The evolution of bowel preparation and new developments.

Author: LeeYong Kook, ParkJeong Bae, YangChang Heon

Paper Details 
Original Abstract of the Article :
Bowel preparation is essential for successful colonoscopy examination, and the most important factor is the bowel preparation agent used. However, selection of a bowel preparation agent invariably involves compromise. Originally, bowel preparation was performed for radiologic and surgical purposes, ...See full text at original site
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引用元:
https://doi.org/10.4166/kjg.2014.63.5.268

データ提供:米国国立医学図書館(NLM)

The Evolution of Bowel Preparation for Colonoscopy

The field of colonoscopy is always on the move, and a crucial part of that journey is bowel preparation. This research focuses on the evolution of bowel preparation methods, highlighting the challenges and advancements in making this essential procedure more comfortable and effective.

Researchers have gone from the days of restrictive diets and harsh cathartics to the development of polyethylene glycol (PEG) solutions. PEG, while effective, can be a bit of a mouthful - literally! The large volumes and unpleasant taste led to the development of modified PEG solutions, offering a more palatable experience.

Aqueous sodium phosphate emerged as a promising option, but unfortunately, it was withdrawn due to potential complications. So, the quest for better bowel preparation continues, with studies exploring adjunctive preparations like hyperosmolar laxatives and antiemetics.

Finding the Sweet Spot for Bowel Prep

The study reveals that PEG solutions have significantly improved bowel preparation compared to older methods, but the search for a perfect solution continues. The development of modified PEG solutions, while a step in the right direction, still presents challenges with compliance due to the large volumes.

Optimizing Colonoscopy Comfort

It's important to remember that a comfortable and effective bowel preparation is crucial for a successful colonoscopy. This research highlights the ongoing efforts to optimize the process and make it more patient-friendly.

Dr.Camel's Conclusion

Just like a camel traversing the vast desert, researchers are constantly seeking the best path for bowel preparation. From the harsh terrain of older methods, we've progressed to more palatable options. The quest continues to find the perfect balance between effectiveness and comfort for this essential medical procedure.

Date :
  1. Date Completed 2016-02-19
  2. Date Revised 2019-11-12
Further Info :

Pubmed ID

24870298

DOI: Digital Object Identifier

10.4166/kjg.2014.63.5.268

Related Literature

SNS
PICO Info
in preparation
Languages

English

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