Personalized Colonoscopy Preparation for Patients With Risk Factors for Inadequate Preparation

Personalized Colonoscopy Preparation for Patients With Risk Factors for Inadequate Preparation: A Randomized Control Trial

Adequate bowel preparation is one of the most important quality measures in colonoscopy. Previous studies identified several factors associated with inadequate bowel preparation (IBP). No study has attempted to assign a different regimen to patients based on the presence of risk factors for inadequate bowel preparation.

The aim of the study is to check if a personalized bowel preparation regimen based on risk factors for IBP, will lead to an overall improvement in bowel preparation during colonoscopy.

Inclusion Criteria:

• previous IBP
• concurrent medical conditions (e.g. diabetes, constipation)
• medications (e.g. opioids and tricyclic antidepressants)

Exclusion Criteria:

• previous colonic resection
• patients with IBD
• active CRC
• chronic kidney disease at any stage
• congestive heart failure at any stage
• liver cirrhosis