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World J Gastroenterol. Dec 21, 2014; 20(47): 17709-17726
Published online Dec 21, 2014. doi: 10.3748/wjg.v20.i47.17709
Published online Dec 21, 2014. doi: 10.3748/wjg.v20.i47.17709
Achieving the best bowel preparation for colonoscopy
Adolfo Parra-Blanco, Alex Ruiz, Manuel Alvarez-Lobos, Patricio Ibáñez, Department of Gastroenterology, Escuela de Medicina, Pontificia Universidad Católica de Chile, Santiago 833-0024, Chile
Ana Amorós, Department of Gastroenterology, Hospital Universitario de la Candelaria, 38916 Santa Cruz de Tenerife, Spain
Juan Cristóbal Gana, Gastroenterology and Nutrition Unit, Division of Pediatrics, Escuela de Medicina, Pontificia Universidad Católica de Chile, Santiago 833-0024, Chile
Akiko Ono, Department of Gastroenterology, Hospital Universitario Virgen de la Arrixaca, 30001 Murcia, Spain
Takahiro Fujii, TF Clinic, Tokyo 197-0804, Japan
Author contributions: Parra-Blanco A, Ruiz A, Alvarez-Lobos M, Amorós A, Gana JC, Ibáñez P, Ono A and Fujii T wrote the paper, all the authors approved the final version.
Correspondence to: Adolfo Parra-Blanco, MD, PhD, Faculty of Medicine, Department of Gastroenterology, Escuela de Medicina, Pontificia Universidad Católica de Chile, Marcoleta 367, Avda. Libertador Bernardo OHiggins 340, Santiago 833-0024, Chile. parrablanco@gmail.com
Telephone: +56-223-543820
Received: November 25, 2013
Revised: July 20, 2014
Accepted: November 8, 2014
Published online: December 21, 2014
Revised: July 20, 2014
Accepted: November 8, 2014
Published online: December 21, 2014
Core Tip
Core tip: Bowel preparation for colonoscopy is a central issue related to the quality of the procedure. There are different agents for bowel preparation that can be administered with different schedules. We review the most commonly used agents, as well as new agents and combinations. Moreover, certain considerations should be taken into account for special populations in order to improve safety, efficacy and tolerance. Regimens for bowel preparation in special situations are discussed, such as for pediatric patients, patients with diabetes or inflammatory bowel disease, and in cases of heart or kidney failure or lower gastrointestinal bleeding.