The Modern Bowel Preparation in Colonoscopy
The Modern Bowel Preparation in Colonoscopy
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DOI：
10.1016/j.gtc.2013.05.010
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发表时间：
2013-09-01
影响因子：
3.7
通讯作者：
Abou Mrad, Rachel R.
中科院分区：
文献类型：
--
作者：
Sharara, Ala I.;Abou Mrad, Rachel R.
充分的肠道准备是最佳结肠镜检查的必要条件。25% - 40%的病例发生肠道准备不佳，并与手术取消、手术时间延长、检查不完整、费用增加和病理遗漏有关。有几种有效的结肠清洁配方，具有良好的安全性。在可能的情况下，应采用分次给药，以增强耐受性和依从性，并提高粘膜可见性和检查的整体质量。在这篇综述中，我们讨论了现代肠道制剂，包括它们的作用机制、使用方式、安全性以及如何优化结果。
Adequate bowel preparation is essential for optimal colonoscopy. Suboptimal bowel preparation occurs in 25% to 40% of cases and is associated with canceled procedures, prolonged procedure time, incomplete examination, increased cost, and missed pathology. There are several effective formulations for colon cleansing with a good safety profile. Split dosing should be implemented whenever possible in an effort to enhance tolerance and adherence, and improve mucosal visibility and overall quality of the examination. In this review, modern bowel preparations are discussed including their mechanism of action, mode of use, safety, and how to optimize outcomes.