Gut Instincts: A Clinician's Handbook of Digestive and Liver Diseases

Eric Esrailian, MD, MPH

Chapter 45: Bowel Preparationsfor Colonoscopy (continued)

Wendy Ho, MD, MPH

Colonoscopy is the most common procedure used to evaluate the colon, and preparation quality is a critical component of this procedure. For colonoscopy to be successful, the colon must be cleansed of all stool so the mucosa can be adequately examined. If the colon is not appropriately cleansed, colonoscopy is often more difficult and requires a longer procedure time. In some cases, the bowel preparation and colonoscopy even need to be repeated, effectively doubling the expense and inconvenience to patients. Finally, poor colon preparation can result in missed lesions and increased…