Importance of reporting segmental bowel preparation scores during colonoscopy in clinical practice

Jain, Deepanshu; Momeni, Mojdeh; Krishnaiah, Mahesh; Anand, Sury; Singhal, Shashideep

doi:10.3748/wjg.v21.i13.3994

Cited by 10 publications

(7 citation statements)

References 27 publications

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“…In combination with Clarks' study, this current study also helps inform clinicians with respect to anticipated risks for future polyps based on initial BBPS segment scores, which may guide shared decision making with patients. Past studies estimated risks of missed polyps due to inadequate bowel cleanliness based on colonoscopy examinations at a single time point, comparing polyp detection across different categories of bowel cleanliness, 19,25,26 rather than evaluating interval findings on repeat colonoscopy as our current study did.…”

Section: Discussionmentioning

confidence: 99%

Inadequate Boston Bowel Preparation Scale scores predict the risk of missed neoplasia on the next colonoscopy

Kluge

Williams

et al. 2018

Gastrointestinal Endoscopy

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Section: Discussionmentioning

confidence: 99%

Inadequate Boston Bowel Preparation Scale scores predict the risk of missed neoplasia on the next colonoscopy

Kluge

Williams

et al. 2018

Gastrointestinal Endoscopy

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“…Our study showed that when there is good bowel preparation with higher overall BBPS score, the ADR and AADR are higher. Jain D et al [22] indicated that AADR for bowel preparation with BBPS 7–9 was 16.7%, for BBPS = 4–6 was 14.8% and for BBPS = 0–3 was only 3.8%. There was statistically significant difference for the 3 groups ( P < 0.05).…”

Section: Discussionmentioning

confidence: 99%

The effect of quality of segmental bowel preparation on adenoma detection rate

et al. 2019

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Background The effectiveness in surveillance colonoscopy largely depends on the quality of bowel preparation. We aimed to investigate the quality of bowel preparation segmentally and its effect on Adenoma Detection Rate (ADR) and Advanced Adenoma Detection Rate (AADR) at corresponding bowel segments. Methods This is a single-centered and cross-sectional study. A consecutive of 5798 patients who underwent colonoscopy examination were included. Bowel preparation was evaluated based on Bowel Bubble Scale (BBS) in general and Boston Bowel Preparation Scale (BBPS) in each segment (right side, transverse and left side of colon) and total BBPS scores. The quality of bowel preparation was correlated with ADR and AADR. Results Four thousand nine hundred forty colonoscopies (14,820 bowel segments) were included in the final analysis. In which 30.9% scored 3, 57.5% scored 2, 11.2% scored 1 and 0.4% scored 0 on basis of BBPS. For each score, ADR were 10.8, 7.7, 4.9 and 3.2%, respectively; whereas AADR were 4.5, 2.8,1.8 and 1.6% ( P < 0.05). 36.9% of the colonoscopies showed presence of minimal bubbles and 34.3% with no bubble. For bowels without bubbles and with a large amount of bubbles, ADR were 28.3 and 20.0% respectively; and AADR were 13.3 and 7.1% respectively. Conclusions Segmental bowels’ cleanliness and the amount of bubbles in bowels significantly affect ADR and AADR. The better the bowel preparation at each segment is and the less bubbles in the bowel there are, the higher ADR and AADR we got. We suggest repeating colonoscopy if any segment of the bowel preparation is poor, or if there is more bubbles, even if the total score of BBPS indicates good or fair bowel preparation.

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“…This simple fact is underlined by multiple studies and guidelines [36,37,38]. A good bowel preparation is identified as a quality marker for colonoscopy [10].…”

Section: Factors Influencing the Adrmentioning

confidence: 99%

Endoscopic Improvement of the Adenoma Detection Rate during Colonoscopy - Where Do We Stand in 2015?

Floer

Meister²

2016

Digestion

238

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Background: The presence of colorectal adenomas is considered a major risk factor for colorectal cancer development. The implementation of screening colonoscopy programs in the Western world has led to a substantial reduction of colorectal cancer death. Many efforts have been made to reduce the adenoma miss rates by the application of new endoscopic devices and techniques for better adenoma visualization. Summary: This special review gives the readership an overview of current endoscopic innovations that can aid in the increase of the adenoma detection rate (ADR) during colonoscopy. These innovations include the use of devices like EndoCuff® and EndoRings® as well as new technical equipment like third-eye endoscope® and full-spectrum endoscopy (FUSE®). Key Message: Technical improvements and newly developed accessories are able to improve the ADR. However, additional costs and a willingness to invest into potentially expensive equipment might be necessary. Investigator-dependent skills remain the backbone in the ADR detection.

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Importance of reporting segmental bowel preparation scores during colonoscopy in clinical practice

Abstract: Segmental AADRs correlate with segmental BBPS. It is thus valuable to report segmental BBPS in colonoscopy reports in clinical practice.

Cited by 10 publications

References 27 publications

Inadequate Boston Bowel Preparation Scale scores predict the risk of missed neoplasia on the next colonoscopy

Inadequate Boston Bowel Preparation Scale scores predict the risk of missed neoplasia on the next colonoscopy

The effect of quality of segmental bowel preparation on adenoma detection rate

Endoscopic Improvement of the Adenoma Detection Rate during Colonoscopy - Where Do We Stand in 2015?

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