The Role of Behind Folds Visualizing Techniques and Technologies in Improving Adenoma Detection Rate
Publication year
2019Source
Current Treatment Options in Gastroenterology, 17, 3, (2019), pp. 394-407ISSN
Publication type
Article / Letter to editor

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Organization
Gastroenterology
Journal title
Current Treatment Options in Gastroenterology
Volume
vol. 17
Issue
iss. 3
Page start
p. 394
Page end
p. 407
Subject
Radboudumc 14: Tumours of the digestive tract RIHS: Radboud Institute for Health SciencesAbstract
PURPOSE OF REVIEW: Colorectal cancer is one of the most common malignancies in the Western world and is thought to develop from premalignant polyps. Over the past decade, several behind folds visualizing techniques (BFTs) have become available to improve polyp detection. This systematic review and meta-analysis aims to compare BFTs with conventional colonoscopy (CC). RECENT FINDINGS: In the past five years, 14 randomized controlled trials (RCTs) including 8384 patients comparing different BFTs with CC were published. The overall relative risks for adenoma detection rate, polyp detection rate, and adenoma miss rate comparing BFTs with CC were 1.04 (95% confidence interval [CI] 0.98-1.10; P = 0.15), 1.03 (95% CI 0.98-1.09; P = 0.28), and 0.70 (95% CI 0.46-1.05; P = 0.08), respectively. Other quality metrics for colonoscopy were not significantly different between BFT-assisted colonoscopy and CC either. This meta-analysis of RCTs published in the past five years does not show a significant benefit of BFTs on any of the important quality metrics of colonoscopy. The lack of additional effect of BFTs might be due to improved awareness of colonoscopy quality metrics and colonoscopy skills among endoscopists combined with improvements of conventional colonoscope technology.
This item appears in the following Collection(s)
- Academic publications [203608]
- Electronic publications [101944]
- Faculty of Medical Sciences [80231]
- Open Access publications [70663]
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