Combining techniques and technologies increases adenoma detection rates in colonoscopy: More is more

doi:10.4253/wjge.v17.i8.107734

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World Journal of Gastrointestinal Endoscopy

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1948-5190

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

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World J Gastrointest Endosc. Aug 16, 2025; 17(8): 107734
Published online Aug 16, 2025. doi: 10.4253/wjge.v17.i8.107734

Combining techniques and technologies increases adenoma detection rates in colonoscopy: More is more

Ioannis Stasinos, Theodoros A Voulgaris, Theodoros Alexopoulos, Georgios P Karamanolis

Ioannis Stasinos, Department of Gastroenterology, 417 Army Equity Fund Hospital (NIMTS), Athens 11528, Greece

Theodoros A Voulgaris, Georgios P Karamanolis, Department of Endoscopy, 2^nd Academic Surgical Unit, National and Kapodistrian University of Athens, Aretaieion Hospital, Athens 11528, Greece

Theodoros Alexopoulos, Department of Endoscopy, East Kent Hospital University, NHS Foundation Trust, East Kent CT91UJ, United Kingdom

Author contributions: Stasinos I, Voulgaris TA and Alexopoulos T wrote the initial draft; Karamanolis GP reviewed and finalized the manuscript; all of the authors read and approved the final version of the manuscript to be published.

Conflict-of-interest statement: There are no conflicts of interest.

Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/

Corresponding author: Theodoros A Voulgaris, MD, PhD, Department of Endoscopy, 2^nd Academic Surgical Unit, National and Kapodistrian University of Athens, Aretaieion Hospital, Vas Sofias 76, Athens 11528, Greece. thvoulgaris87@gmail.com

Received: March 28, 2025
Revised: April 29, 2025
Accepted: June 19, 2025
Published online: August 16, 2025
Processing time: 140 Days and 6 Hours

Core Tip

Core Tip: Nowadays, no single measure has uniformly proven its efficacy in increasing the adenoma detection rate (ADR). Optical imaging innovations, auxiliary devices and computer-aided diagnosis systems may be of value when used by trainees and low detectors. Unfortunately, none of these have been able to increase the advanced ADR (AADR). Recent data from studies combining devices and technologies have shown increased ADRs, though failed to provide solid evidence that they increase AADR, especially among expert endoscopists. Data evaluating the combined efficacy of simple measures, such as a second look of the right colon, together with more advanced methods, are needed.