Inadequate colonoscopy preparation: Is it time to send out an SMS?

A high-quality bowel preparation is the cornerstone of both diagnostic and therapeutic colonoscopy. Higher-quality bowel preparations are associated with a greater likelihood of polyp detection (both serrated and adenomatous), decreased procedure times, fewer adverse events, lower costs, and improved colonoscopy completion rates.1 Yet, despite the importance of bowel preparation, consistent achievement of a high-quality bowel preparation in practice continues to be a challenge. Consequently, there has been a variety of published quality improvement interventions aimed at improving the quality of outpatient bowel preparation.

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