Key Points:
- Dr. Philip Schoenfeld emphasized the need for systematic assessment of bowel prep to improve its consistency. He suggested including rates of inadequate bowel prep in regular reports alongside other metrics like cecal intubation rate and adenoma detection rate.
- Dr. Brian Jacobson supported tracking the bowel preparation adequacy rate for both the endoscopy unit as a whole and individual endoscopists to identify areas needing improvement.
- Dr. Schoenfeld identified two main reasons for inadequate bowel prep: patient risk factors and nonadherence. He discussed strategies to identify at-risk patients and ensure successful preparations.
- Key risk factors include a history of inadequate preparation, inpatient status, obesity, diabetes, opioid and anticholinergic use, history of constipation treatment, and history of colonic resection.