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Can technology increase adenoma detection rate?

Lookup NU author(s): Professor Colin Rees



This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License (CC BY-NC 4.0).


© The Author(s), 2018.Colorectal cancer is the third most common cancer worldwide and the second most common cause of cancer-related death in Europe and North America. Colonoscopy is the gold standard investigation for the colon but is not perfect, and small or flat adenomas can be missed which increases the risk of patients subsequently developing colorectal cancer. Adenoma detection rate is the most widely used marker of quality, and low rates are associated with increased rates of post-colonoscopy colorectal cancer. Standards of colonoscopy and adenoma detection vary widely between different endoscopists. Interventions to improve adenoma detection rate are therefore required. Many devices have been purported to increase adenoma detection rate. This review looks at current available evidence for device technology to improve adenoma detection rate during colonoscopy.

Publication metadata

Author(s): Ngu WS, Rees C

Publication type: Review

Publication status: Published

Journal: Therapeutic Advances in Gastroenterology

Year: 2018

Volume: 11

Online publication date: 10/01/2018

Acceptance date: 16/10/2017

ISSN (print): 1756-283X

ISSN (electronic): 1756-2848

Publisher: SAGE Publications Ltd


DOI: 10.1177/1756283X17746311