Optimizing bowel preparation for colonoscopy: Updated consensus recommendations.

IF 5.2 4区医学 Q1 MEDICINE, GENERAL & INTERNAL

Cleveland Clinic Journal of Medicine Pub Date : 2026-03-02 DOI:10.3949/ccjm.93a.25086

Hussam Kawas, Claire Beveridge

引用次数: 0

Abstract

The US Multi-Society Task Force on Colorectal Cancer updated the 2014 consensus recommendations on colonoscopy preparation in 2025. For patients at low risk of inadequate preparation, key updates include simplifying dietary restrictions and using 2-L over 4-L regimens for improved tolerability while maintaining efficacy. Split-dose administration of bowel preparation is universally recommended. The guidelines emphasize same-day dosing as acceptable only for afternoon procedures, recommend oral simethicone as an adjunct for improved visualization, and establish preparation adequacy tracking as a quality metric.

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优化结肠镜检查的肠道准备：最新的共识建议。

美国结直肠癌多协会工作组于2025年更新了2014年结肠镜检查准备的共识建议。对于低风险准备不足的患者，关键的更新包括简化饮食限制和使用2-L而不是4-L方案，以提高耐受性，同时保持疗效。肠准备分次给药是普遍推荐的。指南强调当天给药仅可用于下午的手术，建议口服西甲硅氧烷作为辅助手段以改善可视化效果，并建立制剂充足性跟踪作为质量指标。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Cleveland Clinic Journal of Medicine 医学-医学：内科

CiteScore

3.80

自引率

0.00%

发文量

109

审稿时长

6-12 weeks

期刊介绍： The mission of Cleveland Clinic Journal of Medicine (CCJM) is to provide its readers with up-to-date, practical, clinical information relevant to internal medicine, cardiology, and related fields. Consistent with this mission, CCJM focuses on timely review articles and other content that has a continuing-education orientation rather than on original research or case reports. CCJM authors, drawn from Cleveland Clinic and other top medical institutions throughout the world, are asked to identify new findings that are changing the practice of medicine and to advise readers how to apply them in daily patient care. Authors are chosen for their experience, acquired through caring for patients, teaching other physicians, and researching clinical questions.