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World J Gastroenterol. Mar 21, 2014; 20(11): 2746-2750
Published online Mar 21, 2014. doi: 10.3748/wjg.v20.i11.2746
Bowel preparations as quality indicators for colonoscopy
Jae Young Jang, Hoon Jai Chun
Jae Young Jang, Hoon Jai Chun, Division of Gastroenterology, Department of Internal Medicine, College of Medicine, Kyung Hee University, Seoul 130-701, South Korea
Hoon Jai Chun, Division of Gastroenterology and Hepatology, Department of Internal Medicine, Institute of Digestive Disease and Nutrition, Korea University College of Medicine, Seoul 136-705, South Korea
Author contributions: Jang JY wrote the paper; Chun HJ designed and edited the paper.
Correspondence to: Hoon Jai Chun, MD, PhD, Division of Gastroenterology and Hepatology, Department of Internal Medicine, Institute of Digestive Disease and Nutrition, Korea University College of Medicine, 73 Inchon-ro, Seongbuk-gu, Seoul 136-705, South Korea. drchunhj@chol.com
Telephone: +82-2-9206555 Fax: +82-2-9531943
Received: August 8, 2013
Revised: February 1, 2014
Accepted: February 20, 2014
Published online: March 21, 2014
Core Tip

Core tip: Bowel preparation is one of the most frequent reasons why patients object to participating in screening colonoscopies, and inadequate preparation is a major obstacle to achieving a high-quality colonoscopy. Furthermore, the two most important quality indicators of colonoscopy, the adenoma detection rate and cecal intubation rate, are associated with the quality of bowel preparation. Therefore, bowel preparation is critical for high-quality colonoscopies because only optimal colonic cleansing allows the colonoscopist to view clearly the entire colonic mucosa. A greater awareness of the importance of adequate preparation will lead to the improved quality of colonoscopies.