Here’s a concise summary of Dr. David Johnson’s commentary on the latest US Multi-Society Task Force recommendations for colonoscopy preparation, emphasizing the critical importance of prep quality for cancer prevention and procedure effectiveness:
Key Takeaways from the New Colonoscopy Prep Guidelines
- New Performance Threshold: Endoscopists and units must achieve >90% adequate bowel prep rates—a major quality benchmark for adenoma and sessile serrated lesion detection.
- Prep Strategy Updates:
- Split dosing remains the gold standard; same-day dosing is acceptable for afternoon procedures only.
- Low- and ultra-low-volume preps are preferred by patients, but ultra-low volume (≤1L) is not recommended due to inconsistent results.
- Split dosing remains the gold standard; same-day dosing is acceptable for afternoon procedures only.