{"id":"mechanical-bowel-preparation","safety":{"commonSideEffects":[{"rate":null,"effect":"Abdominal discomfort or cramping"},{"rate":null,"effect":"Nausea"},{"rate":null,"effect":"Vomiting"},{"rate":null,"effect":"Dehydration"},{"rate":null,"effect":"Electrolyte imbalance"}]},"_chembl":null,"_dailymed":null,"mechanism":{"_ai_source":"claude-haiku-4.5","explanation":"Mechanical bowel preparation typically involves the administration of polyethylene glycol (PEG) solutions, sodium phosphate, or other osmotic agents that draw fluid into the intestinal lumen, increasing stool bulk and promoting evacuation. This non-pharmacological approach mechanically cleanses the colon without relying on systemic drug absorption, making it a standard preparatory procedure rather than a therapeutic drug in the traditional sense.","oneSentence":"Mechanical bowel preparation physically clears the colon of fecal matter and debris through osmotic and/or mechanical action to prepare the bowel for diagnostic or surgical procedures.","_ai_confidence":"medium"},"_scrapedAt":"2026-03-27T23:54:07.775Z","_scrapedBy":"cloudflare-swarm","_wikipedia":null,"indications":{"approved":[{"name":"Bowel preparation prior to colonoscopy"},{"name":"Bowel preparation prior to colorectal surgery"},{"name":"Bowel preparation prior to other gastrointestinal procedures"}]},"trialDetails":[{"nctId":"NCT07496528","phase":"NA","title":"Acupuncture for Colorectal sUrgery Recovery Enhancement: A Randomized Controlled Trial Evaluating Gastrointestinal Functional Recovery After Minimally Invasive Resection","status":"NOT_YET_RECRUITING","sponsor":"Chang Gung Memorial Hospital","startDate":"2026-04-01","conditions":"Colorectal Neoplasms, Ileus Postoperative, Postoperative Complication","enrollment":240},{"nctId":"NCT05942404","phase":"NA","title":"Investigation of the Effect of Preoperative Bowel Cleansing on Postoperative Cognitive Impairment","status":"COMPLETED","sponsor":"TC Erciyes University","startDate":"2023-10-22","conditions":"POCD - Postoperative Cognitive Dysfunction, Mechanical Bowel Preparation","enrollment":84},{"nctId":"NCT07429760","phase":"NA","title":"Mechanical Bowel Preparation With or Without Oral Antibiotics in Left Sided Colorectal Cancer Surgery","status":"ENROLLING_BY_INVITATION","sponsor":"Shaukat Khanum Memorial Cancer Hospital & Research Centre","startDate":"2025-08-01","conditions":"Colorectal Cancer","enrollment":60},{"nctId":"NCT07396077","phase":"NA","title":"Pre-operative Risk Assessment Combined With Targeted Intervention in the Chinese Elderly With Spine Surgery II","status":"NOT_YET_RECRUITING","sponsor":"Xuanwu Hospital, Beijing","startDate":"2026-04-25","conditions":"Spine Degeneration, Lumbar Degenerative Disease, Frail Elderly","enrollment":248},{"nctId":"NCT03663504","phase":"PHASE4","title":"Comparing No Mechanical Bowel Preparation With Oral Antibiotics Alone in Patients Undergoing Elective Colon Surgery","status":"ACTIVE_NOT_RECRUITING","sponsor":"Ottawa Hospital Research Institute","startDate":"2018-10-23","conditions":"Elective Colon Surgery","enrollment":630},{"nctId":"NCT02314182","phase":"PHASE3","title":"GRECCAR 8: Primary Tumor Resection in Rectal Cancer With Unresectable Metastasis","status":"COMPLETED","sponsor":"Hospices Civils de Lyon","startDate":"2014-11-20","conditions":"Rectal Adenocarcinoma","enrollment":5},{"nctId":"NCT07206836","phase":"NA","title":"Pediatric