Current Gastroenterology Reports

, Volume 14, Issue 5, pp 414–420 | Cite as

Advanced Colorectal Polyp Detection Techniques

Small Intestine (B Cash, Section Editor)

Abstract

A long-term follow-up of the landmark National Polyp Study recently showed that colonoscopy was associated with critical clinical benefit, including reduced overall death rate, colorectal cancer (CRC) death rate, and CRC incidence Zauber et al. (N Engl J Med 366(8):687–96, 2012). This and other recent studies emphasize the need for high-quality colonoscopy to realize maximal benefit. Adenoma detection has emerged as an important predictor of quality colonoscopy. Studies from Europe have shown that individuals whose colonoscopy was performed by a physician with high adenoma detection have a much lower likelihood of interval CRC. Studies now suggest that it is possible to train endoscopists to improve their adenoma detection rate. The specific methods associated with higher quality colonoscopy include careful inspection behind folds, washing the colon surface, adequate insufflation, and recognition of subtle flat polyps. Use of high-definition white light colonoscopy, chromoendoscopy, and cap-fitted colonoscopy has also been studied as potential methods for increasing adenoma detection. We will review these methods and techniques in this article.

Keywords

Adenoma detection Quality colonoscopy Serrated adenomas Cap-assisted colonoscopy Mucosal imaging Chromoendoscopy 

Notes

Disclosure

Dr. M. Wallace receives research funding from Olympus Corp (Center Valley, PA) unrelated to this work.

Funding Sources

None

References

Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

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Copyright information

© Springer Science+Business Media, LLC 2012

Authors and Affiliations

  1. 1.Division of Gastroenterology & HepatologyMayo Clinic FloridaJacksonvilleUSA

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