Journal: Cleveland Clinic journal of medicine
This article presents the 2025 update from the US Multi-Society Task Force on Colorectal Cancer regarding colonoscopy bowel preparation.
Key points:
- Target population: Patients at low risk for inadequate bowel preparation.
- Bowel prep volume: Preference for 2-L regimens over traditional 4-L solutions to improve tolerability while maintaining cleansing efficacy.
- Dosing strategy: Universal recommendation for split-dose regimens, with the second dose timed close to the procedure.
- Same-day dosing: Considered acceptable only for colonoscopies scheduled in the afternoon.
- Adjunctive agents: Oral simethicone is recommended to enhance mucosal visualization.
- Quality metrics: Endoscopy practices are advised to systematically track adequacy of bowel preparation as a formal quality measure.
Overall, the guideline streamlines dietary and prep approaches to balance patient comfort, preparation quality, and measurable performance standards in colonoscopy.