Pall Harpreet, Zacur George M, Kramer Robert E, Lirio Richard A, Manfredi Michael, Shah Manoj, Stephen Thomas C, Tucker Neil, Gibbons Troy E, Sahn Benjamin, McOmber Mark, Friedlander Joel, Quiros J A, Fishman Douglas S, Mamula Petar
*Section of Gastroenterology, Hepatology, and Nutrition, St Christopher's Hospital for Children, Philadelphia, Pennsylvania †Division of Pediatric Gastroenterology, University of Michigan Health System, Ann Arbor ‡Division of Gastroenterology, Hepatology, and Nutrition, Children's Hospital Colorado, Aurora §Division of Pediatric Gastroenterology, Hepatology, and Nutrition, University of Nebraska Medical Center/Children's Medical Center, Omaha ||Division of Gastroenterology, Hepatology, and Nutrition, Boston Children's Hospital, Boston, Massachusetts ¶Division of Pediatric Gastroenterology, Loma Linda University, Loma Linda, California #Division of Pediatric Gastroenterology, University of Louisville, Louisville, Kentucky **Division of Pediatric Gastroenterology, Hepatology, and Nutrition, Broward Health Medical Center, Fort Lauderdale, Florida ††Division of Pediatric Gastroenterology and Nutrition, Arkansas Children's Hospital, Little Rock ‡‡Division of Gastroenterology, Hepatology, and Nutrition, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania §§Division of Gastroenterology, Phoenix Children's Hospital, Phoenix, Arizona ||||Division of Pediatric Gastroenterology, Medical University of South Carolina, Charleston ¶¶Division of Gastroenterology, Hepatology, and Nutrition, Texas Children's Hospital, Houston.
J Pediatr Gastroenterol Nutr. 2014 Sep;59(3):409-16. doi: 10.1097/MPG.0000000000000447.
Pediatric bowel preparation protocols used before colonoscopy vary greatly, with no identified standard practice. The present clinical report reviews the evidence for several bowel preparations in children and reports on their use among North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition members. Publications in the pediatric literature for bowel preparation regimens are described, including mechanisms of action, efficacy and ease of use, and pediatric studies. A survey distributed to pediatric gastroenterology programs across the country reviews present national practice, and cleanout recommendations are provided. Finally, further areas for research are identified.
结肠镜检查前使用的儿科肠道准备方案差异很大，尚无明确的标准做法。本临床报告回顾了几种儿童肠道准备方法的证据，并报告了北美儿科胃肠病学、肝病学和营养学会成员对其的使用情况。描述了儿科文献中有关肠道准备方案的出版物，包括作用机制、有效性和易用性以及儿科研究。向全国儿科胃肠病学项目发放的一项调查回顾了当前的全国实践情况，并提供了清肠建议。最后，确定了进一步的研究领域。
