The Boston Bowel Preparation Scale (BBPS)

The Boston Bowel Preparation Scale (BBPS) is a tool used by healthcare providers to evaluate how clean the colon appears during a colonoscopy. After the procedure, the colon is divided into three sections, and each is scored from 0 to 3, with higher scores indicating a cleaner colon. A score of 0 means the section is not prepared and difficult to examine, while 3 indicates excellent cleanliness. The total score helps determine the quality of the bowel prep, guiding clinicians on whether the colonoscopy was thorough or if a repeat procedure might be needed for better visualization.