Bowel preparation for pediatric colonoscopy procedures.

Abstract:

:Colonoscopy is a routinely performed procedure in children and adolescents. Proper visualization of the intestinal mucosa, completion of the procedure, including examination of the terminal ileum, detection of pathological lesions, and therapeutic maneuvers, all are highly dependent on the quality of the bowel preparation. A significant proportion of patients, in some reports up to one third, are inadequately prepared for the examination, which leads to extended procedure time, incomplete examination, or need for repeat procedure. Aside from efficacy and safety, the most important aspects of colon preparation in pediatrics are ease of administration, palatability, dietary restriction, and minimization of disruption of daily routine. An ideal preparation does not exist and a wide variety of regimens are being used. Several of these have been investigated in pediatric clinical trials. This article reviews the published literature with an emphasis on the most commonly used agents, their mechanism of action, efficacy and ease of use, and safety.

authors

Hunter A,Mamula P

doi

10.1097/MPG.0b013e3181eb6a1c

subject

Has Abstract

pub_date

2010-09-01 00:00:00

pages

254-61

issue

3

eissn

0277-2116

issn

1536-4801

journal_volume

51

pub_type

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