In the USA, colorectal cancer (CRC) is the third most common cancer and the second most common cause of cancer-related death. Colonoscopic surveillance and screening are the cornerstones of current early CRC and prevention strategies. In order to be effective, colonoscopy must be preceded by an optimal bowel preparation in order to facilitate the detection and removal of neoplastic polyps and to diagnose cancers [1]. Though there has been a great deal of study regarding the optimization of the recommended bowel preparation protocols, relatively less attention has been paid to identifying patient factors impacting compliance with and the effectiveness of bowel preparation.

In this issue of Digestive Diseases and Sciences, Dr. Rabun and colleagues report a retrospective study addressing the effect of the day of the week during which bowel preparation occurs, specifically weekend, on bowel preparation quality for outpatient colonoscopies [FormalPara Take-Home Points

References

  1. Regula J, Rupinski M, Kraszewska E, Polkowski M, Pachlewski J, Orlowska J, Nowacki MP, Butruk E. Colonoscopy in colorectal-cancer screening for detection of advanced neoplasia. N Engl J Med 2006;355:1863–1872. https://doi.org/10.1056/NEJMoa054967.

    Article  CAS  PubMed  Google Scholar 

  2. Rabun J, Pagani W, **a, Y, Shuja A. Effect of the weekend on bowel preparation quality in outpatient colonoscopies. Dig Dis Sci. (Epub ahead of print). https://doi.org/10.1007/s10620-021-07037-8.

  3. American Society of Gastrointestinal Endoscopy. Quality indicators for colonoscopy. Gastrointest Endosc 2015;81:31–53.

    Article  Google Scholar 

  4. Kilgore TW, Abdinoor AA, Szary NM et al. Bowel preparation with split dose polyethylene glycol before colonoscopy: a meta-analysis of randomized controlled trials. Gastrointest Endosc 2011;73:1240–1245.

    Article  Google Scholar 

  5. Marx M, Ha J, Campbell EJ, Richter JM (2020) A digital pre-procedure instruction program for outpatient colonoscopy.Telemedicine and e Health 26:468–476. (Epub 2019 Jul 12). https://doi.org/10.1089/tmj.2019.0050.

  6. Rice K, Gressard K, Gersten J, Robie J, Leadbetter S, Glover-Kudon R, Butterly L. Increasing colonoscopy screening in disparate populations: Results from an evaluation of patient navigation in the new Hampshire colorectal cancer screening program. Cancer. 2017;123:3356–3366.

    Article  CAS  Google Scholar 

  7. Andersen SW, Blot WJ, Lipworth L, Steinwandel M, Murff HJ, Zheng W. Association of race and socioeconomic status with colorectal cancer screening, colorectal cancer risk, and Mortality in Southern US Adults. JAMA Network Open. 2019;2:e1917995. https://doi.org/10.1001/jamanetworkopen.2019.17995.

    Article  Google Scholar 

  8. Percac-Lima S, Grant RW, Green RA, Ashburner JM, Gamba G, Oo S, Richter JM, Atlas SJ. A culturally tailored navigator program for colorectal cancer screening in a community health center: A randomized controlled trail. J Gen Intern Med 2009;24:211–217. https://doi.org/10.1007/s11606-008-0864-.

    Article  PubMed  Google Scholar 

  9. Parker S, Zipursky J, Ma H, Baumblatt G-L, Siegel CA. A web-based multimedia program before colonoscopy increased knowledge and decreased anxiety, sedation requirement, and procedure time. J Clin Gastroenterol. 2018;52:519–523. https://doi.org/10.1097/MCG.0000000000000958.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Division of Gastroenterology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA

    James M. Richter

  2. Section of Digestive Diseases, Yale New Haven Hospital, Yale School of Medicine, New Haven, CT, USA

    Darrick K. Li

Authors
  1. James M. Richter
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Darrick K. Li
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to James M. Richter.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Richter, J.M., Li, D.K. Monday, Monday—I Can’t See Clearly Now: How to Improve Bowel Preparation. Dig Dis Sci 67, 1088–1089 (2022). https://doi.org/10.1007/s10620-021-07043-w

Download citation

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10620-021-07043-w