Erschienen in:
06.02.2018 | Original Article
Timed colonoscopy withdrawal, a mandatory quality measure in the era of national screening?
verfasst von:
Vikrant Parihar, Claire O’Leary, Paud O’Reagan
Erschienen in:
Irish Journal of Medical Science (1971 -)
|
Ausgabe 4/2018
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Abstract
Background
A minimum recommended withdrawal time for screening colonoscopy is recommended for by both the US Multi-Society Task Force on Colorectal Cancer and European Society of Gastrointestinal Endoscopy.
Aim
To characterize the relationship between endoscopists withdrawal time at colonoscopy and polyp detection in a symptomatic cohort of patients as compared to previously untimed withdrawal.
Methods
Three experienced medical endoscopists prospectively performed 1079 colonoscopies during a 24-month period in an Irish hospital. Mean withdrawal time and individual polyp detection rate were noted.
Results
Introduction of mandatory withdrawal time which was monitored and documented was associated with higher polyp detection rate (33 versus 21%, p < 0.005) as compared to previously untimed withdrawal.
Conclusion
Our findings support a monitored colonoscopy withdrawal time of at least 6 min, which correlates with higher colon polyp detection rates in a symptomatic cohort.