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

Research output: Contribution to journalReview articlepeer-review

Authors

  • Sauid Ishaq
  • Keith Siau
  • Elizabeth Harrison
  • Gian Eugenio Tontini
  • Arthur Hoffman
  • And 3 others
  • Seth Gross
  • Ralf Kiesslich
  • Helmut Neumann

Colleges, School and Institutes

External organisations

  • Dudley Group Hospitals
  • Department of Public Health and Community Health
  • St. George's University
  • IRCCS Policlinico San Donato
  • St. Marienkrankenhaus Frankfurt
  • NYU Langone Medical Center
  • University Hospital Mainz

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.

Details

Original languageEnglish
Pages (from-to)721-727
Number of pages7
JournalDigestive and Liver Disease
Volume49
Issue number7
Early online date9 Apr 2017
Publication statusPublished - 1 Jul 2017

Keywords

  • Adenoma detection, Colonoscopy, Colorectal cancer screening, Polyp detection

ASJC Scopus subject areas