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The ideal preparation for colonoscopy should reliably empty the colon of all fecal material in a rapid fashion with no gross or histologic alteration of the colonic mu-cosa. The preparation should not cause patient discomfort or shifts in uids or electrolytes.
Colonoscopy is the preferred method to evaluate the colon in most adult patients with large-bowel symptoms, iron deficiency anemia, abnormal results on radiographic studies of the colon, positive results on colorectal cancer (CRC) screening tests, post-polypectomy and post-cancer resec-tion surveillance, and diagnosis and surveillance in in am- fl.
Here you will find ASGE guidelines for standards of practice. These range from recommendations on testing and screenings to the role of endoscopy in managing certain diagnoses to sedation and anesthesia to adverse events and quality indicators.
Figure 1 Summary of best practice advice for strategies to improve quality of screening and surveillance colonoscopy. Bowel preparation adequacy and adverse events should be measured at the unit level. ADR and SDR should be measured at both the unit and endoscopist level.
ment reviews the available evidence to create guide-lines for bowel preparation before colonoscopy. The various studies in the literature have been graded according to the Levels of Evidence Grade Recom-mendation scale proposed by Cook et al.41 (Table 2). REGIMENS FOR COLONIC CLEANSING BEFORE COLONOSCOPY Diet Dosing.
The aim of this evidence-based and consensus-based Guideline commissioned by the European Society of Gastrointestinal Endoscopy (ESGE) is to provide caregivers with a comprehensive re-view of the various regimens available and with practical advice for bowel preparation before co-lonoscopy.
The ideal preparation for colonoscopy would reliably empty the colon of all fecal material in a rapid fashion with no gross or histologic alteration of the colonic mucosa. The preparation would also not cause any patient discomfort or shifts in fluids or electrolytes and would be inexpensive.
