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Osteopathic Manipulative Treatment as a Useful Adjunctive Tool for Pneumonia

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Increase your adenoma detection rate without using fancy adjunct tools.

Yu-Hsi Hsieh^1,2, Felix W Leung^3,4

¹Division of Gastroenterology, Department of Medicine, Dalin Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Chiayi, Taiwan.

Tzu Chi Medical Journal

|August 3, 2018

Summary

This summary is machine-generated.

Improving adenoma detection rate (ADR) in colonoscopies is crucial for reducing interval colorectal cancers (CRCs). Techniques like water exchange (WE) show promise for enhancing ADR in Taiwan's screening programs.

Keywords:

Adenoma detection rate Colonoscopy Interval cancer Water exchange

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Area of Science:

Gastroenterology
Endoscopy
Public Health

Background:

Low adenoma detection rate (ADR) is linked to interval cancers (ICs), highlighting ADR as a key colonoscopy quality indicator.
Taiwan's national colorectal cancer (CRC) screening program has identified a need to improve ADR to decrease ICs.

Purpose of the Study:

To review strategies for enhancing ADR in colonoscopy.
To evaluate the effectiveness of water exchange (WE) as a method to increase ADR.

Main Methods:

Review of studies on techniques to improve ADR, including optimal withdrawal, endoscopist training, position changes, polyp removal during insertion, retroflexion, and water exchange (WE).
Analysis of primary and secondary outcomes from recent studies comparing WE with traditional air insufflation for ADR.

Main Results:

Several techniques, including WE, have demonstrated potential to increase ADR.
Water exchange (WE) consistently shows higher ADR compared to air insufflation, even in sedated patients.

Conclusions:

Implementing measures like WE can significantly improve ADR in colonoscopy.
Colonoscopists in Taiwan's CRC screening program are encouraged to adopt these techniques to enhance ADR and reduce ICs.