https://doi.org/10.4081/acbr.2023.370
Bowel preparation in children and adolescents undergoing ileo-colonoscopy: what is new?
Published: 11 September 2023
Abstract Views: 273
PDF: 15
Publisher's note
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
Authors
Ileo-colonoscopy is a vital diagnostic and therapeutic tool undertaken for evaluating and treating gastrointestinal tract pathologies in children and adolescents as well as adults. Proper visualization of the lower intestinal mucosa, completion of the procedure including terminal ileum/cecal intubation, detection of pathological lesions and therapeutic maneuvers are hinged on how adequate the bowel preparation is. About 25% percent of pediatric patients have inadequate bowel preparations, which can lead to prolonged colonoscopy procedure time, missed pathology, difficult ileal intubation/incomplete examination, and requiring cancellation or repeat procedure with attendant anesthetic risks. An ideal bowel preparation regimen should clear the colon of fecal material with no alteration of the colonic mucosa that could affect the histological findings. There is no acceptable universal regimen for bowel preparation in children; however wide variability of practices exists globally. Hence, the current review is aimed at analyzing recent published literature and personal practical experiences as well as developing a standard bowel preparation guideline that will improve outcome of the ileo- colonoscopy procedure in children particularly in resource limited settings.
Mamula P, Nema N. Preparation for Pediatric Colonoscopy. Front. Pediatr 2021;9:705624.
Altamimi E, Odeh Y, Al-quraan T, et al. Diagnostic and therapeutic outcomes of pediatric colonoscopies in Jordanian children. J Pediatr Neonat Individual Med 2022;11:e110211.
Reddy P, Mencin A, Lebwohl B. Risk factors for suboptimal bowel preparation for colonoscopy in pediatric patients. J Pediatr Gastroenterol Nutr 2021;73:e1-6.
DOI: https://doi.org/10.1097/MPG.0000000000003114
Pasquarella CS, Kaplan B, Mahajan L, et al. A single-center review of pediatric colonoscopy quality indicators. J Pediatr Gastroenterol Nutr 2019;68:648-54.
DOI: https://doi.org/10.1097/MPG.0000000000002239
Pall H, Zacur GM, Kramer RE, et al. Bowel preparation for pediatric colonoscopy: Report of the NASPGHAN Endoscopic and procedures committee. J Pediatr Gastroenterol Nutr 2014;59:409-16.
DOI: https://doi.org/10.1097/MPG.0000000000000447
Lee JM, Tam PK, Saing H. Whole-gut irrigation in infants and young children. Dis Colon Rectum 1986;29:252-4.
DOI: https://doi.org/10.1007/BF02553030
Kastenberg D, Bertiger G, Brogadir S. Bowel preparation quality scales for colonoscopy. World J Gastroenterol 2018;24:2833-43.
DOI: https://doi.org/10.3748/wjg.v24.i26.2833
Tutar E, Bayrak NA, Volkan B, Ertem D. Bowel preparation for colonoscopy in children: 1 day PEG-3350 with bisacodyl versus 3 day sennosides. Dig Dis 2019;37:334-42.
Zhou J, Wu L, Wan X, et al. A novel artificial intelligence system for the assessment of bowel preparation (with video). Gastrointest Endosc 2020;91:428-35.e2.
DOI: https://doi.org/10.1016/j.gie.2019.11.026
Berger T, Classen M, Engelhardt H, et al. Bowel preparation in pediatric colonoscopy: results of an open observational study. Endosc Int Open 2016;4:E820-7.
DOI: https://doi.org/10.1055/s-0042-107789
Szaflarska-Poplawska A, Tunowska D, Sobieska-Poszwa O, et al. Corrigendum to “the effectiveness, tolerability, and safety of different 1-day bowel preparation regimens for pediatric colonoscopy.” Gastroenterol Res Pract 2020;2020:9126957.
DOI: https://doi.org/10.1155/2020/9126957
Vejzovic V, Wennick A, Idvall E, et al. Polyethylene glycol- or sodium picosulphate-based laxatives before colonoscopy in children. J Pediatr Gastroenterol Nutr 2016; 62:414-9.
DOI: https://doi.org/10.1097/MPG.0000000000000978
Cuffari C, Ciciora SL, Ando M, et al. Pediatric bowel preparation: Sodium picosulfate, magnesium oxide, citric acid vs polyethylene glycol, a randomized trial. World J Gastroenterol 2020;26:6260-9.
Cuffari C, Ciciora SL, Ando M, et al. Pediatric bowel preparation: Sodium picosulfate, magnesium oxide, citric acid vs. polyethylene glycol, a randomized trial. World J Gastroenterol 2020;26:6260-9.
DOI: https://doi.org/10.3748/wjg.v26.i40.6260
Tsunoda T, Sogo T, Iwasawa K, et al. Feasibility and safety of bowel cleansing using low-volume polyethylene glycol with ascorbic acid before pediatric colonoscopy: a pilot study. Dig Endosc 2017;29:160-7.
DOI: https://doi.org/10.1111/den.12756
Elitsur R, Butcher L, Vicki L, Elitsur Y. Polyethylene glycol 3350 based colon cleaning protocol: 2 d vs 4 d head to head comparison. World J Gastrointest Endosc 2013;5:165-8.
