![]() Identifying institutional risk factors that may lead to poor preparation and gaps in family and patient education should be an area of focus for all hospitals performing pediatric colonoscopy. Patient education is an integral part of the bowel preparatory process and lapses of which can impact the quality of the clean out. In addition to this search, we reviewed publications relating to technological advances in colonoscopy preparation in adult patients. These articles explore a number of factors involved in bowel preparation including the role of patient education, types of bowel preparation, and their efficacy and safety. This search yielded 13 randomized controlled trials, 9 prospective studies, and 6 retrospective studies ( Supplementary Material). For this current paper, we performed a PUBMED search of all English-language articles relating to pediatric colonoscopy preparation from 2010–2020. Our group previously reviewed the literature leading up to 2010 and highlighted the vast differences in practices up until that point, and emphasized the need for larger, randomized controlled trials to elucidate a preferred protocol ( 3). ![]() The purpose of this paper is to review the recent published literature regarding bowel preparations for pediatric colonoscopy, with focus on published work in the last decade. These variations include differing laxative agents, duration of preparation, timing of administration, and dietary changes. There is no universal protocol for bowel preparation in pediatrics, and there is wide variability of practices around the world. This can lead to longer procedure times, missed pathology, unsuccessful ileal intubation ( 2), and possibly repeat procedure/anesthesia. It is estimated that over 25 percent of pediatric patients have sub-optimal bowel preparations ( 1). Adequate visualization of the intestinal lumen is necessary for detection of lesions, and thus bowel preparation is a key component of the process. In pediatrics, common indications include abdominal pain, chronic diarrhea, and hematochezia, and a less common indication includes surveillance for polyposis syndromes. The purpose of this paper is to review the recent published literature regarding bowel preparations for pediatric colonoscopy with focus on published work in the last decade exploring a number of factors involved in bowel preparation including the role of patient education, types of bowel preparation, and their efficacy and safety.Ĭolonoscopy is an important diagnostic and therapeutic tool in evaluating and treating gastrointestinal (GI) tract pathologies. There is no universal protocol for bowel preparation in pediatrics and there is a wide variability of practices around the world. It is estimated that over 25% percent of pediatric patients have sub-optimal bowel preparations, which can lead to longer procedure times, missed pathology, unsuccessful ileal intubation, and possibly repeat procedure/anesthesia. Children's Hospital of Philadelphia, Philadelphia, PA, United StatesĬolonoscopy is an important diagnostic and therapeutic tool in evaluating and treating gastrointestinal tract pathologies. ![]()
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