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Without a '''bowel prep''', [[GastroenterologyGastroenterologist|gastroenterologists]] or general surgeons aren't able to visualize the intestines. Instead, the colonoscopy becomes a fancy form of manual disimpaction, which is something usually reserved for medical students or interns (see [[Totem Pole]]). Biopsies taken during a colonoscopy with an inadequate '''bowel prep''' will reveal one thing: stool.