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The effectiveness of colonoscopy is dependent on adequate bowel preparation to allow optimal visualization during the procedure. A host of approaches have been used. This document uses data from the literature to recommend a rational approach to bowel preparation to optimize quality for visualization and enhance patient satisfaction and adherence.
For most patients, a 1-day low-residue diet is appropriate. For selected patients at high risk for inadequate preparation (e.g., prior inadequate bowel preparation, chronic constipation, motility disorders), multiple days of a clear…