Ip BWK, Lee DJK, Tan KY. Delivering a high-quality colonoscopy service fit for the 21st century. Artif Intell Gastrointest Endosc 2024; 5(3): 92742 [DOI: 10.37126/aige.v5.i3.92742]
Corresponding Author of This Article
Brian Wing Kin Ip, FRCS (Gen Surg), MBChB, MSc, Doctor, General Surgery, Khoo Teck Puat Hospital, 90 Yishun Central, Singapore 768828, Singapore. brianwkip@gmail.com
Research Domain of This Article
Surgery
Article-Type of This Article
Minireviews
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Delivering a high-quality colonoscopy service fit for the 21st century
Brian Wing Kin Ip, Daniel Jin Keat Lee, Kok Yang Tan
Brian Wing Kin Ip, Daniel Jin Keat Lee, Department of General Surgery, Khoo Teck Puat Hospital, Singapore 768828, Singapore
Kok Yang Tan, Department of Surgery, Khoo Teck Puat Hospital, Singapore 768828, Singapore
Author contributions: Ip BWK reviewed the literature and wrote the manuscript; Tan KY and Lee JK contributed to the review of the manuscript.
Conflict-of-interest statement: All authors declare having no conflicts of interest.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Brian Wing Kin Ip, FRCS (Gen Surg), MBChB, MSc, Doctor, General Surgery, Khoo Teck Puat Hospital, 90 Yishun Central, Singapore 768828, Singapore. brianwkip@gmail.com
Received: February 4, 2024 Revised: March 12, 2024 Accepted: May 11, 2024 Published online: September 8, 2024 Processing time: 213 Days and 16.3 Hours
Abstract
Colorectal cancer (CRC) is the third most prevalent cancer globally. There is a concerning increase in its incidence among younger individuals. Colonoscopy remains the gold standard for CRC diagnosis. With the introduction of population-based bowel screening and increased public awareness, there has been a significant rise in referrals for colonoscopy. Healthcare providers worldwide will need to strategically evaluate how to allocate resources to adequately train the next generation of colonoscopists who will need to provide accurate endoscopic assessment and treatment for premalignant polyps and early CRC. This review outlines the current workload challenges faced by colonoscopists whilst exploring emerging technologies such as artificial intelligence for adenoma detection. Additionally, advanced endoscopic surgical techniques like endoscopic submucosal dissection are discussed.
Core Tip: This comprehensive review summarizes the current state of colonoscopy worldwide. We discuss workload, polyp detection and endoscopic management, training, and emerging technologies.
