Portal de Periódicos da CAPES

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

2017; Elsevier BV; Volume: 49; Issue: 7 Linguagem: Inglês

10.1016/j.dld.2017.03.030

1878-3562

Sauid Ishaq, Keith Siau, Elizabeth Harrison, Gian Eugenio Tontini, Arthur Hoffman, Seth A. Gross, Ralf Kießlich, Helmut Neumann,

Gastrointestinal Bleeding Diagnosis and Treatment

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.