The ASGE Quality Course: 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

Meta Tag

Concept Bowel Preparation

Concept Adequate Preparation

Concept Inadequate Bowel Preparation

Concept Bowel Preparation Quality

Concept Split-Dose Regimen

Keywords

bowel preparation

colonoscopy

Multi-Society Task Force guidelines

split-dose low-volume purgatives

patient-centered preparation

Bowel Preparation

Adequate Preparation

Inadequate Bowel Preparation

Bowel Preparation Quality

Split-Dose Regimen