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.

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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