ArticleDigestive diseases and sciences2021
Longer Withdrawal Time Is More Important than Excellent Bowel Preparation in Colonoscopy of Adequate Bowel Preparation.
Article in Digestive diseases and sciences, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed.
- The impact of renin-angiotensin system inhibitors on colorectal neoplasm development.Clinical hypertension · 2025Article
- Association Between Longer Cecal Intubation Time and Detection and Miss Rate of Colorectal Neoplasms.Journal of clinical medicine · 2024Article
- Quality of endoscopic surveillance of Lynch syndrome patients in a Swedish cohort.Endoscopy international open · 2024Article
- Response to JS Li et al.Journal of gastroenterology · 2024Article
- Concerns regarding oral sulfate tablet versus polyethylene glycol/ascorbate for bowel preparation in older patients.Journal of gastroenterology · 2024Article
- Excellent Bowel Preparation Quality Is Not Superior to Good Bowel Preparation Quality for Improving Adenoma/Polyp Detection Rate.Clinical Medicine Insights. Oncology · 2024Article
- Novel artificial intelligence-enabled deep learning system to enhance adenoma detection: a prospective randomized controlled study.iGIE : innovation, investigation and insights · 2023Article
- Visceral Obesity Is a More Important Factor for Colorectal Adenomas than Skeletal Muscle or Body Fat.Cancers · 2022Article
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7 authors.
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Abstract
backgroundAdequate bowel preparation is crucial for effective screening colonoscopy. However, it is unclear whether higher bowel preparation scores correspond to beneficial effects on the adenoma and polyp detection rate (ADR and PDR) in the adequate bowel preparation group.
aimsThis study aimed to evaluate the effects of bowel preparation, according to the Boston Bowel Preparation Scale (BBPS), and colonoscopy withdrawal time (CWT) on ADR and PDR in the adequate bowel preparation group.
methodsHealthy examinees between 50 and 75 years old who underwent colonoscopy between September 2015 and August 2016 were included. BBPS scores, CWT, ADR, and PDR were reviewed retrospectively. Predictors of ADR and PDR were analyzed with a generalized linear mixed model.
resultsA total of 5073 cases with adequate bowel preparation (BBPS ≥ 6) were analyzed. Examinees with good (BBPS = 6, 7) and excellent (BBPS = 8, 9) bowel preparation were 1898 (37.4%) and 3175 (62.6%), respectively. Both ADR and PDR were higher in the good bowel preparation group than in the excellent bowel preparation group (ADR 47.3% vs. 45.0%, P = 0.035; PDR 73.7% vs. 69.5%, P = 0.004, respectively). In the multivariate analysis, CWT, rather than BBPS, was significantly associated with both ADR (OR 1.04; 95% CI 1.02-1.06; P < 0.001) and PDR (OR 1.05; 95% CI 1.02-1.07; P = 0.002).
conclusionsBoth ADR and PDR were lower when bowel preparation was excellent rather than good. However, CWT, not BBPS, was significantly associated with ADR and PDR in the adequate bowel preparation group. Therefore, meticulous inspection is important for high-quality colonoscopy regardless of the BBPS score in examinees with adequate bowel preparation.
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