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J Pediatr Gastroenterol Nutr. 2014 Sep;59(3):409-16. doi: 10.1097/MPG.0000000000000447.

Bowel preparation for pediatric colonoscopy: report of the NASPGHAN endoscopy and procedures committee.

Author information

1
*Section of Gastroenterology, Hepatology, and Nutrition, St Christopher's Hospital for Children, Philadelphia, Pennsylvania †Division of Pediatric Gastroenterology, University of Michigan Health System, Ann Arbor ‡Division of Gastroenterology, Hepatology, and Nutrition, Children's Hospital Colorado, Aurora §Division of Pediatric Gastroenterology, Hepatology, and Nutrition, University of Nebraska Medical Center/Children's Medical Center, Omaha ||Division of Gastroenterology, Hepatology, and Nutrition, Boston Children's Hospital, Boston, Massachusetts ¶Division of Pediatric Gastroenterology, Loma Linda University, Loma Linda, California #Division of Pediatric Gastroenterology, University of Louisville, Louisville, Kentucky **Division of Pediatric Gastroenterology, Hepatology, and Nutrition, Broward Health Medical Center, Fort Lauderdale, Florida ††Division of Pediatric Gastroenterology and Nutrition, Arkansas Children's Hospital, Little Rock ‡‡Division of Gastroenterology, Hepatology, and Nutrition, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania §§Division of Gastroenterology, Phoenix Children's Hospital, Phoenix, Arizona ||||Division of Pediatric Gastroenterology, Medical University of South Carolina, Charleston ¶¶Division of Gastroenterology, Hepatology, and Nutrition, Texas Children's Hospital, Houston.

Abstract

Pediatric bowel preparation protocols used before colonoscopy vary greatly, with no identified standard practice. The present clinical report reviews the evidence for several bowel preparations in children and reports on their use among North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition members. Publications in the pediatric literature for bowel preparation regimens are described, including mechanisms of action, efficacy and ease of use, and pediatric studies. A survey distributed to pediatric gastroenterology programs across the country reviews present national practice, and cleanout recommendations are provided. Finally, further areas for research are identified.

PMID:
24897169
DOI:
10.1097/MPG.0000000000000447
[Indexed for MEDLINE]

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