Colostomy Reversal: Traditional Care vs. Enhanced Recovery After Surgery","status":"RECRUITING","sponsor":"Children Hospital Faisalabad","startDate":"2025-08-01","conditions":"Colostomy - Stoma, Stoma Reversal Procedure, ERAS","enrollment":60},{"nctId":"NCT07093099","phase":"NA","title":"Effect of Counseling and Education on Mechanical Bowel Preparation","status":"COMPLETED","sponsor":"Al-Ram Drug Store","startDate":"2020-12-01","conditions":"Colonoscopy, Colorectal Cancer Screening","enrollment":150},{"nctId":"NCT06902116","phase":"NA","title":"Comparison of Outcome of Three Days Bowel Preparation vs No Bowel Preparation in Patients of Colostomy Reversal","status":"RECRUITING","sponsor":"University of Child Health Sciences and Children's Hospital, Lahore","startDate":"2025-01-08","conditions":"Colostomy - Stoma, Bowel Preparation, BOWEL ANASTOMOSIS","enrollment":80},{"nctId":"NCT04931173","phase":"NA","title":"Mechanical Bowel Prep Randomized Study","status":"NOT_YET_RECRUITING","sponsor":"Mount Sinai Hospital, Canada","startDate":"2025-03","conditions":"Colorectal Surgery","enrollment":1062},{"nctId":"NCT04129177","phase":"","title":"Reduction of Surgical Site Infections in Elective Colorectal Surgery After the Implementation of a Bundle of Care.","status":"COMPLETED","sponsor":"Hospital de Granollers","startDate":"2018-10-01","conditions":"Colorectal Neoplasms, Surgical Wound Infection","enrollment":12000},{"nctId":"NCT05148494","phase":"PHASE4","title":"TES RCT Fleet Enema vs Oral Mechanical Bowel Prep","status":"RECRUITING","sponsor":"Nova Scotia Health Authority","startDate":"2022-03-16","conditions":"Colorectal Neoplasms, Surgery","enrollment":66},{"nctId":"NCT05523960","phase":"NA","title":"Mechanical Bowel Preparation Versus no Bowel Preparation for Esophageal Cancer Surgery","status":"COMPLETED","sponsor":"Cancer Institute and Hospital, Chinese Academy of Medical Sciences","startDate":"2022-09-01","conditions":"Esophageal Cancer","enrollment":652},{"nctId":"NCT03491540","phase":"PHASE3","title":"Mechanical Bowel Preparation and Oral Antibiotics Before Rectal Cancer Surgery","status":"COMPLETED","sponsor":"Assistance Publique - Hôpitaux de Paris","startDate":"2018-09-03","conditions":"Rectal Cancer Surgery","enrollment":414},{"nctId":"NCT04592289","phase":"NA","title":"Short-term Outcomes of Full Bowel Preparation (MBP+OA) for Rectal Resections for Cancer Versus MBP Alone","status":"UNKNOWN","sponsor":"N.N. Petrov National Medical Research Center of Oncology","startDate":"2020-10-30","conditions":"Rectal Cancer","enrollment":622},{"nctId":"NCT04013841","phase":"NA","title":"Bowel Preparation Impact on the Intestinal Microbiome: Oral Preparation vs Enema","status":"COMPLETED","sponsor":"Vilnius University","startDate":"2021-04-08","conditions":"Colorectal Cancer","enrollment":40},{"nctId":"NCT03645226","phase":"","title":"Gut Microbiota Across Early Stages of Synucleinopathy: From High-risk Relatives, REM Sleep Behavior Disorder to Early Parkinson's Disease","status":"COMPLETED","sponsor":"Chinese University of Hong Kong","startDate":"2018-05-06","conditions":"REM Sleep Behavior Disorder","enrollment":441},{"nctId":"NCT05164887","phase":"","title":"Microbiota Implementation to Reduce Anastomotic Colorectal Leaks (MIRACLe)","status":"COMPLETED","sponsor":"S.Eugenio Hospital","startDate":"2020-12-01","conditions":"Colorectal