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. 2019 Feb 12;3(3):111–119. doi: 10.1093/jcag/gwy070
Paper Bowel Regimen Patient Instructions
Prospective Trials
Hookey and Vanner, 2009 1-PSLx* 1700 and 2200 evening prior + 10mg Bisacodyl po days 2, 3 pre-colonoscopy
2-PSLx 1700 and 2200 alone evening prior
3-45mL oral NaPhos 1700 and 2200 evening prior
CF only day prior
3-4L of Gatorade or similar evening prior
Fowler et al., 2009 All: PSLx mixed in 150–200 mL H2O + 10mg Bisacodyl po days 2, 3 pre-colonoscopy
+Before 11am: (traditional)1 package PSLx 1700 then 2200
After 11am: (split-dose) 1 package PSLX day prior 1900, then 5h prior to procedure
4L CF including Gatorade up to 2h before procedure
Fleming et al., 2012 ALL +10mg Bisacodyl days 2, 3 pre-colonoscopy
1-PSLx at 5pm then 11pm day before
2-PSLx at 7pm evening prior, then 4h prior to colonoscopy
CF only day prior
3–4 L of Gatorade or similar
Melicharkova et al., 2013 1-LRB no later than 10am with CF after
2-CF until 2h prior to colonoscopy
10mg Bisacodyl @1700 day 2, 3 pre-colonoscopy then 2x PSLx
Before 11am: 2x at 2200 day prior
After 11am: 2x at 0600 day of colonoscopy
Fleming et al., 2015 1-LRB + CF day prior to colonoscopy
2-CF diet alone
ALL: 4L PEG-ELS
Before 11am: (traditional), 4L over 1-3h starting 1900
After 11am: (split-dose) 2L over 1h at 1900, 2L over 1h 4 hours prior to colonoscopy
LRB – low reside breakfast no later than 10am with CF only after
CF up to 2h prior to colonoscopy
Clinical Practice Diary Studies
Vanner and Hookey, 2011 PSLx + 10mg Bisacodyl at 1800 days 2,3 pre-colonoscopy
Before 11am: (traditional) 1 package PSLx 1700 then 2200
After 11am: (split-dose) 1 package PSLx evening prior 1900, then 0600 day of
CF day prior, 4L Gatorade or similar day prior until leaving home
Diary record average BM x 1wk, times of preparation, times of new BM, amount of sports drink + overall fluids
Arya et al., 2014 Bowel prep chosen by individual gastroenterologists, PEG or PSLx + bisacodyl (10mg days 2, 3 prior to colonoscopy)
Before 11am: 1 package PSLx 1700 then 2200, OR 4L PEG over 1-3h starting 1900
After 11am: 1 package PSLx evening prior 1900 and 0600 day of. OR 2L PEG over 1h at 1900 on day prior and 2L L over 1h 4 hours prior to colonoscopy

Abbreviations: PSLx, pico-salax (picosulfate, magnesium oxide, citric acid); LRB, low residue breakfast; CRD, clear residue diet; CF, clear fluids; po, by mouth +As per protocol in the current centre, split-dosing was used for all patients with colonoscopy appointments scheduled after 11:00 am and traditional dosing was used for appointments before 11:00 am. Individuals living far distances could not tolerate split-dose schedule.