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Boston Bowel Preparation Scale
Scoring system for grading bowel-preparation quality during colonoscopy
Boston Bowel Preparation Scale
The Boston Bowel Preparation Scale (BBPS) is a validated quality metric used in gastroenterology to grade the adequacy of bowel preparation (colon cleanliness) during colonoscopy. It rates how clearly the colonic mucosa can be seen after the endoscopist has completed all cleansing maneuvers, and is the most widely used bowel-preparation scale in colonoscopy research and practice. The score ranges from 0 to 9, and a total of 6 or greater is commonly used to define an adequate preparation. Bowel-preparation quality is an established quality indicator for colonoscopy, because inadequate cleansing is associated with missed polyps and adenomas and with the need for earlier repeat examinations. The BBPS was designed to make this assessment objective and reproducible for colonoscopy outcomes research.
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