Bowel preparation for colonoscopy
| Autor: | David A. Johnson, Edward C Oldfield, Parth J. Parekh |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
Colorectal cancer media_common.quotation_subject MEDLINE Colonic Polyps Colonoscopy 03 medical and health sciences 0302 clinical medicine Preoperative Care medicine Humans Quality (business) Endoscopic resection media_common medicine.diagnostic_test Cathartics business.industry General surgery Gastroenterology Health services research Precancerous Polyp medicine.disease digestive system diseases 030220 oncology & carcinogenesis Bowel preparation 030211 gastroenterology & hepatology Health Services Research Colorectal Neoplasms business Precancerous Conditions |
| Zdroj: | Current Opinion in Gastroenterology. 35:51-57 |
| ISSN: | 0267-1379 |
| DOI: | 10.1097/mog.0000000000000494 |
| Popis: | Colonoscopy is recognizably, the best colon cancer prevention test, provided the quality of the preparation is adequate for detection of precancerous polyps but also allowing for accurate identification of margins, thereby facilitating complete endoscopic resection. As there are many aspects effecting colon prep outcomes, it is timely to review new standards for optimizing outcomes, including product selection based on patient demographics.New national guidelines have set a minimum quality threshold for adequacy and also defined a split day delivery for oral options as the "standard of care". Several new prep options have been recently released and these data are discussed.Optimizing the quality of colon preps has major implications for clinical practice. Clinicians must recognize new targets for standard of care, providing the best approach for each individual patient, considering variable factors which may otherwise compromise success. |
| Databáze: | OpenAIRE |
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