Improving Quality and Safety in the Endoscopy Unit (Virtual) | November 2025-Optimizing Bowel Preparation for Colonoscopy: Updated Guidance from the US Multi-society Task Force

Optimizing Bowel Preparation for Colonoscopy: Updated Guidance from the US Multi-society Task Force

Video Transcription

Video Summary

The presentation covers optimizing bowel preparation for colonoscopy to improve procedure quality and efficiency. The Multi-Society Task Force provides updated guidelines emphasizing patient-centered preparation. Key points include clarifying bowel prep terminology, aiming for adequate cleanliness to assign proper screening intervals. For average-risk patients, the prep involves verbal/written education, a low-residue diet only the day before, and split-dose low-volume purgatives. Higher-risk patients require stricter diets starting 2-3 days prior, high-volume preps, promotility agents, and enhanced communication. Oral simethicone and power washing during colonoscopy are recommended adjuncts. Adequacy rates should exceed 90%. The goal is effective prep with patient comfort prioritized.

Asset Subtitle

Brian C. Jacobson, MD, MPH, FASGE

Keywords

bowel preparation

colonoscopy

Multi-Society Task Force guidelines

split-dose low-volume purgatives

patient-centered preparation