| 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 |
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| 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 |
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| 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 |
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| 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 |
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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.