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Timed colonoscopy withdrawal, a mandatory quality measure in the era of national screening?

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Abstract

Background

A minimum recommended withdrawal time for screening colonoscopy is recommended for by both the US Multi-Society Task Force on Colorectal Cancer and European Society of Gastrointestinal Endoscopy.

Aim

To characterize the relationship between endoscopists withdrawal time at colonoscopy and polyp detection in a symptomatic cohort of patients as compared to previously untimed withdrawal.

Methods

Three experienced medical endoscopists prospectively performed 1079 colonoscopies during a 24-month period in an Irish hospital. Mean withdrawal time and individual polyp detection rate were noted.

Results

Introduction of mandatory withdrawal time which was monitored and documented was associated with higher polyp detection rate (33 versus 21%, p < 0.005) as compared to previously untimed withdrawal.

Conclusion

Our findings support a monitored colonoscopy withdrawal time of at least 6 min, which correlates with higher colon polyp detection rates in a symptomatic cohort.

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Authors and Affiliations

  1. Gastroenterology Department, Tallaght Hospital, Dublin-24, Ireland

    Vikrant Parihar

  2. South Tipperary General Hospital, Clonmel, Co., Tipperary, Ireland

    Claire O’Leary & Paud O’Reagan

Authors
  1. Vikrant Parihar
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  2. Claire O’Leary
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  3. Paud O’Reagan
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Corresponding author

Correspondence to Claire O’Leary.

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No human or animal participants in the study.

Conflict of interest

The authors declare that they have no conflict of interest.

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Parihar, V., O’Leary, C. & O’Reagan, P. Timed colonoscopy withdrawal, a mandatory quality measure in the era of national screening?. Ir J Med Sci 187, 943–945 (2018). https://doi.org/10.1007/s11845-018-1750-0

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  • DOI: https://doi.org/10.1007/s11845-018-1750-0

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