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World J Gastroenterol. Mar 7, 2014; 20(9): 2200-2211
Published online Mar 7, 2014. doi: 10.3748/wjg.v20.i9.2200
Published online Mar 7, 2014. doi: 10.3748/wjg.v20.i9.2200
Endoscopic innovations to increase the adenoma detection rate during colonoscopy
Vincent K Dik, Leon MG Moons, Peter D Siersema, Department of Gastroenterology and Hepatology, University Medical Center Utrecht, 3508 GA Utrecht, The Netherlands
Author contributions: Dik VK drafted the manuscript; Dik VK, Moons LMG and Siersema PD contributed to critical revision of the manuscript for important intellectual content; Moons LMG and Siersema PD contributed to supervision; All authors approved the final manuscript.
Correspondence to: Peter D Siersema, Professor, Department of Gastroenterology and Hepatology, University Medical Center Utrecht, PO Box 85500, 3508 GA Utrecht, The Netherlands. p.d.siersema@umcutrecht.nl
Telephone: +31-88-7559338 Fax: +31-88-7555533
Received: October 27, 2013
Revised: December 6, 2013
Accepted: January 19, 2014
Published online: March 7, 2014
Processing time: 129 Days and 21.1 Hours
Revised: December 6, 2013
Accepted: January 19, 2014
Published online: March 7, 2014
Processing time: 129 Days and 21.1 Hours
Core Tip
Core tip: Up to a quarter of polyps and adenomas are missed during colonoscopy due to poor visualization behind folds and the inner curves of flexures, and the presence of flat lesions that are difficult to detect. In the past several years, new endoscopic techniques have been introduced to improve the detection of polyps and adenomas. Optimizing the efficacy of colorectal cancer screening and surveillance requires high definition colonoscopes with improved virtual chromoendoscopy technology that visualize the whole colon mucosa while maintaining optimal washing, suction and therapeutic capabilities, and keeping the procedural time as low and patient discomfort as optimal as possible.