Know the Ins and Outs of Bowel Preps

Ongoing shortages and a multitude of options will spur more questions about which bowel prep to use prior to a colonoscopy.

Recommend a prep based on preference, comorbidities, and cost. Any option is effective...if patients can tolerate and use it properly.

PEG with electrolytes is still the "gold standard," especially when fluid or electrolyte shifts may be harmful...diuretic use, kidney or liver disease, heart failure, etc. But taste and volume can be issues.

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