Tzu Chi Medical Journal
Volume 21, Issue 3 , Pages 222-226 , September 2009

Targeting Withdrawal Time to 6 Minutes can Increase Polyp Detection During Colonoscopy

  • Yu-Hsi Hsieh

      Affiliations

    • Department of Medicine, Buddhist Dalin Tzu Chi General Hospital, Chiayi, Taiwan
    • School of Medicine, Tzu Chi University, tiualien, Taiwan
    • Corresponding Author InformationCorresponding author. Department of Medicine, Buddhist Dalin Tzu Chi General Hospital, 2, Min-Sheng Road, Dalin, Chiayi, Taiwan
    • ,
  • Kuo-Chih Tseng

      Affiliations

    • Department of Medicine, Buddhist Dalin Tzu Chi General Hospital, Chiayi, Taiwan
    • School of Medicine, Tzu Chi University, tiualien, Taiwan
    • ,
  • An-Liang Chou

      Affiliations

    • Department of Medicine, Buddhist Dalin Tzu Chi General Hospital, Chiayi, Taiwan

Received 24 November 2008 ,Revised 23 January 2009 ,Accepted 11 February 2009.

References 

  1. Cappell MS . Reducing the incidence and mortality of colon cancer: mass screening and colonoscopic polypectomy . Gastroenterol Clin North Am . 2008;37:129–160
  2. Winawer SJ , Zauber AG , Ho MN , et al.   Prevention of colorectal cancer by colonoscopic polypectomy. The National Polyp Study Workgroup . N Engl J Med . 1993;329:1977–1981
  3. Schatzkin A , Lanza E , Corle D , et al.   Lack of effect of a low-fat, high-fiber diet on the recurrence of colorectal adenomas. Polyp Prevention Trial Study Group . N Engl J Med . 2000;342:1149–1155
  4. Robertson DJ , Greenberg ER , Beach M , et al.   Colorectal cancer in patients under close colonoscopic surveillance . Gastroenterology . 2005;129:34–41
  5. Hixson LJ , Fennerty MB , Sampliner RE , et al.   Prospective blinded trial of the colonoscopic miss-rate of large colorectal polyps . Gastrointest Endosc . 1991;37:125–127
  6. Rex DK , Cutler CS , Lemmel GT , et al.   Colonoscopic miss rates of adenomas determined by back-to-back colonoscopies . Gastroenterology . 1997;112:24–28
  7. Rex DK . Maximizing detection of adenomas and cancers during colonoscopy . Am J Gastroenterol . 2006;101:2866–2877
  8. Barclay RL , Vicari JJ , Doughty AS , et al.   Colonoscopic withdrawal times and adenoma detection during screening colonoscopy . N Engl J Med . 2006;355:2533–2541
  9. Simmons DT , Harewood GC , Baron TH , et al.   Impact of endoscopist withdrawal speed on polyp yield: implications for optimal colonoscopy withdrawal time . Aliment Pharmacol Ther . 2006;24:965–971
  10. Rex DK . Colonoscopic withdrawal technique is associated with adenoma miss rates . Gastrointest Endosc . 2000;51:33–36
  11. Barclay RL , Vicari JJ , Greenlaw RL . Effect of a timedependent colonoscopic withdrawal protocol on adenoma detection during screening colonoscopy . Clin Gastroenterol Hepatol . 2008;6:1091–1098
  12. Sawhney MS , Cury MS , Neeman N , et al.   Effect of institutionwide policy of colonoscopy withdrawal time > or = 7 minutes on polyp detection . Gastroenterology . 2008;135:1892–1898
  13. Cotton PB , Williams CB . In: Practical Gastrointestinal Endoscopy . Oxford: Blackwell Science; 1996;p. 242

PII: S1016-3190(09)60043-4

doi: 10.1016/S1016-3190(09)60043-4

Tzu Chi Medical Journal
Volume 21, Issue 3 , Pages 222-226 , September 2009

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