DOI: https://doi.org/10.4253/wjge.v5.i4.165
Sahn B, Chen-Lim ML, Ciavardone D, et al. Safety of a 1-day polyethylene glycol 3350 bowel preparation for colonoscopy in children. J Pediatr Gastroenterol Nutr 2016;63:19-24.
DOI: https://doi.org/10.1097/MPG.0000000000001072
Mamula P, Nema N. Bowel Preparation for Pediatric Colonoscopy. Front. Pediatri 2021;9:705624.
DOI: https://doi.org/10.3389/fped.2021.705624
Cisarò F, Andrealli A, Calvo P, et al. Bowel preparation for gastrointestinal endoscopic procedures with sodium picosulphate-magnesium citrate is an effective, safe, and well-tolerated option in pediatric patients: a single-center experience. Gastroenterol Nurs 2018;41:312-5.
DOI: https://doi.org/10.1097/SGA.0000000000000340
Frizelle FA, Colls BM. Hyponatraemia and seizures after bowel preparation: report of three cases. Dis Colon Rectum 2005;48:393-6.
DOI: https://doi.org/10.1007/s10350-004-0778-6
Yagi T, Miyawaki Y, Nishikawa A, et al. Suppression of the purgative action of rhein anthrone, the active metabolite of sennosides A and B, by indomethacin in rats. J Pharm Pharmacol 1991;43:307-10.
DOI: https://doi.org/10.1111/j.2042-7158.1991.tb06695.x
Hamid SA, Di Lorenzo C, Reddy SN, et al. Bisacodyl and high amplitude- propagating colonic contractions in children. J Pediatr Gastroenterol Nutr 1998;27:398-402.
DOI: https://doi.org/10.1097/00005176-199810000-00006
Tutar E, Bayrak NA, Volkan B, Ertem D. Bowel preparation for colonoscopy in children: 1 Day PEG-3350) with bisacodyl versus 3Day sennosides. Dig Dis 2019;334-41.
DOI: https://doi.org/10.1159/000497819
Mohamed R, Hilsden RJ, Dube C, Rostom A. Split-dose polyethylene glycol is superior to single dose for colonoscopy preparation: results of a randomized controlled trial. Can J Gastroenterol Hepatol 2016;2016:3181459.
DOI: https://doi.org/10.1155/2016/3181459
Mytyk A, Lazowska-Przeorek I, Karolewska-Bochenek K, et al. Clear liquid versus low-fibre diet in bowel cleansing for colonoscopy in children: a randomized trial. J Pediatr Gastroenterol Nutr 2018;66:720-4.
DOI: https://doi.org/10.1097/MPG.0000000000001832
van Keulen KE, Neumann H, Schattenberg JM, et al. A novel device for intracolonoscopy cleansing of inadequately prepared colonoscopy patients: a feasibility study. Endoscopy 2019;51:85-92.
DOI: https://doi.org/10.1055/a-0632-1927
Pérez Jiménez J, Diego Bermúdez L, Gralnek IM, et al. An intra-procedural endoscopic cleansing device for achieving adequate colon preparation in poorly prepped patients. J Clin Gastroenterol 2019;53:530-4.
DOI: https://doi.org/10.1097/MCG.0000000000001114
Neumann H, Latorre M, Zimmerman T, et al. A multicenter, prospective, inpatient feasibility study to evaluate the use of an intra-colonoscopy cleansing device to optimize colon preparation in hospitalized patients: the REDUCE study. BMC Gastroenterol 2021;21:232.
DOI: https://doi.org/10.1186/s12876-021-01817-2
Hunter A, Mamula P. Bowel preparation for colonoscopic procedures. J Pediatr Gastroenterol Nutr 2010;51:254-61.
DOI: https://doi.org/10.1097/MPG.0b013e3181eb6a1c
Shaoul R, Wolff R, Seligmann H, et al. Symptoms of hyperphosphatemia, hypocalcemia, and hypomagnesemia in an adolescent after the oral administration of sodium phosphate in preparation for a colonoscopy. Gastrointest Endosc 2001;53:650-2.
DOI: https://doi.org/10.1067/mge.2001.112712
Rex DK. Dosing considerations in the use of sodium phosphate bowel preparations for colonoscopy. Am Pharmacother 2007;41:1466-75.
DOI: https://doi.org/10.1345/aph.1K206
Clark BT, Protiva P, Nagar A, et al. Quantification of Adequate Bowel Preparation for Screening or Surveillance Colonoscopy in Men. Gastroenterology 2016;150:396-405.
DOI: https://doi.org/10.1053/j.gastro.2015.09.041
Low DJ, Hong Z, Jugnundan S, et al. Automated Detection of Bowel Preparation Scoring and Adequacy With Deep Convolutional Neural Networks. J Can Assoc Gastroenterol 2022;5:256-60.
DOI: https://doi.org/10.1093/jcag/gwac013
How to Cite
Eke, C. B., Onyia, J. O. T., Eke, A. L., & Ukekwe, F. I. (2023). Bowel preparation in children and adolescents undergoing ileo-colonoscopy: what is new?. Annals of Clinical and Biomedical Research, 4(2). https://doi.org/10.4081/acbr.2023.370
Copyright (c) 2023 the Author(s)
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
PAGEPress has chosen to apply the Creative Commons Attribution NonCommercial 4.0 International License (CC BY-NC 4.0) to all manuscripts to be published.