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Opinion Review
Copyright: ©Author(s) 2026.
World J Gastroenterol. Aug 14, 2026; 32(30): 118991
Published online Aug 14, 2026. doi: 10.3748/wjg.118991
Table 1 Comparative overview of contemporary bowel preparation agents
Preparation agent
Volume
Efficacy (%)
Nausea (%)
Headache (%)
Key safety issue
Tolerability
Ref.
4 L PEG4 L split85-9520-405-10Excellent safetyModerateRivas et al[10], 2014
2 L PEG + ascorbic2 L split90-9715-253-5Renal cautionGoodRivas et al[10], 2014 and Bisschops et al[47], 2019
SPMC powder2 sachets + 2-3 L85-9210-202-5Mucosal injury, electrolytesModerate-goodSeo et al[13], 2015; Dillon and Laher[16], 2009; and van Lieshout et al[52], 2017
SPMC liquid2 bottles + 1-2 L88-948-152-4Electrolyte monitoringGoodHassan et al[42], 2013 and Hoy et al[56], 2009
Conventional OST28 tablets +2.55 L92-9822-348-12Gastropathy, high saltModerateYang et al[21], 2020; Yoon et al[24], 2024; and Moulin and Ponchon[39], 2018
DWJ160920 tablets + 2.55 L96.977.60.95No electrolyte issues, 75% less saltGood-very goodPark et al[3], 2026
1 L NER10061 L + 1 L water90-9512-203-6Well-toleratedGood-very goodBisschops et al[47], 2019


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