How to Achieve High Rates of Bowel Preparation Adequacy
Effective colonoscopy is dependent on adequate bowel cleansing. A number of bowel preparation regimens have been advocated, with the gold standard being polyethylene glycol and balanced electrolytes. Nevertheless, a number of lower volume preparations have been adopted in hopes of increasing tolerability without sacrificing efficacy. More aggressive bowel preparations have been suggested for those at high risk for inadequate bowel cleansing. Techniques such as endoscopic jet lavage may be used to salvage an inadequate preparation; however, these methods are somewhat costly in terms of time. The adequacy of the preparation should be documented according to a validated cleansing scale.
KeywordsColonoscopy Endoscopy Bowel preparation Bowel cleansing Inadequate bowel preparation Cleansing scale
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