{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,16]],"date-time":"2026-05-16T09:17:29Z","timestamp":1778923049717,"version":"3.51.4"},"reference-count":63,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T00:00:00Z","timestamp":1777593600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T00:00:00Z","timestamp":1777593600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"Norgine Italia Srl"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Clin Med Insights Gastroenterol"],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Understanding endoscopists\u2019 perspectives and routine practice offers opportunities to improve bowel cleansing for colonoscopy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>To elucidate Italian endoscopists\u2019 perceptions of bowel preparation quality, focusing on defining high-quality cleansing (HQC) and its perceived benefits in clinical practice and for diagnostic outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design:<\/jats:title>\n                    <jats:p>Nationwide, cross-sectional, web-based survey.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A nationwide, web-based cross-sectional survey was undertaken in Italy between August and September 2024 among gastroenterologists with special interest in endoscopy. Participants were recruited via telephone screening; of 498 gastroenterologists contacted, 150 respondents completed an online questionnaire; analyses were descriptive.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>The survey results revealed that all respondents (100%) routinely evaluate and document cleansing in the endoscopy report and almost all (99%) used validated scales. The majority (72%) of endoscopists aimed for HQC, which they defined as a segment score of \u2a7e8\u20139 on the Boston Bowel Preparation Scale or \u2018excellent\u2019 on the Aronchick scale. Almost all (93%) considered HQC important in every colonoscopy regardless of indication. All respondents considered that HQC allows higher identification rates for adenomas and sessile serrated lesions, reduces procedure time, and improves overall clinical efficiency; 99% considered that HQC allows for more appropriate surveillance intervals. On a scale of 1\u201310 to rate confidence with the diagnostic reliability of the exam (1\u2009=\u2009not at all confident, 10\u2009=\u2009very confident), the respondents\u2019 levels of confidence improved with high-quality bowel preparation; mean scores were 2.1 with inadequate preparation, 6.6 with good cleansing and 9.2 with high-quality bowel cleansing.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>The survey revealed that the vast majority of Italian endoscopists consider HQC essential across all clinical indications. The results support the transition from \u2018good\u2019 to \u2018high-quality\u2019 cleansing as the new standard in clinical colonoscopy practice.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/26317745261441726","type":"journal-article","created":{"date-parts":[[2026,5,11]],"date-time":"2026-05-11T08:58:58Z","timestamp":1778489938000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Toward high-quality bowel preparation in Italy: insights from a nationwide cross-sectional survey of endoscopists"],"prefix":"10.1177","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7167-1459","authenticated-orcid":false,"given":"Cesare","family":"Hassan","sequence":"first","affiliation":[{"name":"IRCCS Humanitas Research Hospital, Department of Gastroenterology, via Manzoni Rozzano, Milano, Italy"},{"name":"Department of Biomedical Sciences, Humanitas University, via Rita Levi Montalcini, Pieve Emanuele, Milano, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Roberto","family":"Di Mitri","sequence":"additional","affiliation":[{"name":"UOC Gastroenterologia con Endoscopia Digestiva ARNAS Ospedali \u201cCivico - Di Cristina - Benfratelli,\u201d Palermo, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lorenzo","family":"Fuccio","sequence":"additional","affiliation":[{"name":"Department of Medical Sciences and Surgery, University of Bologna, Bologna, Italy"},{"name":"Gastroenterology Unit, RCCS-Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marcello","family":"Maida","sequence":"additional","affiliation":[{"name":"Department of Medicine and Surgery, University of Enna \u2018Kore\u2019, Enna, Italy"},{"name":"Gastroenterology Unit, Umberto I Hospital, Enna, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gianpiero","family":"Manes","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, ASST Rhodense, Garbagnate Milanese and Rho Hospitals, Milano, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mauro","family":"Manno","sequence":"additional","affiliation":[{"name":"Gastroenterology and Digestive Endoscopy Unit, Azienda USL Modena, Carpi Hospital, Carpi, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Franco","family":"Radaelli","sequence":"additional","affiliation":[{"name":"Gastroenterology Unit, Valduce Hospital, Como, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cristiano","family":"Spada","sequence":"additional","affiliation":[{"name":"Digestive Endoscopy Unit, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy"},{"name":"Poliambulanza Foundation Hospital Institute, Brescia, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Roberto","family":"Vassallo","sequence":"additional","affiliation":[{"name":"UOS Gastroenterologia, Ospedale Buccheri la Ferla Fatebenefratelli, Palermo, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alessandro","family":"Repici","sequence":"additional","affiliation":[{"name":"IRCCS Humanitas Research Hospital, Department of Gastroenterology, Milano, Italy"},{"name":"Department of Biomedical Sciences, Humanitas University, via Rita Levi Montalcini, Pieve Emanuele, Milano, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2026,5,11]]},"reference":[{"key":"e_1_3_4_2_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa2208375"},{"key":"e_1_3_4_3_2","doi-asserted-by":"publisher","DOI":"10.7150\/jca.46661"},{"key":"e_1_3_4_4_2","article-title":"Key quality indicators in colonoscopy","volume":"11","author":"Rex DK.","year":"2023","unstructured":"Rex DK. 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