AIM: To investigate the impact of JetPrep cleansing on @entity652 rates. METHODS: In this prospective, randomized, crossover trial, @entity1 were blindly randomized to an intervention arm or a control arm. In accordance with the risk profile for the development of @entity14 , the study @entity1 were divided into high-risk and low-risk groups. Individuals with just one criterion (age > 70 years, @entity652 in medical history, and first-degree relative with @entity14 ) were regarded as high-risk @entity1 . Bowel preparation was performed in a standardized manner one day before the procedure. @entity1 in the intervention arm underwent an initial colonoscopy with standard bowel cleansing using a 250-mL syringe followed by a second colonoscopy that included irrigation by the use of the JetPrep cleansing system. The reverse sequence was used in the control arm. The study @entity1 were divided into a high-risk group and a low-risk group according to their respective risk profiles for the development of @entity14 . RESULTS: A total of 64 @entity1 (34 @entity1 and 30 @entity1 ) were included in the study; 22 were included in the high-risk group. After randomization, 30 @entity1 were assigned to the control group (group A) and 34 to the intervention group (group B). The average Boston Bowel Preparation Scale score was 5.15    2.04. The withdrawal time needed for the first step was significantly longer in group A using the JetPrep system (9.41    3.34 min) compared to group B (7.5    1.92 min). A total of 163 @entity1127 were discovered in 64 study @entity1 who underwent both investigation steps. In group A, 49.4% of the @entity1127 were detected during the step of standard bowel cleansing while the miss rate constituted 50.7%. Group B underwent cleansing with the JetPrep system during the first examination step, and as many as 73.9% of @entity1127 were identified during this step. Thus, the miss rate in group B was a mere 26.1% (P < 0.001). When considering only the right side of the colon, the miss rate in group A during the first examination was 60.6%, in contrast to a miss rate of 26.4% in group B (P < 0.001). CONCLUSION: JetPrep is recommended for use during colonoscopy because a better prepared bowel enables a better @entity652 , particularly in the proximal colon.

Intraprocedural bowel cleansing with the JetPrep cleansing system improves XXXX .

@entity1 :: ('9606', 'Species') :: ['participants', 'women', 'patients', 'Participants', 'men'] @entity652 :: ('MESH:D000236', 'Disease') :: ['adenoma detection', 'adenoma'] @entity1127 :: ('MESH:D011127', 'Disease') :: ['polyps'] @entity14 :: ('MESH:D015179', 'Disease') :: ['colorectal carcinoma', 'colorectal cancer']
@entity652 :: (MESH:D000236,Disease) :: ['adenoma detection']
