Bowel preparation for colonoscopy: European Society of Gastrointestinal Endoscopy (ESGE) Guideline - Update 2019

被引：497

作者：

Hassan, Cesare ^{[1
]}

East, James ^{[2
,3
]}

Radaelli, Franco ^{[4
]}

Spada, Cristiano ^{[5
]}

Benamouzig, Robert ^{[6
]}

Bisschops, Raf ^{[7
]}

Bretthauer, Michael ^{[8
]}

Dekker, E. ^{[9
]}

Dinis-Ribeiro, Mario ^{[10
]}

Ferlitsch, Monika ^{[19
]}

Fuccio, Lorenzo ^{[11
]}

Awadie, Halim ^{[12
]}

Gralnek, Ian ^{[12
]}

Jover, Rodrigo ^{[13
]}

Kaminski, Michal F. ^{[14
]}

Pellise, Maria ^{[15
]}

Triantafyllou, Konstantinos ^{[16
]}

Vanella, Giuseppe ^{[17
]}

Mangas-Sanjuan, Carolina ^{[13
]}

Frazzoni, Leonardo ^{[11
]}

Van Hooft, Jeanin E. ^{[9
]}

Dumonceau, Jean-Marc ^{[18
]}

机构：

[1] Nuovo Regina Margherita Hosp, Digest Endoscopy, Via E Morosini 30, I-00153 Rome, Italy

[2] Univ Oxford, Translat Gastroenterol Unit, John Radcliffe Hosp, Oxford, England

[3] Oxford NIHR Biomed Res Ctr, Oxford, England

[4] Valduce Hosp, Como, Italy

[5] Fdn Poliambulanza, Digest Endoscopy Unit, Brescia, Italy

[6] Gastroenterol Unit, Bobigny, France

[7] Katholieke Univ Leuven, Univ Hosp Leuven, Dept Gastroenterol & Hepatol, Leuven, Belgium

[8] Univ Oslo, Inst Hlth & Soc, Dept Transplantat Med, Oslo Univ Hosp, Oslo, Norway

[9] Univ Amsterdam, Med Ctr, Dept Gastroenterol & Hepatol, Amsterdam, Netherlands

[10] Univ Porto, Fac Med, CIDES CINTESIS, Porto, Portugal

[11] Univ Bologna, S Orsola Malpighi Hosp, Gastroenterol Unit, Dept Med & Surg Sci, Bologna, Italy

[12] Technion Israel Inst Technol, Inst Gastroenterol & Hepatol Emek Med Ctr Afula, Israel Rappaport Fac Med, Haifa, Israel

[13] Hosp Gen Univ Alicante, Serv Med Digest, Inst Invest Sanitaria ISABIAL, Alicante, Spain

[14] Ctr Postgrad Med Educ, Dept Gastroenterol Hepatol & Oncol, Warsaw, Poland

[15] Univ Barcelona, Gastroenterol Dept, Hosp Clin, Inst Malalties Digest & Metabol, Barcelona, Spain

[16] Athens Univ, Dept Internal Med & Res Inst 2, Hepatogastroenterol Unit, Athens, Greece

[17] Sapienza Univ Rome, St Andrea Hosp, Digest Dis Unit, Rome, Italy

[18] Gedyt Endoscopy Ctr, Buenos Aires, DF, Argentina

[19] Med Univ Vienna, Dept Internal Med 3,Qual Assurance Working Grp, Div Gastroenterol & Hepatol, Austrian Soc Gastroenterol & Hepatol, Vienna, Austria

来源：

ENDOSCOPY | 2019年 / 51卷 / 08期

关键词：

4-L POLYETHYLENE-GLYCOL; ORAL SODIUM-PHOSPHATE; PLUS ASCORBIC-ACID; RANDOMIZED CONTROLLED-TRIAL; CLEAR LIQUID DIET; LOW-VOLUME PEG; PICOSULFATE-MAGNESIUM CITRATE; ELECTROLYTE LAVAGE SOLUTION; ADENOMA DETECTION RATE; LOW-RESIDUE DIET;

D O I：

10.1055/a-0959-0505

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

Main Recommendations ESGE recommends a low fiber diet on the day preceding colonoscopy. Strong recommendation, moderate quality evidence. ESGE recommends the use of enhanced instructions for bowel preparation. Strong recommendation, moderate quality evidence. ESGE suggests adding oral simethicone to bowel preparation. Weak recommendation, moderate quality evidence. ESGE recommends split-dose bowel preparation for elective colonoscopy. Strong recommendation, high quality evidence. ESGE recommends, for patients undergoing afternoon colonoscopy, a same-day bowel preparation as an acceptable alternative to split dosing. Strong recommendation, high quality evidence. ESGE recommends to start the last dose of bowel preparation within 5 hours of colonoscopy, and to complete it at least 2 hours before the beginning of the procedure. Strong recommendation, moderate quality evidence. ESGE recommends the use of high volume or low volume PEG-based regimens as well as that of non-PEG-based agents that have been clinically validated for routine bowel preparation. In patients at risk for hydroelectrolyte disturbances, the choice of laxative should be individualized. Strong recommendation, moderate quality evidence.

引用

页码：775 / 794

页数：20

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