Cancer, Surgery, LAP","enrollment":131},{"nctId":"NCT03856671","phase":"NA","title":"Prophylatic Effect Preoperative Antibiotics With Mechanical Bowel Preparation in SSIs","status":"COMPLETED","sponsor":"Third Affiliated Hospital, Sun Yat-Sen University","startDate":"2019-01-17","conditions":"Surgical Site Infection, Postoperative Complications, Bowel Preparation","enrollment":309},{"nctId":"NCT05546892","phase":"NA","title":"Short-term Outcomes of Full Bowel Preparation (MBP+OA) for Colon Cancer Resections Versus no Bowel Preparation","status":"UNKNOWN","sponsor":"N.N. Petrov National Medical Research Center of Oncology","startDate":"2023-02-10","conditions":"Colon Cancer","enrollment":586},{"nctId":"NCT05779254","phase":"","title":"SURGIcal COmplication and MIcrobiome ChangeS in Colorectal Surgery","status":"UNKNOWN","sponsor":"Uzsoki Hospital","startDate":"2023-02-01","conditions":"Anastomotic Leak, Microbial Colonization","enrollment":100},{"nctId":"NCT04281667","phase":"PHASE4","title":"Mechanical Bowel Preparation and Oral Antibiotics Versus Mechanical Bowel Preparation Only Prior Rectal Surgery","status":"ACTIVE_NOT_RECRUITING","sponsor":"Helsinki University Central Hospital","startDate":"2020-03-18","conditions":"Rectal Adenocarcinoma, Rectum Neoplasm, Rectum Carcinoma","enrollment":604},{"nctId":"NCT05522686","phase":"NA","title":"The Effect of Different Education Methods Before Invasive Urodynamics","status":"COMPLETED","sponsor":"Saglik Bilimleri Universitesi","startDate":"2019-08-01","conditions":"Urologic Diseases, Urodynamics","enrollment":80},{"nctId":"NCT03475680","phase":"PHASE3","title":"Mechanical Bowel Preparation and Oral Antibiotics Before Colon Cancer Surgery","status":"TERMINATED","sponsor":"Assistance Publique - Hôpitaux de Paris","startDate":"2018-08-08","conditions":"Colon Cancer","enrollment":193},{"nctId":"NCT04161599","phase":"PHASE4","title":"Preoperative Oral Antibiotics With vs Without Mechanical Bowel Preparation to Reduce Surgical Site Infections Following Colonic Resection: an International Randomized Controlled Trial.","status":"UNKNOWN","sponsor":"Hospital Universitari Vall d'Hebron Research Institute","startDate":"2022-03-01","conditions":"Wounds and Injuries, Surgery--Complications","enrollment":968},{"nctId":"NCT03593252","phase":"NA","title":"Bowel Preparation in Elective Pediatric Colorectal Surgery","status":"UNKNOWN","sponsor":"McMaster University","startDate":"2022-01-01","conditions":"Colostomy, Hirschsprung Disease - Pull Through, Necrotizing Enterocolitis","enrollment":81},{"nctId":"NCT04400669","phase":"NA","title":"The Effect of Mechanical Bowel Preparation Prior to Gynaecological Laparoscopic Surgeries on the Surgical Conditions","status":"UNKNOWN","sponsor":"Sehit Prof. Dr. Ilhan Varank Sancaktepe Training and Research Hospital","startDate":"2020-06-05","conditions":"Patient Preference, Patient Safety","enrollment":160},{"nctId":"NCT03563586","phase":"NA","title":"Mechanical Bowel Preparation With or Without Oral Antibiotics for Colorectal Cancer Surgery","status":"UNKNOWN","sponsor":"National and Kapodistrian University of Athens","startDate":"2018-04-01","conditions":"Antibiotic, Bowel Cancer, Colorectal Cancer","enrollment":210},{"nctId":"NCT02652637","phase":"PHASE4","title":"MOBILE Trial. Mechanical and Oral Antibiotic Bowel Preparation Versus no Bowel preparatIon for eLEctive Colectomy - a Multicenter, Prospective, Randomized, Controlled