©The Author(s) 2015. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Endosc. Aug 10, 2015; 7(10): 969-980
Published online Aug 10, 2015. doi: 10.4253/wjge.v7.i10.969
Published online Aug 10, 2015. doi: 10.4253/wjge.v7.i10.969
New technologies and techniques to improve adenoma detection in colonoscopy
Ashley Bond, Sanchoy Sarkar, Department of Gastroenterology and Hepatology, Royal Liverpool and Broadgreen University Hospital Trust, Liverpool L7 8XP, United Kingdom
Author contributions: Both authors contributed equally to the literature search and writing of the review article; there was a collective decision upon the format of the final manuscript for submission.
Conflict-of-interest statement: Dr. Sanchoy Sarkar and Dr. Ashley Bond have no conflicts of interest to declare. They are both employed by Royal Liverpool and Broadgreen University Hospital Trust.
Correspondence to: Dr. Sanchoy Sarkar, PhD, FRCP, BSc, Department of Gastroenterology and Hepatology, Royal Liverpool and Broadgreen University Hospital Trust, 5Z link, Prescot Street, Liverpool L7 8XP, United Kingdom. sanchoy@aol.com
Telephone: +44-151-7063554 Fax: +44-151-7065832
Received: May 13, 2015
Peer-review started: May 14, 2015
First decision: June 3, 2015
Revised: July 1, 2015
Accepted: July 7, 2015
Article in press: July 8, 2015
Published online: August 10, 2015
Processing time: 96 Days and 0.6 Hours
Peer-review started: May 14, 2015
First decision: June 3, 2015
Revised: July 1, 2015
Accepted: July 7, 2015
Article in press: July 8, 2015
Published online: August 10, 2015
Processing time: 96 Days and 0.6 Hours
Core Tip
Core tip: The most important quality indicator in colonoscopy is Adenoma detection rate. It is associated with outcomes from colorectal cancer, with low detection rates being associated with increased mortality and poor outcomes. Whilst a number of technologies are emerging to improve adenoma detection rate (ADR), at present, it seems that education, team work and optimising current practice will provide the biggest gains in ADR whilst maintaining financial acceptability.