Table 1.
Characteristics of selected studies.
Author | Study Type | Region | No. Of Patients | Demographics | Definition of Adequate Bowel Preparation | Diet During Bowel Preparation Phase | Type Bowel Preparation Solution |
Park et al 2009 | RCT | South Korea | 214 | Male: 120 (56.1%) Female: 94 (43.9%) Mean Age: 53.1–55.2 yr | Ottawa Scale No reported cut off for adequate preparation | Prepackaged low- residue diet all day vs Clear liquid diet all day | 4L PEG with electrolytes on day of colonoscopy |
Rapier et al 2006 | RCT | USA | 75 | Male: 44 (58.7%) Female: 31 (41.3%) Mean Age: 61.0 yr | Aronchick Scale Adequate bowel preparation was excellent or good | Prepackaged low- residue diet all day vs Clear liquid diet all day | Magnesium citrate and bisacodyl (oral and rectal) |
Scott et al 2004 | RCT | USA | 185 | Male: 82 (44.3%) Female: 103 (55.7%) Mean Age: 56.9–57.0 yr | Aronchick Scale Adequate bowel preparation was excellent or good | Regular breakfast then low-residue diet lunch, then clear liquids rest of day vs Light breakfast then clear liquid rest of day | Sodium phosphates oral solutions split-dose |
Sipe et al 2013 | RCT | USA | 196 | Male: 93 (47.4%) Female: 103 (52.6%) Mean Age: 56.9–57.8 yr | Boston Bowel Preparation Scale No reported cut off for adequate preparation | Low-residue diet for breakfast, lunch, snack, then clear liquids rest of day vs Clear liquid diet all day | Oral sulfate solution split-dose |
Soweid et al 2010 | RCT | Lebanon | 200 | Male: 105 (52.5%) Female: 95 (47.5%) Mean Age: 55.5–56.6 yr | Aronchick Scale Adequate bowel preparation was excellent or good | Low-residue diet for breakfast, lunch, dinner vs Clear liquid diet all day | 4L PEG with electrolytes the evening prior |
Melicharkova et al 2013 | RCT | Canada | 213 | Male: 109 (51.2%) Female: 104 (48.8%) Mean Age: 56.5–57.1 yr | Ottawa and Aronchick Scales Adequate bowel preparation were excellent or good | Low-residue diet for breakfast, then clear liquids the rest of day vs Clear liquid diet all day | Sodium picosulfate + magnesium citrate + bisacodyl evening prior for morning procedures and day of for afternoon procedures |
Stolpman et al 2014 | RCT | USA | 201 | Male: 114 (56.7%) Female: 87 (43.3%) Mean Age: 60 yr | Boston Bowel Preparation Scale Adequate bowel preparation was score ≥ 6 | Low-residue diet for breakfast and lunch, then clear liquids rest of day vs Clear liquid diet all day | Oral sulfate solution split-dose |
Butt et al 2016 | RCT | Australia | 226 | Male: 117 (51.8%) Female: 109 (48.2%) Mean Age: 52 yr | Harefield Cleansing Scale Adequate bowel preparation was score of A or B | Low-residue diet all day (white diet) vs Clear liquid diet all day | 2L PEG + ascorbic acid evening prior for morning procedures and split-dose for afternoon procedures |
Walter et al 2017 | RCT | USA | 140 | Male: 60 (42.9%) Female: 80 (57.1%) Mean Age: NA | Boston Bowel Preparation Scale Adequate bowel preparation was score ≥ 6 | Low-residue diet for breakfast and lunch, then clear liquids rest of day vs Clear liquid diet all day | 2L PEG + ascorbic acid split-dose |
Delegge et al 2005 | RCT | USA | 506 | Male: 184 (36.4%) Female: 322 (63.6%) Mean Age: 54.3 yr | Custom standard, Adequate bowel preparation was excellent or good | Prepackaged low-residue diet all day vs Clear liquid diet all day | sodium phosphates (2 × 45-mL, split dose.) vs low volume dose of magnesium citrate and bisacodyl |
Flemming et al 2015 | RCT | Canada | 214 | Male: 86 (40.2%) Female: 128 (63.6%) Mean Age: 62–65 yr | Ottawa scale; Aronchick scale, Adequate bowel preparation was excellent or good | Low-residue diet for breakfast, then clear liquids rest of day vs Clear liquid diet all day | 4L PEG-ELS solution, split-dosing or traditional dosing depend on colonoscopy time |
Dwyer et al 2017 | RCT | Australia | 250 | Male: 135 (54%) Female: 115 (46%) Mean Age: 54–54.5 yr | Ottawa scale, Adequate bowel preparation was score ≤ 6 | White Diet vs Light breakfast, then clear fluids only | 1L PEG or split-dose Picosalax + SPMC |
Thukral et al 2017 | RCT | USA | 215 | Male: 112 (52.3%) Female: 103 (47.7%) Mean Age: 55.8–57 yr | Boston Scale, Adequate bowel preparation was score > 5 | Specific instructions on acceptable foods for breakfast, lunch, and evening snacks vs Clear liquid diet all day | Split dose magnesium citrate |
Tikfu et al 2018 | RCT | Malaysia | 97 | Male: 51 (53%) Female: 46 (47%) Age: 16–73 years old | The modified Aronchick bowel preparation quality scale. | Low-residue, lactose-free semi-elemental enteral formula vs Clear liquid diet | Sodium phosphate (PEG, 3 L in total instead if contraindicated) |
Marco et al 2019 | RCT | Spain | 276 | Male: 144 (52%) Female: 132 (48%) Mean Age: 59.9 yr | Boston bowel preparation scale | Low-fiber diet vs Clear liquid diet | 4 L of polyethylene glycol in a split-dose regimen |
Elisa et al 2019 | RCT | Mexico | 205 | Male: 72 (35.1%) Female: 133 (64.9%) Mean Age: 55.6 yr | Boston bowel preparation scale | Low-residue diet vs Clear liquid diet | 4-L preparation of single-dose PEG |
RCT = randomized controlled trials.