What level of bowel prep quality calls for a repeat colonoscopy?

Inadequate bowel preparation requiring a repeat colonoscopy is defined as inability to detect polyps greater than 5 mm. In a recent study published in The American Journal of Gastroenterology, researchers set out to determine how different levels of bowel preparation quality affect adenoma detection rate.

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The researchers examined data from eleven studies. They discovered that ADR was significantly higher in groups with high- or intermediate-level bowel prep quality when compared to the low-quality prep group.

The researchers concluded that results confirmed the need for an early repeat colonoscopy following low-quality bowel prep. But, the results also suggested that patients with intermediate or fair prep quality could be subject to standard surveillance guidelines.

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