Our objective is to use a virtual reality demonstration to improve patient education and compliance with bowel prep, thereby reducing inadequate bowel preparation and improving the adenoma detection rate.
Up to 33% of all outpatients who present for colonoscopy have inadequate bowel preparation. The impact of poor bowel preparation is multifaceted resulting in missed colonic neoplasia, increased time of procedure, increased risk of procedure, and increased health care costs. The risk of missing a polyp or adenoma is much greater in poor/inadequate bowel prep when compared to excellent bowel prep. The increased time of procedure ranges from 6%-9% of total procedure time to clean the bowel for proper examination. Ultimately, poor bowel preparation equates to a 12-22% increase in health care costs.3 Recent studies have shown that online educational videos improve bowel prep and reduce the need for repeat colonoscopy within three years.1
 Hayat et. al. “Online Educational Video Improves Bowel Preparation and Reduces the Need for Repeat Colonoscopy Within Three Years.” American Journal of Medicine. 2016.
 Hong et al. “The Effect of the Bowel Preparation Status on the Risk of Missing Polyp and Adenoma during Screening Colonoscopy: A Tandem Colonoscopic Study.” Clinical Endoscopy. 2012
 Rex et al. “Impact of Bowel Preparation on Efficiency and Cost of Colonoscopy.” American Journal of Colonoscopy. 2002.