Guyatt GH, Oxman AD, Vist GE, Kunz R, Falck-Ytter Y, Alonso-Coello P, Schünemann HJ (2008) GRADE: an emerging consensus on rating quality of evidence and strength of recommendations. Scott SR, Raymond PL, Thompson WO, Galt DJB (2005) Efficacy and tolerance of sodium phosphates oral solution after diet liberalization.
#Liquid diet before colonoscopy manual#
Higgins JPT, Thomas J, Chandler J, Cumpston M, Li T, Page MJ, Welch VA (eds) (2019) Manual Cochrane para revisiones sistemáticas de intervenciones versión 6.0 (actualizado en julio de 2019). Qaseem A, Crandall CJ, Mustafa RA et al (2019) Screening for colorectal cancer in asymptomatic average-risk adults: a guidance statement from the American College of Physicians. īernstein C, Thorn M, Monsees K, Spell R, O’Connor JB (2005) A prospective study of factors thatdetermine cecal intubation time at colonoscopy. Heresbach D, Barrioz T, Lapalus MG, Coumaros D, Bauret P, Potier P, Sautereau D, Boustière C, Grimaud JC, Barthélémy C, Sée J, Serraj I, D’Halluin PN, Branger B, Ponchon T (2008) Miss rate for colorectal neoplastic polyps: a prospective multicenter study of back-to-back video colonoscopies. Pignone M (2019) Reconciling disparate guidelines: the American College of Physicians colorectal cancer screening guidance statement. This diet could also be useful as a preoperative colonic preparation, but this requires further research.
Conclusionīased on these findings, our recommendation is strong in favour of a LRD for bowel preparation of patients undergoing a scheduled colonoscopy. Groups using a LRD with 4L of polyethylene glycol in a single dose or a LRD with < 2000 kcal < 32 g of fibres/day had better tolerability.
However, the LRD improved patient tolerability (RR 1.17 95% CI 1.12–1.23 I 2 = 66%) and had fewer adverse effects (RR 0.89 95% CI 0.84–0.94 I 2 = 73%) compared to the CLD. Patients receiving a LRD compared to a CLD showed no difference in adequate bowel preparations (RR 1.02 95% CI 0.99–1.05 I 2 = 60%). Secondary outcomes were tolerability and adverse effects of bowel preparation. Efficacy, the primary outcome, was evaluated as the rate of adequate bowel preparation. We included studies of patients undergoing a scheduled colonoscopy for CRC screening and surveillance or for diagnostic purposes that compared a LRD with a CLD the day before the colonoscopy. PubMed/Medline, Embase, the Cochrane Central Register of Controlled Trials (CENTRAL) and Scopus databases were searched. Our aim was to evaluate the efficacy, tolerability, and adverse effects of bowel preparation when using a low-residual diet (LRD) compared to a clear-liquid diet (CLD) the day before a scheduled colonoscopy. The success of the colonoscopy depends on the diet administered the day before the test. In an effort to reduce the risk of death, detection of polyps through colonoscopy is crucial. Colorectal cancer (CRC) contributes significantly to cancer mortality worldwide.
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