An ideal bowel preparation is effective, safe, and tolerable. Ineffective preparation results in lower detection rates
of polyps1,2 and increased costs associated with repeat colonoscopy procedures.3 Safe bowel cleansers are important
as evidenced by the recent reduction in the use of phosphate-containing preparations because of a risk of
acute kidney damage.4 Furthermore, poor tolerability may prevent complete ingestion of the preparation and
may hinder a patient’s willingness to undergo both screening colonoscopy and repeat procedures.5 However,
based on currently approved products, no preparation is considered to be superior with regard to efficacy, safety, and tolerability.