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World J Gastroenterol. Mar 14, 2013; 19(10): 1517-1522
Published online Mar 14, 2013. doi: 10.3748/wjg.v19.i10.1517
Published online Mar 14, 2013. doi: 10.3748/wjg.v19.i10.1517
Quality colonoscopy: A matter of time, technique or technology?
Robert H Lee, Veterans Affairs Long Beach Health Care System, University of California Irvine, Long Beach, CA 93109, United States
Author contributions: Lee RH solely contributed to this work.
Correspondence to: Robert H Lee, MD, Clinical Assistant Professor of Medicine, Veterans Affairs Long Beach Health Care System, University of California Irvine, 5901 E. Seventh St., Long Beach, CA 93109, United States. rlee8@uci.edu
Telephone: +1-562-8265752 Fax: +1-562-8265569
Received: October 9, 2012
Revised: January 10, 2013
Accepted: January 23, 2013
Published online: March 14, 2013
Revised: January 10, 2013
Accepted: January 23, 2013
Published online: March 14, 2013
Abstract
Quality colonoscopy is defined by the detection of adenomatous polyps at least 25% of the time in men and 15% of the time in women. Recent studies highlight the importance of key aspects of high quality colonoscopy. These include the amount of time spent examining the mucosa or withdrawal time, the quality of withdrawal technique and new technologies which seek to maximize the detection of colonic neoplasia. This review summarizes the latest evidence regarding the role of time, technique and technology in shaping the quality of colonoscopy.