Masterclass: Colorectal Screening Plus (Virtual) | September 2025-In the Endo: Real-World Colonoscopy Cases Part 1

Video Transcription

Video Summary

Dr. Anna Owings, an expert in inflammatory bowel disease, presents a practical, interactive discussion on real-world colonoscopy cases focused on colorectal cancer screening. She emphasizes key quality metrics, including the Boston Bowel Preparation Score (BBPS) for assessing bowel prep adequacy, critical for determining appropriate screening intervals. The BBPS rates colon segments from 0 (poor) to 3 (excellent), with a total score of ≥6 and no segment <2 considered adequate. Incomplete or inadequate preps necessitate earlier repeat colonoscopy. Dr. Owings also discusses the importance of photographic documentation of cecal landmarks to confirm complete intubation. She reviews adenoma detection rates and procedural tips like split bowel prep and retroflexion. Through case studies, she highlights decision-making challenges such as handling poor prep, interpreting Cologuard test use in high-risk patients, and managing incomplete colonoscopies due to anatomy or diverticular disease. She advocates personalized patient discussions on surveillance intervals and alternative non-invasive screening when colonoscopy is incomplete or not feasible.

Asset Subtitle

Anna H. Owings

Keywords

colorectal cancer screening

Boston Bowel Preparation Score

adenoma detection rate

colonoscopy quality metrics

cecal landmark documentation

split bowel preparation