Strategies to optimise the quality of bowel cleansing.

Autor:	Hernández G; Servicio de Gastroenterología, Hospital Universitario de Canarias, Instituto Universitario de Tecnologías Biomédicas (ITB) y Centro de Investigación Biomédica de Canarias (CIBICAN), Universidad de La Laguna, La Laguna, Santa Cruz de Tenerife, España. Electronic address: cghmesa@gmail.com., Gimeno-García AZ; Servicio de Gastroenterología, Hospital Universitario de Canarias, Instituto Universitario de Tecnologías Biomédicas (ITB) y Centro de Investigación Biomédica de Canarias (CIBICAN), Universidad de La Laguna, La Laguna, Santa Cruz de Tenerife, España., Quintero E; Servicio de Gastroenterología, Hospital Universitario de Canarias, Instituto Universitario de Tecnologías Biomédicas (ITB) y Centro de Investigación Biomédica de Canarias (CIBICAN), Universidad de La Laguna, La Laguna, Santa Cruz de Tenerife, España.
Jazyk:	English; Spanish; Castilian
Zdroj:	Gastroenterologia y hepatologia [Gastroenterol Hepatol] 2019 May; Vol. 42 (5), pp. 326-338. Date of Electronic Publication: 2019 Apr 23.
DOI:	10.1016/j.gastrohep.2019.01.010
Abstrakt:	Colonoscopy is the gold standard procedure for detecting neoplastic lesions of the colon and its efficiency is closely linked to the quality of the procedure. Adequate bowel preparation is a crucial factor in achieving the recommended quality indicators, but poor preparation has been reported in up to 30% of outpatients referred for colonoscopy. Consequently, over recent years, a number of studies have developed strategies to optimise bowel cleansing by improving adherence and tolerance to and the efficacy of the bowel preparation. Moreover, the identification of risk factors for inadequate bowel cleansing has led to tailored bowel preparation strategies being designed, with promising results. We aimed to review studies that assessed risk factors for inadequate bowel preparation and strategies to optimise bowel cleansing in patients at high risk of having poor preparation. (Copyright © 2019 Elsevier España, S.L.U. All rights reserved.)
Databáze:	MEDLINE
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