Trial.","status":"UNKNOWN","sponsor":"Helsinki University Central Hospital","startDate":"2016-03","conditions":"Colorectal Surgery","enrollment":417},{"nctId":"NCT04258098","phase":"","title":"Prophylatic Effect Preoperative Antibiotics With Mechanical Bowel Preparation in SSIs: A Propensity Analysis","status":"COMPLETED","sponsor":"Third Affiliated Hospital, Sun Yat-Sen University","startDate":"2011-01-01","conditions":"Surgical Site Infection, Colorectal Cancer","enrollment":806},{"nctId":"NCT02505581","phase":"PHASE4","title":"Parenteral Antibiotics Compared to Combination of Oral and Parenteral Antibiotics in Colorectal Surgery Prophylaxis","status":"COMPLETED","sponsor":"Hospital Universitari Vall d'Hebron Research Institute","startDate":"2015-05","conditions":"Surgical Wound Infection","enrollment":536},{"nctId":"NCT03759886","phase":"","title":"Oral Antibiotic Prophylaxis in Colorectal Surgery","status":"UNKNOWN","sponsor":"University of Leipzig","startDate":"2018-12-17","conditions":"Surgical Site Infection, Anastomotic Leak","enrollment":100},{"nctId":"NCT02687412","phase":"NA","title":"Fast-track Surgery After Gynecological Oncology Surgery","status":"COMPLETED","sponsor":"Ling Cui","startDate":"2016-11-21","conditions":"Length of Stay, Postoperative Complications, CRP","enrollment":107},{"nctId":"NCT04005118","phase":"","title":"Human Intestinal Microbiome and Surgical Outcomes in Patients Undergoing Colorectal Cancer Surgery","status":"UNKNOWN","sponsor":"Assistance Publique - Hôpitaux de Paris","startDate":"2019-05-28","conditions":"Adenocarcinoma of the Colon, Adenocarcinoma of the Rectum","enrollment":50},{"nctId":"NCT03436719","phase":"NA","title":"Antibiotic Prophylaxis in Rectal Cancer Surgery: Oral With Intravenous Versus Intravenous Antibiotics.","status":"UNKNOWN","sponsor":"State Scientific Centre of Coloproctology, Russian Federation","startDate":"2017-11-06","conditions":"Rectal Cancer","enrollment":280},{"nctId":"NCT00940030","phase":"NA","title":"Comparison of Mechanical Bowel Preparation Versus Enema for Candidates to Colorectal Resection for Adenocarcinoma","status":"COMPLETED","sponsor":"European Institute of Oncology","startDate":"2007-10","conditions":"Colorectal Cancer","enrollment":440},{"nctId":"NCT03665376","phase":"NA","title":"Feasibility and Efficacy of Enhanced Recovery After Surgery (ERAS) on Length of Stay Among Laparotomy Patients at Mbarara Regional Referral Hospital","status":"COMPLETED","sponsor":"Mbarara University of Science and Technology","startDate":"2017-06-01","conditions":"Laparotomy","enrollment":33},{"nctId":"NCT03640299","phase":"NA","title":"The Safety and Efficacy of Enhanced Recovery After Surgery on Clinical and Immune Outcomes for Gynecological Oncology","status":"UNKNOWN","sponsor":"Shanghai First Maternity and Infant Hospital","startDate":"2018-08-30","conditions":"Gynecologic Cancer","enrollment":80},{"nctId":"NCT03042091","phase":"EARLY_PHASE1","title":"Neomycin and Metronidazole Hydrochloride With or Without Polyethylene Glycol in Reducing Infection in Patients Undergoing Elective Colorectal Surgery","status":"UNKNOWN","sponsor":"Thomas Jefferson University","startDate":"2016-09","conditions":"Colorectal Neoplasms, Diverticulitis, Inflammatory Bowel Diseases","enrollment":224},{"nctId":"NCT02530346","phase":"NA","title":"Is Colostomy Closure Without Mechanical Bowel Preparation Safe in Pediatric Patients? 