bisacodyl. Dis Colon Rectum 2000; 43(11): 1568–1571.
26. Ker TS. Comparison of Reduced Volume Versus Four-Liter Electrolyte Lavage Solution for Colon Cleansing. Presented at 17th Anual Conference of Southern California Chapter of the American College Surgeons, Santa Barbara, January 20–22, 2006.
27. Aoun E, Abdul-Baki H, Azar C et al. A randomised single-blind trial of split dose PEG-electrolyte solution without dietary restriction compared with whole dose PEG-electrolyte solution with dietary restriction for colonoscopy preparation. Gastrointest Endosc 2005; 62(2): 213–218.
28. Park SS, Sinn DH, Kim YH et al. Efficacy and tolerability of split-dose magnesium citrate: low-volume (2 liters) polyethylene glycol vs. single- of split- dose polyethylene gylkol bowel preparation for morning colonoscopy. Am J Gastroenterol 2010; 105(6): 1319–1326.
29. El Sayed AM, Kanafani ZA, Mourad FH et al. A randomized single-blind trial of whole versus split-dose polyethylene glycol-electrolyte solution for colonoscopy preparation. Gastrointest Endosc 2003; 58(1): 36–40.
30. Poon CM, Lee DW, Mak SK et al. Two liters of polyethylene glycol-electrolyte lavage solution versus sodium phosphate as bowel cleansing regimen for colonoscopy: a prospective randomized controlled trial. Endoscopy 2002; 34(7): 560–533.
31. Schmidt LM, Williams P, King D et al. Picoprep-3 is a superior colonoscopy preparation to Fleet: a randomized, controlled trial comparing the two bowel preparations. Dis Colon Rectum 2004; 47(2): 238–242.
32. Amato A, Radaelli F, Paggi S et al. Half doses of PEG-ES and senna vs. high-dose senna for bowel cleansing before colonoscopy: a randomized, investigator-blinded trial. Am J Gastroenterol 2010; 105(3): 675–681.
33. Kastenberg D, Barish C, Burack H et al. Tolerability and patient acceptance of sodium phosphate tablets compared with 4-L PEG solution in colon cleansing: combined results of 2 identically designed, randomized, controlled, parallel group, multicenter phase 3 trials. J Clin Gastroenterol 2007; 41(1): 54–61.
34. Kastenberg D, Chasen R, Choudhary C et al. Efficacy and safety of sodium phosphate tablets compared with PEG solution in colon cleansing: two identically designed, randomized, controlled, parallel group, multicenter phase III trials. Gastrointest Endosc 2001; 54(6): 705–713.
35. Marmo R, Rotondano G, Riccio G et al. 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 2010; 72(2): 313–320.
36. Barclay RL. Safety, efficacy, and patient tolerance of a three-dose regimen of orally administered aqueous sodium phosphate for colonic cleansing before colonoscopy. Gastrointest Endosc 2004; 60(4): 527–533.
37. Taylor C, Schubert ML. Decreased efficacy of polyethylene glycol lavage solution (golytely) in the preparation of diabetic patients for outpatient colonoscopy: a prospective and blinded study. Am J Gastroenterol 2001; 96(3): 710–714.
38. Borg BB, Gupta NK, Zuckerman GR et al. Impact of obesity on bowel preparation for colonoscopy. Clin Gastroenterol Hepatol 2009; 7(6): 670–675.
Labels
Paediatric gastroenterology Gastroenterology and hepatology Surgery Internal medicine Nutritive therapist ObesitologyArticle was published in
Gastroenterology and Hepatology
2012 Issue 1
Most read in this issue
- Bowel preparation for colonoscopy
- Gastrocolic fistula
- Serum levels of infliximab and antibodies to infliximab, clinical using
- The role of vitamin D for inflammatory bowel diseases