ASGE Annual GI Advanced Practice Provider Course - Onboarding Day One (On-Demand) | April 2022-07_Bowel Prep Before Colonoscopy

07_Bowel Prep Before Colonoscopy - Olmstead

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This document provides information on bowel preparation before colonoscopy. It discusses the timing of preparation, different regimens for colonic cleansing, adjunctive measures, diet during bowel cleansing, and selection of bowel preparation in specific populations. It also includes polling questions regarding colon preparation in the elderly and in renal disease, as well as common side effects from colon preparations.<br /><br />The preferred regimen is a split dose, which involves taking the first dose the day before the procedure and the second dose 3 to 8 hours prior to the procedure. Isosmotic, hyposmotic, hyperosmotic, and combination agents are all discussed as options for colonic cleansing. Polyethylene glycol (PEG) is a commonly used agent, but it can cause side effects such as nausea, vomiting, bloating, and abnormal cramping.<br /><br />Different agents like Moviprep, Plenvu, Suprep, and Prepopik are also mentioned, each with their own efficacy, tolerability, and side effects. The document advises against using magnesium citrate, sodium sulfate, and certain combination agents in the elderly and in patients with renal disease. The use of adjunctive measures like clear liquids, full liquids, and low residue diet is also discussed.<br /><br />Special considerations are mentioned for patients with advanced age, inflammatory bowel disease, and a history of bariatric surgery. Additionally, salvage options for inadequate preparation are discussed, including enemas and additional bowel preparation on the day of the procedure.<br /><br />Overall, this document provides a comprehensive overview of bowel preparation before colonoscopy, including different regimens and considerations for specific populations.

Keywords

bowel preparation

colonoscopy

regimens

side effects

specific populations

split dose

Polyethylene glycol

efficacy

tolerability

inadequate preparation