scholarly journals Mo1091 META-ANALYSIS SHOWS THAT THE SECOND INSPECTION OF THE RIGHT COLON INCREASES ADENOMA DETECTION RATE

2018 ◽  
Vol 87 (6) ◽  
pp. AB392-AB393
Author(s):  
Konstantinos Triantafyllou ◽  
Paraskevas Gkolfakis ◽  
George Tziatzios ◽  
Lorenzo Fuccio ◽  
Cesare Hassan
Keyword(s):  
Detection Rate ◽  
Meta Analysis ◽  
Adenoma Detection Rate ◽  
Right Colon ◽  
Adenoma Detection ◽  
The Right

scholarly journals Impact of second forward-view examination on adenoma detection rate during unsedated colonoscopy: a randomized controlled trial

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Keshu Shan ◽  
Hongpeng Lu ◽  
Zhixin Zhang ◽  
Jiarong Xie ◽  
Lu Xu ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Detection Rate ◽  
Controlled Trial ◽  
Lesion Detection ◽  
Adenoma Detection Rate ◽  
Right Colon ◽  
Randomized Controlled ◽  
Adenoma Detection ◽  
Advanced Lesion ◽  
The Right

Abstract Objectives Colorectal cancer on the right side of the colon has been suggested to be harder to detect by colonoscopy. The aim of this study was to evaluate whether a second forward-view examination of the right side of the colon could increase the adenoma detection rate (ADR) and/or polyp detection rate (PDR). Methods This was a single-centre randomized controlled trial. Patients undergoing colonoscopy were recruited and randomly assigned to the second forward-view examination (SFE) group, in which the right side of the colon was examined twice or the traditional colonoscopy (TC) group in which the colonoscopy was performed in a standard manner. The primary outcome was the ADR of right colon. The overall PDR and ADR, PDR of the right colon, per-adenoma miss rate of the right colon, and advanced lesion detection rate were also recorded and compared. Results A total of 392 patients were included in the study (SFE group 197 vs. TC group 195). The ADR and PDR of the right colon in the SFE group were significantly higher than those in the TC group (ADR 10.7% vs. 5.1%; P = 0.042); PDR 17.8% vs. 9.7%, P = 0.021). No significant difference was found in overall PDR/ADR, or advanced lesion detection rate between the two groups. Conclusions This prospective controlled study revealed that a second forward-view examination could modestly increase the ADR and PDR of the right colon during unsedated colonoscopies. This simple, safe and time-effective technique might be recommended for routine unsedated colonoscopy. Trial registration: Clinical Trials.gov, NCT03619122. Registered on 7/8/2018.

Mo1654 - Increasing Adenoma Detection Rate (ADR) in the Right Colon - Which Technique is Better: Retro-Flexion or a Second Forward Look: A Systematic Review of the Published Literature

2018 ◽  
Vol 154 (6) ◽  
pp. S-785
Author(s):  
Madhav Desai ◽  
Nour Hamade ◽  
Mohammad Bilal ◽  
Venkata Subhash Gorrepati ◽  
Viveksandeep Thogulva Chandrasekar ◽  
...  
Keyword(s):  
Systematic Review ◽  
Detection Rate ◽  
Adenoma Detection Rate ◽  
Right Colon ◽  
Adenoma Detection ◽  
The Right

Su1670 COMPARISON BETWEEN WATER-ASSISTED COLONOSCOPY VS SECOND FORWARD VIEW EXAMINATION OF THE RIGHT COLON ON THE ADENOMA DETECTION RATE

2019 ◽  
Vol 89 (6) ◽  
pp. AB373
Author(s):  
Brunno José C. da Silva ◽  
Paula F. Botelho ◽  
Ricardo Ayres ◽  
Diego m. Ferreira ◽  
Rafael Machado ◽  
...  
Keyword(s):  
Detection Rate ◽  
Adenoma Detection Rate ◽  
Right Colon ◽  
Adenoma Detection ◽  
The Right

W1032 Poor Bowel Preparation is Associated With Decreased Adenoma Detection in the Right Colon and a Reduced Overall Adenoma Detection Rate

2010 ◽  
Vol 138 (5) ◽  
pp. S-636 ◽  
Author(s):  
Mary A. Kamel ◽  
Minh Nguyen ◽  
Rushabh Modi ◽  
David Oh ◽  
Gordon V. Ohning ◽  
...  
Keyword(s):  
Bowel Preparation ◽  
Detection Rate ◽  
Adenoma Detection Rate ◽  
Right Colon ◽  
Adenoma Detection ◽  
The Right

Sa1642 - Duration of Retroflexion Significantly Influences Adenoma Detection Rate in the Right Colon: A Randomized Controlled Trial

2018 ◽  
Vol 154 (6) ◽  
pp. S-339
Author(s):  
Mir Fahad Faisal ◽  
Badar Hasan ◽  
Muhammad Shafiq ◽  
Jamie Varghese ◽  
Wendell K. Clarkston ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Detection Rate ◽  
Controlled Trial ◽  
Adenoma Detection Rate ◽  
Right Colon ◽  
Randomized Controlled ◽  
Adenoma Detection ◽  
The Right

scholarly journals Effect of dynamic position changes on adenoma detection rate during colonoscope withdrawal: systematic review and meta-analysis

2020 ◽  
Vol 08 (12) ◽  
pp. E1842-E1849
Author(s):  
Venkat Nutalapati ◽  
Madhav Desai ◽  
Vivek Sandeep Thoguluva-Chandrasekar ◽  
Mojtaba Olyaee ◽  
Amit Rastogi
Keyword(s):  
Systematic Review ◽  
Detection Rate ◽  
Meta Analysis ◽  
Lateral Position ◽  
Adenoma Detection Rate ◽  
Position Change ◽  
Withdrawal Time ◽  
Left Lateral Position ◽  
Adenoma Detection ◽  
Withdrawal Phase

Abstract Background and study aims The adenoma detection rate (ADR) is an important quality metric of colonoscopy. Higher ADR correlates with lower incidence of interval colorectal cancer. ADR is variable between endoscopists and depends upon the withdrawal technique amongst other factors. Dynamic position change (lateral rotation of patients with a view to keep the portion of the colon being inspected at a higher level) helps with luminal distension during the withdrawal phase. However, impact of this on ADR is not known in a pooled sample. We performed a systematic review and meta-analysis to study the impact of dynamic position changes during withdrawal phase of colonoscopy on ADR Methods A comprehensive search of MEDLINE, EMBASE, Google Scholar, and the Cochrane Database was conducted from each database’s inception to search for studies comparing dynamic position changes during colonoscope withdrawal with static left lateral position (control). The primary outcome of interest was ADR. Other studied outcomes were polyp detection rate (PDR) and withdrawal time. Outcomes were reported as pooled odds ratio (OR) with 95 % confidence intervals (CI) with statistical significance (P < 0.05). RevMan 5.3 software was used for statistical analysis. Results Six studies were included in our analysis with 2860 patients. Of these, dynamic position change was implemented in 1177 patients while 1183 patients served as the controls. ADR was significantly higher in the dynamic position change group with pooled OR 1.36 (95 % CI, 1.15–1.61; P < 0.01). There was low heterogeneity in inclusion studies (I2 = 0 %). PDR was numerically higher in position change group (53.4 % vs 49.6 %) but not statistically significant (P = 0.16). Mean withdrawal time did not significantly change with dynamic position change (12.43 min vs 11.46 min, P = 0.27). Conclusion Position change during the withdrawal phase of colonoscopy can increase the ADR compared to static left lateral position. This is an easy and practical technique that can be implemented to improve ADR.

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