Continuing Medical Education Questions: April 2017: Water Exchange Method Significantly Improves Adenoma Detection Rate: A Multicenter, Randomized Controlled Trial

2017 ◽  
Vol 112 (4) ◽  
pp. 577
Author(s):  
Steven L Carpenter
Keyword(s):  
Medical Education ◽  
Randomized Controlled Trial ◽  
Continuing Medical Education ◽  
Detection Rate ◽  
Water Exchange ◽  
Controlled Trial ◽  
Exchange Method ◽  
Randomized Controlled ◽  
Adenoma Detection ◽  
Multicenter Randomized Controlled Trial

Water exchange for screening colonoscopy increases adenoma detection rate: a multicenter, double-blinded, randomized controlled trial

Endoscopy ◽  
2017 ◽  
Vol 49 (05) ◽  
pp. 456-467 ◽  
Author(s):  
Sergio Cadoni ◽  
Přemysl Falt ◽  
Emanuele Rondonotti ◽  
Franco Radaelli ◽  
Petr Fojtik ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Detection Rate ◽  
Water Exchange ◽  
Controlled Trial ◽  
Adenoma Detection Rate ◽  
Screening Colonoscopy ◽  
Randomized Controlled ◽  
Adenoma Detection ◽  
Double Blinded

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.

Sign in / Sign up

Export Citation Format

Share Document