{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T13:19:13Z","timestamp":1791897553554,"version":"4.3.4"},"reference-count":31,"publisher":"Georg Thieme Verlag KG","issue":"05","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Z Gastroenterol"],"published-print":{"date-parts":[[2022,5]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:p>\n               Hintergrund Der Schl\u00fcsselfaktor f\u00fcr die Aussagekraft einer Koloskopie ist die Qualit\u00e4t der Darmvorbereitung (Kolonlavage). Eine schlechte Darmvorbereitung f\u00fchrt zu verl\u00e4ngerten Untersuchungszeiten, inkompletten Untersuchungen und erh\u00f6ht das Komplikationsrisiko. Eine Diabeteserkrankung ist ein bedeutender Risikofaktor f\u00fcr eine insuffiziente Kolonlavage. Standardisierte Empfehlungen zur Koloskopievorbereitung von Diabetespatienten liegen bisher nicht vor.<\/jats:p><jats:p>\n               Methode Es erfolgte eine selektive Literatursuche in PubMed und GoogleScholar bis einschlie\u00dflich 06\/2021. Leitlinien und Positionspapiere der deutschen, europ\u00e4ischen und amerikanischen Fachgesellschaften sowie klinikeigene Erfahrungen wurden ebenfalls ber\u00fccksichtigt.<\/jats:p><jats:p>\n               Ergebnisse F\u00fcr die Darmvorbereitung gibt es verschiedene Wirkstoffe, die in 2 Hauptgruppen aufgeteilt werden k\u00f6nnen: Polyethylenglycol (PEG)-L\u00f6sungen und osmotische L\u00f6sungen. Es liegen inzwischen eine Reihe von Metaanalysen vor, die Unterschiede in den verschiedenen Vorbereitungsschemata untersucht haben. Die Ergebnisse sind sehr heterogen. Neben der Wahl des Abf\u00fchrmittels und der Frage welcher Zeitpunkt der Einnahme g\u00fcnstig ist, scheint die Art der Aufkl\u00e4rung zur Darmvorbereitung eine entscheidende Rolle zu spielen. Au\u00dferdem ist bei Diabetes-Patienten die Ern\u00e4hrung in den Tagen vor der Koloskopie von besonderer Bedeutung.<\/jats:p><jats:p>\n               Schlussfolgerung PEG-basierte Abf\u00fchrl\u00f6sungen in Split-Dosis sind bei Diabetes-Patienten aufgrund der h\u00e4ufig vorliegenden Motilit\u00e4tsst\u00f6rungen zu bevorzugen. Eine subtile Aufkl\u00e4rung \u00fcber die Abf\u00fchrma\u00dfnahmen und ein individueller Ern\u00e4hrungsplan f\u00fcr die Tage vor der Koloskopie werden empfohlen.<\/jats:p>","DOI":"10.1055\/a-1791-1627","type":"journal-article","created":{"date-parts":[[2022,5,11]],"date-time":"2022-05-11T22:52:22Z","timestamp":1652309542000},"page":"784-789","source":"Crossref","is-referenced-by-count":15,"title":["Koloskopievorbereitung bei Patienten mit Diabetes mellitus:\nEntwicklung einer Handlungsempfehlung"],"prefix":"10.1055","volume":"60","author":[{"given":"Henning Ernst","family":"Adamek","sequence":"additional","affiliation":[{"name":"Med. Klinik 2, Klinikum Leverkusen gGmbH, Leverkusen, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura","family":"Bergmann","sequence":"additional","affiliation":[{"name":"Med. Klinik 2, Klinikum Leverkusen gGmbH, Leverkusen, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karsten","family":"M\u00fcssig","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Innere Medizin und Gastroenterologie, Niels-Stensen-Kliniken GmbH, Franziskus-Hospital Harderberg, Georgsmarienh\u00fctte, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2022,5,11]]},"reference":[{"key":"ref2","doi-asserted-by":"crossref","first-page":"378","DOI":"10.1016\/S0016-5107(04)02776-2","article-title":"Impact of colonic cleansing on quality and diagnostic yield of colonoscopy: the European Panel of Appropriateness of Gastrointestinal Endoscopy European multicentre study","volume":"61","author":"F Froehlich","year":"2005","journal-title":"Gastrointest Endosc"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"577","DOI":"10.1016\/j.gtc.2013.05.010","article-title":"The modern bowel preparation in colonoscopy","volume":"42","author":"AI Sharara","year":"2013","journal-title":"Gastroenterol Clin North Am"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"873","DOI":"10.1111\/j.1572-0241.2006.00673.x","article-title":"ASGE\/ACG Taskforce on quality in Endoscopy. 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