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Consensus by Delphi method on the bowel cleansing for colonoscopy

https://doi.org/10.33878/2073-7556-2025-24-2-60-66

Abstract

AIM: to develop and evaluate standardized approach for bowel cleansing before colonoscopy.

MATERIALS AND METHODS: a cross-sectional study using the Delphi method was used. Anonymous voting was done by 12 experts. Twelve questions were compiled on bowel cleansing before colonoscopy. Based on the practical experience of the working group, as well as literature data, ten statements were formulated. Recommendations that did not reach the required level of agreement (80% or more) will be subject to a 2nd round of Delphi voting.

RESULTS: voting was completed on all 10 selected theses, the expert panel participated in full. Of the 10 provisions submitted for voting, consensus (80% or more) was reached on the stages of cleansing, diet and the use of additional agents.

CONCLUSION: the developed standardized scheme of patient preparation for colonoscopy is recognized as the most optimal in clinical practice based on expert evaluation.

About the Authors

A. S. Voskanyan
Ryzhikh National Medical Research Center of Coloproctology
Russian Federation

Anna S. Voskanyan

Salyama Adilya st., 2, Moscow, 123423



E. A. Khomyakov
Ryzhikh National Medical Research Center of Coloproctology
Russian Federation

Evgeniy A. Khomyakov

Salyama Adilya st., 2, Moscow, 123423



Yu. E. Vaganov
Ryzhikh National Medical Research Center of Coloproctology
Russian Federation

Yuri E. Vaganov

Salyama Adilya st., 2, Moscow, 123423



A. A. Likutov
Ryzhikh National Medical Research Center of Coloproctology
Russian Federation

Aleksey A. Likutov

Salyama Adilya st., 2, Moscow, 123423



T. A. Savitskaya
Ryzhikh National Medical Research Center of Coloproctology
Russian Federation

Tatyana A. Savitskaya

Salyama Adilya st., 2, Moscow, 123423



A. V. Galyaev
Multidisciplinary clinic Real Trans Hair T LLC
Russian Federation

Anton V. Galyaev

3rd Roshchinskaya st., 6, Moscow, 115191



I. V. Lukashevich
Ryzhikh National Medical Research Center of Coloproctology
Russian Federation

Ilona V. Lukashevich

Salyama Adilya st., 2, Moscow, 123423



E. G. Rybakov
Ryzhikh National Medical Research Center of Coloproctology
Russian Federation

Evgeny G. Rybakov

Salyama Adilya st., 2, Moscow, 123423



References

1. ASGE Standards of Practice Committee, Saltzman JR, Cash BD, et al. Bowel preparation before colonoscopy. Gastrointest Endosc. 2015;81:781–94. doi: 10.1016/j.gie.2014.09.048

2. Wexner SD, Beck DE, Baron TH, et al. A consensus document on bowel preparation before colonoscopy: prepared by a task force from the American Society of Colon and Rectal Surgeons (ASCRS), the American Society for Gastrointestinal Endoscopy (ASGE), and the Society of American Gastrointestinal and Endoscopic Surgeons (SAGES). Gastrointest Endosc. 2006;63:894–909. doi: 10.1016/j.gie.2006.03.918

3. Chokshi RV, Hovis CE, Hollander T, et al. Prevalence of missed adenomas in patients with inadequate bowel preparation on screening colonoscopy. Gastrointest Endosc. 2012;75:1197–203. doi: 10.1016/j.gie.2012.01.005

4. Clark BT, Rustagi T, Laine L. What level of bowel prep quality requires early repeat colonoscopy: systematic review and meta-analysis of the impact of preparation quality on adenoma detection rate. Am J Gastroenterol. 2014;109:1714–23; quiz 1724. doi: 10.1038/ajg.2014.232

5. Lebwohl B, Kastrinos F, Glick M, et al. The impact of suboptimal bowel preparation on adenoma miss rates and the factors associated with early repeat colonoscopy. Gastrointest Endosc. 2011;73:1207–14. doi: 10.1016/j.gie.2011.01.051

6. Lieberman DA, Rex DK, Winawer SJ, et al. Guidelines for colonoscopy surveillance after screening and polypectomy: a consensus update by the US Multi-Society Task Force on Colorectal Cancer. Gastroenterology. 2012;143:844–57. doi: 10.1053/j.gas-tro.2012.06.001

7. Hillyer GC, Basch CH, Lebwohl B, et al. Shortened surveillance intervals following suboptimal bowel preparation for colonoscopy: results of a national survey. Int J Colorectal Dis. 2013;28:73–81. doi: 10.1007/s00384-012-1559-7

8. Shimada M, Hirashima N, Iwase H, et al. Evaluating patient acceptability and bowel preparation efficacy of sodium picosulfate-magnesium citrate for colonoscopy. DEN Open. 2022;2:e59. doi: 10.1002/deo2.59

9. Ray-Offor E, Ray-Offor OD. Castor Oil and Bisacodyl Versus Sodium Picosulphate Magnesium Citrate for Bowel Cleansing Prior to Colonoscopy in a Limited Resource Setting. West Afr J Med. 2020;37:656–61.

