ReviewWorld journal of gastroenterology2023
Factors affecting the quality of bowel preparation for colonoscopy in hard-to-prepare patients: Evidence from the literature.
Review in World journal of gastroenterology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07295405 (Effect of Water Temperature on Bowel Cleansing Quality), which is not on this map. Cited by 54 papers, 3 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Effect of Water Temperature on Bowel Cleansing Quality: A Prospective Observational Study
Who cites it
54 citing papers in PubMed, 3 syntheses or guidelines pooled it, 67 citations in OpenAlex.
- Adjunctive linaclotide improves bowel cleansing and patient experience in polyethylene glycol-based bowel preparation.Scientific reports · 2026Pooled it
- Risk prediction models for inadequate bowel preparation before colonoscopy: A systematic review and meta-analysis.PloS one · 2026Pooled it
- Follow-up endoscopy rates as an indicator of effectiveness in colon capsule endoscopy: a systematic review and meta-analysis.BMJ open gastroenterology · 2025Pooled it
- Probiotics Accelerate Microbiota and Metabolic Pathway Recovery Following Colonoscopy Bowel Preparation in Ulcerative Colitis.Medical science monitor : international medical journal of experimental and clinical research · 2026Trial
- Impact of Milk Consumption the Day Before Colonoscopy on Bowel Preparation Quality: A Randomized Controlled Trial.Digestive diseases and sciences · 2026Trial
- A randomized, controlled trial of oral sulfate solution versus polyethylene glycol for bowel preparation for colonoscopy.BMC gastroenterology · 2025Trial
- Low-residue diet with oral nutritional supplements prior to colonoscopy improves the quality of bowel preparation: an endoscopist-blinded, randomized controlled trial.BMC gastroenterology · 2025Trial
- Prospective, randomized study comparing two different regimens of split-dose polyethylene glycol and their effect on endoscopic outcomes.BMC gastroenterology · 2024Trial
- Sporadic Adenoma Detection During Routine IBD Colonoscopies: A Secondary Analysis of Prospectively Collected Data.Digestive diseases and sciences · 2026Article
- Factors Associated with Clinically Inadequate Bowel Preparation Among Patients with Diabetes Mellitus Undergoing Colonoscopy: A Single-Center Observational Study.Diagnostics (Basel, Switzerland) · 2026Article
- Seasonal Variation in Bowel Preparation Quality and the Regimen-Specific Interaction: A Cross-Sectional Study.Digestive diseases and sciences · 2026Article
- Body Mass Index-Dependent Effect of Glucagon-Like Peptide 1 Receptor Agonist Therapy on Bowel Preparation Quality.Clinical and translational gastroenterology · 2026Article
- Dietary conflicts with standard clinical procedures for colonoscopy in Phenylketonuria: a case report.Journal of medical case reports · 2026Article
- A Machine Learning-Based Clinical Tool for Predicting Inadequate Bowel Preparation: Development and Validation.Clinical and translational gastroenterology · 2026Article
- Review
- Evaluating the effectiveness of precision integrative nursing plans in nursing quality management at a digestive endoscopy center.Pakistan journal of medical sciences · 2026Article
- Addressing barriers: randomized trial of effect of video education on colonoscopy preparation in Cantonese/Mandarin-speaking patients.iGIE : innovation, investigation and insights · 2026Article
- Comparative analysis of bowel preparation quality for colonoscopy: a survey of outpatients and inpatients.BMC gastroenterology · 2026Article
- Taste aversion as an under-recognized determinant of bowel preparation quality.Frontiers in medicine · 2026Article
- 1 versus 2 L PEG/Asc for bowel preparation in patients with hematochezia: a multicenter, prospective, randomized, non-inferiority study.Therapeutic advances in gastroenterology · 2026Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Adequate bowel cleansing is critical for a high-quality colonoscopy because it affects diagnostic accuracy and adenoma detection. Nevertheless, almost a quarter of procedures are still carried out with suboptimal preparation, resulting in longer procedure times, higher risk of complications, and higher likelihood of missing lesions. Current guidelines recommend high-volume or low-volume polyethylene glycol (PEG)/non-PEG-based split-dose regimens. In patients who have had insufficient bowel cleansing, the colonoscopy should be repeated the same day or the next day with additional bowel cleansing as a salvage option. A strategy that includes a prolonged low-fiber diet, a split preparation regimen, and a colonoscopy within 5 h of the end of preparation may increase cleansing success rates in the elderly. Furthermore, even though no specific product is specifically recommended in the other cases for difficult-to-prepare patients, clinical evidence suggests that 1-L PEG plus ascorbic acid preparation are associated with higher cleansing success in hospitalized and inflammatory bowel disease patients. Patients with severe renal insufficiency (creatinine clearance < 30 mL/min) should be prepared with isotonic high volume PEG solutions. Few data on cirrhotic patients are currently available, and no trials have been conducted in this population. An accurate characterization of procedural and patient variables may lead to a more personalized approach to bowel preparation, especially in patients undergoing resection of left colon lesions, where intestinal preparation has a poor outcome. The purpose of this review was to summarize the evidence on the risk factors influencing the quality of bowel cleansing in difficult-to-prepare patients, as well as strategies to improve colonoscopy preparation in these patients.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.