Same-day 2-L PEG-citrate-simethicone plus bisacodyl vs split 4-L PEG: Bowel cleansing for late-morning colonoscopy

doi:10.4253/wjge.v5.i9.433

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World Journal of Gastrointestinal Endoscopy

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1948-5190

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

Brief Article

World J Gastrointest Endosc. Sep 16, 2013; 5(9): 433-439
Published online Sep 16, 2013. doi: 10.4253/wjge.v5.i9.433

Same-day 2-L PEG-citrate-simethicone plus bisacodyl vs split 4-L PEG: Bowel cleansing for late-morning colonoscopy

Annalisa de Leone, Darina Tamayo, Giancarla Fiori, Davide Ravizza, Cristina Trovato, Giuseppe De Roberto, Linda Fazzini, Marco Dal Fante, Cristiano Crosta

Annalisa de Leone, Darina Tamayo, Giancarla Fiori, Davide Ravizza, Cristina Trovato, Giuseppe De Roberto, Cristiano Crosta, Division of Endoscopy, European Institute of Oncology, 20141 Milan, Italy

Linda Fazzini, Marco Dal Fante, Gastroenterology and Endoscopy Department, Casa di Cura S. Pio X, 20159 Milan, Italy

Author contributions: Dal Fante M and Crosta C have designed the research and approved the manuscript; de Leone A, Fiori G, Ravizza D, De Roberto G and Fazzini L performed the research; de Leone A, Tamayo D and Trovato C have interpreted data and have written the article.

Correspondence to: Cristina Trovato, MD, Division of Endoscopy, European Institute of Oncology, Via Ripamonti 435, 20141 Milan, Italy. cristna.trovato@ieo.it

Telephone: +39-2-94372680 Fax: +39-2-94379220

Received: June 5, 2013
Revised: July 26, 2013
Accepted: August 17, 2013
Published online: September 16, 2013
Processing time: 101 Days and 13.2 Hours

Core Tip

Core tip: The timing of bowel preparation is fundamental for high quality colonoscopy and also for patient satisfaction. Split-dose preparation improves the rate of adequate cleansing and patient compliance. This study shows that the same-day low volume polyethyleneglycol-citrate-simeticone (PEG-CS) plus bisacodyl tablets is feasible, and as effective as split 4-L PEG. The low volume bowel preparation taken the same day of the exam may be an attractive option for late morning colonoscopy as it reduces the overall time for bowel preparation with no loss of work time and impact on daily activities the day before the exam.