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World J Gastroenterol. Mar 21, 2014; 20(11): 2741-2745
Published online Mar 21, 2014. doi: 10.3748/wjg.v20.i11.2741
What is the best strategy for successful bowel preparation under special conditions?
Yun Jeong Lim, Su Jin Hong
Yun Jeong Lim, Department of Internal Medicine, College of Medicine, Dongguk University, Gyeonggi-Do 410-773, South Korea
Su Jin Hong, Digestive Disease Center and Research Institute, Department of Internal Medicine, Soonchunhyang University College of Medicine, Bucheon, Gyeonggi-Do 420-767, South Korea
Author contributions: Lim YJ searched the literature, collected the relevant studies and data, and wrote the manuscript; Hong SJ contributed intellectual discussions and supervised the review design and construction.
Correspondence to: Su Jin Hong, MD, PhD, Digestive Disease Center and Research Institute, Department of Internal Medicine, Soonchunhyang University College of Medicine, Bucheon Hospital, 1174 Jung-Dong, Wonmi-Gu, Bucheon, Gyeonggi-Do 420-767, South Korea. sjhong@schmc.ac.kr
Telephone: +82-32-6215087 Fax: +82-32-6215080
Received: August 8, 2013
Revised: October 18, 2013
Accepted: November 3, 2013
Published online: March 21, 2014
Core Tip

Core tip: Adequate bowel preparation is important for successful colonoscopic examination. A patient’s general health condition or concurrent medications may impair their ability to tolerate a certain cathartic agent, and mental or physical disabilities may preclude their ability to complete the ingestion regimen. While impaired health increases the risk of agent-related complications, failure to comply with bowel preparation instructions in general limits adequate cleansing of the bowel. Unremoved fecal matter occludes the colonoscopic view, necessitating repeat examination. This review discusses the special conditions encountered most frequently in the endoscopic clinic so that effective and safe bowel preparation agents/regimens can be chosen.