How is colonoscopy utilized in the diagnosis of lower gastrointestinal (GI) bleeding (LGIB)?

Updated: Jul 26, 2019
  • Author: Burt Cagir, MD, FACS; Chief Editor: BS Anand, MD  more...
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Fiberoptic flexible colonoscopy can be utilized in two different fashions. The historical urgent colonoscopy includes rapid bowel preparation using 1-liter volume cathartic agents such as GoLYTELY every 30 to 45 minutes. This rapid preparation is completed in 3-4 hours using 4-6 L of GoLYTELY. [5] Placement of an NG tube with/without 10 mg intravenous (IV) metoclopramide can be used in patients who cannot tolerate rapid drinking. Emergent/immediate unprepared hydroflush colonoscopy can be also performed in an emergent fashion. [42]

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