What level of bowel prep quality requires early repeat colonoscopy: systematic review and meta-analysis of the impact of preparation quality on adenoma detection rate.

ABSTRACT:

Objectives

Current guidelines recommend early repeat colonoscopy when bowel preparation quality is inadequate, defined as inability to detect polyps >5 mm, but no data link specific bowel preparation categories or scores to this definition. Nevertheless, most physicians use a shortened screening/surveillance interval in patients with intermediate-quality preparation. We determined whether different levels of bowel preparation quality are associated with differences in adenoma detection rates (ADRs: proportion of colonoscopies with ≥1 adenoma) to help guide decisions regarding early repeat colonoscopy-with primary focus on intermediate-quality preparation.

Methods

MEDLINE and Embase were searched for studies with adenoma or polyp detection rate stratified by bowel preparation

SUBMITTER: Clark BT 

PROVIDER: S-EPMC4423726 | biostudies-literature | 2014 Nov

REPOSITORIES: biostudies-literature