Bowel preparation for colonoscopy in patients with surgically altered anatomy: a narrative review and institutional protocol

iGIE Pub Date : 2026-09-01 Epub Date: 2026-05-19 DOI:10.1016/j.igie.2026.05.001

Fouad Jaber MD, MS, Mark Peicher DO, Juan D. Gomez Cifuentes MD, Maria P. Forero Rios MD, Robert J. Sealock MD

{"title":"Bowel preparation for colonoscopy in patients with surgically altered anatomy: a narrative review and institutional protocol","authors":"Fouad Jaber MD, MS, Mark Peicher DO, Juan D. Gomez Cifuentes MD, Maria P. Forero Rios MD, Robert J. Sealock MD","doi":"10.1016/j.igie.2026.05.001","DOIUrl":null,"url":null,"abstract":"<div><div>Colonoscopy is a vital diagnostic and therapeutic procedure for diseases affecting the rectum, colon, and terminal ileum. In patients who have undergone colorectal surgery, postoperative colonoscopy is frequently required for purposes such as colorectal neoplasia surveillance. However, administering bowel preparation in this population poses significant challenges for patients, caregivers, and the endoscopy team, including gastroenterologists and nurses. Despite these challenges, there is limited peer-reviewed guidance on optimal bowel preparation strategies for these patients. This review summarizes the current data on bowel preparation in patients with surgically altered anatomy, identifies key challenges, addresses existing gaps in knowledge, and presents a tailored approach to bowel preparation in this population based on institutional protocol. In addition, we propose future directions for research and quality improvement to enhance outcomes in this cohort.</div></div>","PeriodicalId":100652,"journal":{"name":"iGIE","volume":"5 3","pages":"Pages 479-494"},"PeriodicalIF":0.0000,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"iGIE","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2949708626000981","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2026/5/19 0:00:00","PubModel":"Epub","JCR":"","JCRName":"","Score":null,"Total":0}

引用次数: 0

Abstract

Colonoscopy is a vital diagnostic and therapeutic procedure for diseases affecting the rectum, colon, and terminal ileum. In patients who have undergone colorectal surgery, postoperative colonoscopy is frequently required for purposes such as colorectal neoplasia surveillance. However, administering bowel preparation in this population poses significant challenges for patients, caregivers, and the endoscopy team, including gastroenterologists and nurses. Despite these challenges, there is limited peer-reviewed guidance on optimal bowel preparation strategies for these patients. This review summarizes the current data on bowel preparation in patients with surgically altered anatomy, identifies key challenges, addresses existing gaps in knowledge, and presents a tailored approach to bowel preparation in this population based on institutional protocol. In addition, we propose future directions for research and quality improvement to enhance outcomes in this cohort.

查看原文本刊更多论文

手术解剖改变患者结肠镜检查的肠道准备：叙述回顾和机构方案

结肠镜检查是直肠、结肠和回肠末端疾病的重要诊断和治疗方法。在接受过结直肠手术的患者中，术后结肠镜检查经常用于结肠直肠肿瘤监测等目的。然而，在这一人群中进行肠道准备对患者、护理人员和内窥镜团队（包括胃肠病学家和护士）提出了重大挑战。尽管存在这些挑战，但针对这些患者的最佳肠道准备策略的同行评议指导有限。本综述总结了手术改变解剖结构患者的肠道准备的当前数据，确定了关键挑战，解决了现有的知识空白，并根据机构方案提出了针对这一人群的肠道准备的定制方法。此外，我们提出了未来的研究方向和质量改进，以提高该队列的结果。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

iGIE

自引率

0.00%

发文量