10. Waye JD. Colonoscopy ‘my way’: preparation, anticoagulants, antibiotics and sedation. Can J Gastroenterol. 1999;13:473–6. doi: 10.1155/1999/837528

11. Shelygin Y.A., Achkasov S.I., Reshetov I.V., et al. Consensus on controversial issues of the surgery for Crohn’s disease by Delphi method. Koloproktologia. 2023;22(20:172–183. doi: 10.33878/2073-7556-2023-22-2-172-183

12. Parra-Blanco A, Ruiz A, Alvarez-Lobos M, et al. Achieving the best bowel preparation for colonoscopy. World J Gastroenterol. 2014;20:17709–26. doi: 10.3748/wjg.v20.i47.17709

13. Nam SJ, Kim YJ, Keum B, et al. Impact of diet restriction on bowel preparation for colonoscopy. Medicine (United States). 2018;97. doi: 10.1097/MD.0000000000012645

14. Calderwood AH, Jacobson BC. Comprehensive validation of the Boston Bowel Preparation Scale. Gastrointest Endosc. 2010;72:686–92. doi: 10.1016/j.gie.2010.06.068

15. Heron V, Parmar R, Ménard C, et al. Validating bowel preparation scales. Endosc Int Open. 2017;5:E1179–88. doi: 10.1055/s-0043-119749

16. Parmar R, Martel M, Rostom A, et al. Validated Scales for Colon Cleansing: A Systematic Review. Am J Gastroenterol. 2016;111:197– 204; quiz 205. doi: 10.1038/ajg.2015.417

17. Unger RZ, Amstutz SP, Seo DH, et al. Willingness to undergo split-dose bowel preparation for colonoscopy and compliance with split-dose instructions. Dig Dis Sci. 2010;55:2030–4. doi: 10.1007/s10620-009-1092-x

18. Bryant RV, Schoeman SN, Schoeman MN. Shorter preparation to procedure interval for colonoscopy improves quality of bowel cleansing. Intern Med J. 2013;43:162–8. doi: 10.1111/j.1445-5994.2012.02963.x

19. Seo EH, Kim TO, Park MJ, et al. Optimal preparation-to-colonoscopy interval in split-dose PEG bowel preparation determines satisfactory bowel preparation quality: an observational prospective study. Gastrointest Endosc. 2012;75:583–90. doi: 10.1016/j.gie.2011.09.029

20. Marmo R, Rotondano G, Riccio G, et al. Effective bowel cleansing before colonoscopy: a randomized study of split-dosage versus non-split dosage regimens of high-volume versus low-volume polyethylene glycol solutions. Gastrointest Endosc. 2010;72:313–20. doi: 10.1016/j.gie.2010.02.048

21. Eun CS, Han DS, Hyun YS, et al. The timing of bowel preparation is more important than the timing of colonoscopy in determining the quality of bowel cleansing. Dig Dis Sci. 2011;56:539–44. doi: 10.1007/s10620-010-1457-1

22. Siddiqui AA, Yang K, Spechler SJ, et al. Duration of the interval between the completion of bowel preparation and the start of colonoscopy predicts bowel-preparation quality. Gastrointest Endosc. 2009;69:700–6. doi: 10.1016/j.gie.2008.09.047

23. Liu Z, Zhang MM, Li YY, et al. Enhanced education for bowel preparation bere colonoscopy: A state-of-the-art review. J Dig Dis. 2017;18:84–91. doi: 10.1111/1751-2980.12446

24. Mitchell RMS, McCallion K, Gardiner KR, et al. Successful colonoscopy; completion rates and reasons for incompletion. Ulster Med J. 2002;71:34–7.

25. Tae JW, Lee JC, Hong SJ, et al. Impact of patient education with cartoon visual aids on the quality of bowel preparation for colonoscopy. Gastrointest Endosc. 2012;76:804–11. doi: 10.1016/j.gie.2012.05.026

26. Prakash SR, Verma S, McGowan J, et al. Improving the quality of colonoscopy bowel preparation using an educational video. Can J Gastroenterol. 2013;27:696–700. doi: 10.1155/2013/292636

27. Liu X, Luo H, Zhang L, et al. Telephone-based re-education on the day before colonoscopy improves the quality of bowel preparation and the polyp detection rate: a prospective, colonoscopist-blinded, randomised, controlled study. Gut. 2014;63:125–30. doi: 10.1136/gutjnl-2012-304292

28. Back SY, Kim HG, Ahn EM, et al. Impact of patient audiovisual re-education via a smartphone on the quality of bowel preparation before colonoscopy: a single-blinded randomized study. Gastrointest Endosc. 2018;87:789–799.e4. doi: 10.1016/j.gie.2017.09.007

29. Jeon SC, Kim JH, Kim SJ, et al. Effect of Sending Educational Video Clips via Smartphone Mobile Messenger on Bowel Preparation before Colonoscopy. Clin Endosc. 2019;52:53–8. doi: 10.5946/ce.2018.072

30. Shaver WA, Storms P, Peterson WL. Improvement of oral colonic lavage with supplemental simethicone. Dig Dis Sci. 1988;33:185–8. doi: 10.1007/BF01535731


Review

For citations:


Voskanyan A.S., Khomyakov E.A., Vaganov Yu.E., Likutov A.A., Savitskaya T.A., Galyaev A.V., Lukashevich I.V., Rybakov E.G. Consensus by Delphi method on the bowel cleansing for colonoscopy. Koloproktologia. 2025;24(2):60-66. https://doi.org/10.33878/2073-7556-2025-24-2-60-66

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ISSN 2073-7556 (Print)
ISSN 2686-7303 (Online)