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Copyright ©The Author(s) 2016. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Endosc. Jan 10, 2016; 8(1): 4-12
Published online Jan 10, 2016. doi: 10.4253/wjge.v8.i1.4
Bowel cleansing before colonoscopy: Balancing efficacy, safety, cost and patient tolerance
Nicole M Harrison, Michael C Hjelkrem
Nicole M Harrison, Department of Medicine, Fort Belvoir Community Hospital, Fort Belvoir, VA 22060, United States
Michael C Hjelkrem, Department of Gastroenterology, Fort Belvoir Community Hospital, Fort Belvoir, VA 22060, United States
Author contributions: Harrison NM and Hjelkrem MC contributed solely to this paper.
Conflict-of-interest statement: The authors certify that they have no affiliations with or involvement in any organization or entity with any financial interest (such as honoraria; educational grants; participation in speakers’ bureaus; membership, employment, consultancies, stock ownership, or other equity interest; and expert testimony or patent-licensing arrangements), or non-financial interest (such as personal or professional relationships, affiliations, knowledge or beliefs) in the subject matter or materials discussed in this manuscript.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Michael C Hjelkrem, MD, Department of Gastroenterology, Fort Belvoir Community Hospital, 9300 DeWitt Loop, Fort Belvoir, VA 22060, United States. mhjelkrem@yahoo.com
Telephone: +1-571-2312014
Received: June 23, 2015
Peer-review started: June 24, 2015
First decision: August 25, 2015
Revised: September 15, 2015
Accepted: November 10, 2015
Article in press: November 11, 2015
Published online: January 10, 2016
Processing time: 199 Days and 13.9 Hours
Core Tip

Core tip: Improvements in efficacy and tolerability of bowel preparation include new formulations that are more tolerable to patients without sacrificing efficacy or safety, and a better understanding of the ideal timing of bowel preparation administration.