Improving polyp detection at colonoscopy: Non-technological techniques
Thayalasekaran, Sreedhari
Thayalasekaran, Sreedhari
Abstract
Colonoscopy and polypectomy remain the gold standard investigation for the detection and prevention of colorectal cancer. Halting the progression of colonic adenoma through adequate detection of pre-cancerous lesions interrupts the progression to carcinoma. The adenoma detection rate is a key performance indicator. Increasing adenoma detection rates are associated with reducing rates of interval colorectal cancer. Endoscopists with high baseline adenoma detection rate have a meticulous technique during colonoscopy withdrawal that improves their adenoma detection. This minireview article summarizes the evidence on the following simple operator techniques and their effects on the adenoma detection rate; minimum withdrawal times, dynamic patient position change and proximal colon retroflexion.
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Date
2023-05-16
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Rajivan, R., & Thayalasekaran, S. (2023). Improving polyp detection at colonoscopy: Non-technological techniques. World journal of gastrointestinal endoscopy, 15(5), 354–367. https://doi.org/10.4253/wjge.v15.i5.354