Editorial: Bowel Preparation: Is Fair Good Enough?

A systematic review and meta-analysis found no difference in adenoma detection rates between colonoscopies with intermediate-quality and high-quality bowel preparation.

• Colonoscopy effectiveness in reducing colorectal cancer rates is linked to the adenoma detection rate of the endoscopist.
• Bowel preparation quality affects adenoma detection, with shorter examination intervals often recommended for fair or intermediate preparations.
• The review assessed whether fair-quality bowel preparation is adequate for colonoscopy screening.
• Findings suggest that intermediate-quality bowel preparation yields similar adenoma detection rates as high-quality preparation.
• Limitations in using adenoma detection rates as a performance measure and inconsistencies in bowel preparation quality assessments are highlighted.

AI simplified