Efficacy of withdrawal time monitoring in adenoma detection with or without the aid of a full-spectrum scope.

ABSTRACT: Background and study aims ?Withdrawal time (WT) monitoring and full-spectrum endoscopy (FUSE) have been suggested to increase adenoma detection rate (ADR) due to more accurate evaluation of the hidden areas of the colon. We aimed to evaluate the efficacy of WT monitoring and FUSE on ADR. Patients and methods ?This was a prospective observational study involving consecutive outpatients, aged 18 to 85 years, undergoing colonoscopy with unselected indications. In phase 1, endoscopists performed 660 colonoscopies either with standard forward-viewing endoscope (SFVE) (n?=?330) or with FUSE (n?=?330). In this phase, WTs were measured without endoscopist awareness of being monitored. In phase 2, endoscopists were informed of being monitored and performed additional 660 colonoscopies either with SFVE (n?=?330) or with FUSE (n?=?330). Results ?WT was lower in phase 1 compared to phase 2 (SFVE: 269?±?83 vs. 386?±?60 sec, P ?

SUBMITTER: Manes G 

PROVIDER: S-EPMC6715423 | biostudies-literature | 2019 Sep

REPOSITORIES: biostudies-literature