Technological advances for improving adenoma detection rates: The changing face of colonoscopy

Sauid Ishaq; Keith Siau; Elizabeth Harrison; Gian Eugenio Tontini; Arthur Hoffman; Seth Gross; Ralf Kiesslich; Helmut Neumann

doi:10.1016/j.dld.2017.03.030

Technological advances for improving adenoma detection rates: The changing face of colonoscopy

Sauid Ishaq^*, Keith Siau, Elizabeth Harrison, Gian Eugenio Tontini, Arthur Hoffman, Seth Gross, Ralf Kiesslich, Helmut Neumann

^*Corresponding author for this work

Immunology and Immunotherapy

Research output: Contribution to journal › Review article › peer-review

15 Citations (Scopus)

Abstract

Worldwide, colorectal cancer is the third commonest cancer. Over 90% follow an adenoma-to-cancer sequence over many years. Colonoscopy is the gold standard method for cancer screening and early adenoma detection. However, considerable variation exists between endoscopists’ detection rates. This review considers the effects of different endoscopic techniques on adenoma detection. Two areas of technological interest were considered: (1) optical technologies and (2) mechanical technologies. Optical solutions, including FICE, NBI, i-SCAN and high definition colonoscopy showed mixed results. In contrast, mechanical advances, such as cap-assisted colonoscopy, FUSE, EndoCuff and G-EYE™, showed promise, with reported detections rates of up to 69%. However, before definitive recommendations can be made for their incorporation into daily practice, further studies and comparison trials are required.

Original language	English
Pages (from-to)	721-727
Number of pages	7
Journal	Digestive and Liver Disease
Volume	49
Issue number	7
Early online date	9 Apr 2017
DOIs	https://doi.org/10.1016/j.dld.2017.03.030
Publication status	Published - 1 Jul 2017

Keywords

Adenoma detection
Colonoscopy
Colorectal cancer screening
Polyp detection

ASJC Scopus subject areas

Hepatology
Gastroenterology

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1016/j.dld.2017.03.030

Cite this

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title = "Technological advances for improving adenoma detection rates: The changing face of colonoscopy",

abstract = "Worldwide, colorectal cancer is the third commonest cancer. Over 90% follow an adenoma-to-cancer sequence over many years. Colonoscopy is the gold standard method for cancer screening and early adenoma detection. However, considerable variation exists between endoscopists{\textquoteright} detection rates. This review considers the effects of different endoscopic techniques on adenoma detection. Two areas of technological interest were considered: (1) optical technologies and (2) mechanical technologies. Optical solutions, including FICE, NBI, i-SCAN and high definition colonoscopy showed mixed results. In contrast, mechanical advances, such as cap-assisted colonoscopy, FUSE, EndoCuff and G-EYE{\texttrademark}, showed promise, with reported detections rates of up to 69%. However, before definitive recommendations can be made for their incorporation into daily practice, further studies and comparison trials are required.",

keywords = "Adenoma detection, Colonoscopy, Colorectal cancer screening, Polyp detection",

author = "Sauid Ishaq and Keith Siau and Elizabeth Harrison and Tontini, {Gian Eugenio} and Arthur Hoffman and Seth Gross and Ralf Kiesslich and Helmut Neumann",

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T2 - The changing face of colonoscopy

AU - Ishaq, Sauid

AU - Siau, Keith

AU - Harrison, Elizabeth

AU - Tontini, Gian Eugenio

AU - Hoffman, Arthur

AU - Gross, Seth

AU - Kiesslich, Ralf

AU - Neumann, Helmut

PY - 2017/7/1

Y1 - 2017/7/1

N2 - Worldwide, colorectal cancer is the third commonest cancer. Over 90% follow an adenoma-to-cancer sequence over many years. Colonoscopy is the gold standard method for cancer screening and early adenoma detection. However, considerable variation exists between endoscopists’ detection rates. This review considers the effects of different endoscopic techniques on adenoma detection. Two areas of technological interest were considered: (1) optical technologies and (2) mechanical technologies. Optical solutions, including FICE, NBI, i-SCAN and high definition colonoscopy showed mixed results. In contrast, mechanical advances, such as cap-assisted colonoscopy, FUSE, EndoCuff and G-EYE™, showed promise, with reported detections rates of up to 69%. However, before definitive recommendations can be made for their incorporation into daily practice, further studies and comparison trials are required.

AB - Worldwide, colorectal cancer is the third commonest cancer. Over 90% follow an adenoma-to-cancer sequence over many years. Colonoscopy is the gold standard method for cancer screening and early adenoma detection. However, considerable variation exists between endoscopists’ detection rates. This review considers the effects of different endoscopic techniques on adenoma detection. Two areas of technological interest were considered: (1) optical technologies and (2) mechanical technologies. Optical solutions, including FICE, NBI, i-SCAN and high definition colonoscopy showed mixed results. In contrast, mechanical advances, such as cap-assisted colonoscopy, FUSE, EndoCuff and G-EYE™, showed promise, with reported detections rates of up to 69%. However, before definitive recommendations can be made for their incorporation into daily practice, further studies and comparison trials are required.

KW - Adenoma detection

KW - Colonoscopy

KW - Colorectal cancer screening

KW - Polyp detection

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ER -

Technological advances for improving adenoma detection rates: The changing face of colonoscopy

Abstract

Keywords

ASJC Scopus subject areas

UN SDGs

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