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Does One Bowel Cleansing Regimen Improve the Surgeons Visual Field Significantly Better Than the Other.","status":"UNKNOWN","sponsor":"Boston Urogynecology Associates","startDate":"2012-01","conditions":"Pelvic Organ Prolapse","enrollment":176},{"nctId":"NCT01997645","phase":"NA","title":"Surgical Treatment of High Perianal Fistulas","status":"UNKNOWN","sponsor":"University Hospital Hradec Kralove","startDate":"2013-11","conditions":"Anal Fistula, Rectal Fistula","enrollment":140},{"nctId":"NCT01969591","phase":"NA","title":"Fast Track Laparoscopic Surgery: A Better Option for Treating Colorectal Cancer Than Conventional Laparoscopic Surgery","status":"COMPLETED","sponsor":"Quan Wang","startDate":"2011-01","conditions":"Colorectal Cancer","enrollment":70},{"nctId":"NCT01797770","phase":"","title":"Trial on Mechanical Bowel Preparation in Laparoscopic Colorectal Surgery","status":"UNKNOWN","sponsor":"PVS Memorial Hospital","startDate":"2012-01","conditions":"Rectal Cancer, Colon Cancer","enrollment":90},{"nctId":"NCT00554892","phase":"NA","title":"Rectal Cancer Surgery Without Mechanical Bowel Preparation","status":"COMPLETED","sponsor":"Assistance Publique - Hôpitaux de Paris","startDate":"2007-09","conditions":"Patients With Rectal Cancer","enrollment":186},{"nctId":"NCT01148394","phase":"NA","title":"Enhanced Recovery After Colorectal Surgery","status":"COMPLETED","sponsor":"University of Valencia","startDate":"2009-01","conditions":"Fast Track, Enhanced Recovery","enrollment":119},{"nctId":"NCT00722410","phase":"PHASE1, PHASE2","title":"Probiotics for Eradication of Carbapenem Resistant Klebsiella Pneumonia","status":"UNKNOWN","sponsor":"Hadassah Medical Organization","startDate":"2008-09","conditions":"Anti-Biotic Resistance, Klebsiella Pneumoniae","enrollment":60},{"nctId":"NCT00288496","phase":"NA","title":"Mechanical Bowel Preparation for Elective Colorectal Surgery","status":"COMPLETED","sponsor":"Ikazia Hospital, Rotterdam","startDate":"1998-04","conditions":"Anastomotic Dehiscence in Colorectal Surgery","enrollment":1400}],"_emaApprovals":[],"_faersSignals":[],"_approvalHistory":[],"publicationCount":704,"rwe":[],"genericFilers":[],"relatedDrugs":[],"labelChanges":[],"biosimilarFilings":[],"pricing":[],"formularyStatus":[],"manufacturing":[],"companionDiagnostics":[],"competitors":[],"timeline":[],"patents":[],"ownershipHistory":[],"trials":[],"biosimilars":[],"latestUpdates":[],"references":[],"tags":[],"ecosystem":[],"genericManufacturerList":[],"offLabel":[],"developmentCodes":[],"aliases":["Nulitelly","polyethylene glycol"],"phase":"marketed","status":"active","brandName":"Mechanical Bowel Preparation","genericName":"Mechanical Bowel Preparation","companyName":"Helsinki University Central Hospital","companyId":"helsinki-university-central-hospital","modality":"Small molecule","firstApprovalDate":"","aiSummary":"Mechanical bowel preparation physically clears the colon of stool and debris through osmotic or stimulant action to prepare the bowel for endoscopic procedures. Used for Bowel preparation prior to colonoscopy, Bowel preparation prior to sigmoidoscopy, Bowel preparation prior to colorectal surgery.","enrichmentLevel":3,"visitCount":0,"trialStats":{"total":3,"withResults":0},"verificationStatus":"verified","dataCompleteness":{"mechanism":true,"indications":true,"safety":true,"trials":true,"score":4}}