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. 2013 Feb 16;5(2):39–46. doi: 10.4253/wjge.v5.i2.39

Table 1.

Summary of American Society for Gastrointestinal Endoscopy, American Society of Colon and Rectal Surgeons, Society of American Gastrointestinal and Endoscopic Surgeons consensus recommendations on colon cleansing agents for bowel preparation during colonoscopy

Agent Dosing Recommendation Level of evidence
PEG 240 mL every 10 min until rectal output is clear or total of 4 L Faster, more effective, better-tolerated compared to dietary restriction with cathartics, gut lavage, or mannitol Grade IA
Sulfate-free PEG 240 mL every 10 min until rectal output is clear or total of 4 L Better tasting, comparable to PEG in effectiveness and safety, acceptable alternative to PEG Grade IIB
Low-volume PEG/PEG-3350 and bisacodyl 4 bisacodyl delayed-release tablets at noon, after bowel movement or 6 h, 240 mL every 10 min until 2 L is consumed Equally effective to standard 4-L PEG, better tolerated, acceptable alternative to 4-L PEG Grade IA
Aqueous sodium phosphate Two doses of 30 to 45 mL sodium phosphate with 8 oz of liquid 10-12 h apart Equal alternative to PEG except for pediatric and elderly patients, bowel obstruction, renal failure, congestive heart and liver failure Grade IA
Sodium phosphate tablets 20 tablets on the evening before the procedure, 12-20 tablets 3-5 h before the procedure Improved taste and palatability compared to aqueous sodium phosphate, but no improvement in patient tolerance Grade IA

PEG: Polyethylene glycol-electrolyte.