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How to Achieve High Rates of Bowel Preparation Adequacy

  • Quinton HatchEmail author
  • Rubina Ratnaparkhi
  • Scott R. Steele
Chapter

Abstract

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.

Keywords

Colonoscopy Endoscopy Bowel preparation Bowel cleansing Inadequate bowel preparation Cleansing scale 

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Copyright information

© Springer International Publishing AG 2017

Authors and Affiliations

  • Quinton Hatch
    • 1
    Email author
  • Rubina Ratnaparkhi
    • 2
  • Scott R. Steele
    • 3
    • 4
  1. 1.Department of SurgeryMadigan Army Medical CenterTacomaUSA
  2. 2.Department of Colorectal SurgeryCase Western Reserve University School of MedicineClevelandUSA
  3. 3.Case Western Reserve University School of MedicineClevelandUSA
  4. 4.Department of Colorectal SurgeryCleveland ClinicClevelandUSA

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