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In Japan, commercially available bowel preparation agents include polyethylene glycol, oral sodium sulfate, sodium picosulfate\u2010magnesium citrate, magnesium citrate, and oral sodium phosphate; each has its own strengths and limitations. The timing of administration can also influence the efficacy of bowel preparation and patient tolerability. Furthermore, meta\u2010analyses have suggested predictive factors for inadequate bowel preparation. A detailed understanding of these factors could contribute to reducing the need for repeat colonoscopy within 1\u2009year, as recommended for patients with inadequate bowel preparation. Recent advancements, such as oral sulfate tablets, present promising alternatives with higher patient satisfaction and ADRs than traditional methods. Achieving optimal bowel preparation requires enhanced instructions, individualized regimens, and a comprehensive understanding of patient backgrounds and the characteristics of various bowel preparation agents. This article provides a concise overview of the current status and advancements in bowel preparation for enhancing the quality and safety of colonoscopy.<\/jats:p>","DOI":"10.1111\/den.14914","type":"journal-article","created":{"date-parts":[[2024,9,4]],"date-time":"2024-09-04T05:25:21Z","timestamp":1725427521000},"page":"139-146","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Optimal bowel preparation for colonoscopy"],"prefix":"10.1111","volume":"37","author":[{"given":"Naoto","family":"Tamai","sequence":"first","affiliation":[{"name":"Department of Endoscopy The Jikei University School of Medicine  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kazuki","family":"Sumiyama","sequence":"additional","affiliation":[{"name":"Department of Endoscopy The Jikei University School of Medicine  Tokyo 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