Editor’s Choice: Inadequate Boston Bowel Preparation Scale scores predict the risk of missed neoplasia

Gross_headshotAssociate Editor, Dr. Seth Gross, highlights this article from the March issue “Inadequate Boston Bowel Preparation Scale scores predict the risk of missed neoplasia on the next colonoscopy” by Matthew A. Kluge, MD, et al. 

This article further supports the notion of the importance of bowel preparation and its impact on adenoma detection. The study demonstrates that the suboptimal colon preparation is associated with missing advanced adenomas.

Colon cancer screening is something the majority of gastroenterologists due on a daily basis, and it is necessary to use a recongnized bowel preparation score. If a segment of the colon has a Boston Bowel preparation Scale (BBPS) score of 0-1, the physician should consider bringing the patient back with adequate bowel preparation. This will not only help advanced adenoma detection, but a better cleansed colon could also impact the identification of sessile serrated lesions.


Figure 1. Flow diagram indicating patient colonoscopy examination segments included for analysis. C1, colonoscopy number 1; BBPS, Boston Bowel Preparation Scale; C2, colonoscopy number 2.

Read the article abstract here.

The information presented in Endoscopedia reflects the opinions of the authors and does not represent the position of the American Society for Gastrointestinal Endoscopy (ASGE). ASGE expressly disclaims any warranties or guarantees, expressed or implied, and is not liable for damages of any kind in connection with the material, information, or procedures set forth.

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