Related Experiment Video
Updated: Aug 27, 2025
03:44
Structured Approach to Colonoscopy Technique Optimization: A Single-Center Experience with Novice Endoscopists
Published on: July 11, 2025
122
Key factors for improving adenoma detection rate.
Alessandro Gubbiotti1,2, Marco Spadaccini1,2, Matteo Badalamenti1,2
1Humanitas University, Department of Biomedical Sciences, Pieve Emanuele, Italy.
Expert Review of Gastroenterology & Hepatology
|September 24, 2022
Summary
Improving adenoma detection rate (ADR) in colonoscopy is crucial for preventing post-colonoscopy colorectal cancer (PCCRC). Key factors include endoscopist training and AI tools, alongside traditional techniques, to enhance lesion recognition.
Area of Science:
- Gastroenterology
- Oncology
- Medical Imaging
Background:
- Colonoscopy is vital for colorectal cancer (CRC) prevention, but missed neoplasms contribute to post-colonoscopy CRC (PCCRC).
- Adenoma detection rate (ADR) is the primary quality metric linked to PCCRC incidence.
- Identifying factors influencing ADR is critical for improving colonoscopy efficacy.
Approach:
- A comprehensive literature review was conducted.
- Key factors affecting ADR were systematically investigated.
- Evidence on endoscopist education, patient management, endoscopic techniques, navigation, and lesion recognition was summarized.
Key Points:
- Traditional factors like split-dose bowel preparation, adequate withdrawal time, and second-look colonoscopy significantly impact ADR.
- Technological advancements, including AI, show promise for enhancing ADR.
- Endoscopist education and standardized recording are essential for realizing the full potential of new technologies.
Conclusions:
- Optimizing traditional colonoscopy practices remains fundamental for high ADR.
- Artificial intelligence presents a significant opportunity to further improve ADR and reduce PCCRC.
- Continuous education and technological integration are paramount for advancing colonoscopy quality.
