title: Quality colonoscopy: a matter of time, technique or technology?
abstract: Quality colonoscopy is defined by the detection of adenomatous polyps at least 25% of the time in men and 15% of the time in women. Recent studies highlight the importance of key aspects of high quality colonoscopy. These include the amount of time spent examining the mucosa or withdrawal time, the quality of withdrawal technique and new technologies which seek to maximize the detection of colonic neoplasia. This review summarizes the latest evidence regarding the role of time, technique and technology in shaping the quality of colonoscopy.
authors.affiliation: Veterans Affairs Long Beach Health Care System, University of California Irvine, Long Beach, CA 93109, USA. rlee8@uci.edu
authors.forename: Robert H
authors.initials: RH
authors.lastname: Lee
mesh_terms: D003113:Colonoscopy / Q000379:methods*; D003199:Computer Systems / Q000592:standards*; D003936:Diagnosis, Computer-Assisted / Q000379:methods*; D055088:Early Detection of Cancer / Q000379:methods*; D006801:Humans; D012984:Software / Q000592:standards*
keywords: Adenoma; Colorectal cancer; Colorectal cancer screening; Quality colonoscopy
references.citation: Am J Gastroenterol. 2010 Aug;105(8):1746-52
references.pmid: 20234348
references.citation: Gastrointest Endosc. 2011 Jul;74(1):128-34
references.pmid: 21531410
references.citation: Am J Gastroenterol. 2006 Apr;101(4):864-5
references.pmid: 16635229
references.citation: Gastroenterology. 2010 Nov;139(5):1503-10, 1510.e1-3
references.pmid: 20643134
references.citation: Gastroenterology. 2011 Jun;140(7):1887-94
references.pmid: 21419769
references.citation: Gastrointest Endosc. 2011 Mar;73(3):456-63
references.pmid: 20950801
references.citation: Am J Gastroenterol. 2010 Nov;105(11):2312-7
references.pmid: 21048675
references.citation: Aliment Pharmacol Ther. 2007 Dec;26 Suppl 2:91-9
references.pmid: 18081653
references.citation: Gastrointest Endosc. 2010 Jun;71(7):1253-9
references.pmid: 20598251
references.citation: N Engl J Med. 2006 Dec 14;355(24):2533-41
references.pmid: 17167136
references.citation: Gastrointest Endosc. 2000 Jan;51(1):33-6
references.pmid: 10625792
references.citation: Am J Gastroenterol. 2010 Dec;105(12):2588-96
references.pmid: 20877348
references.citation: Gut. 2001 Jun;48(6):812-5
references.pmid: 11358901
references.citation: Gastrointest Endosc. 2011 Mar;73(3):498-506
references.pmid: 20970795
references.citation: Aliment Pharmacol Ther. 2006 Sep 15;24(6):965-71
references.pmid: 16948808
references.citation: Am J Gastroenterol. 2006 Apr;101(4):873-85
references.pmid: 16635231
references.citation: Clin Gastroenterol Hepatol. 2009 Mar;7(3):288-95
references.pmid: 19168154
references.citation: Gastrointest Endosc. 2012 Jun;75(6):1197-203
references.pmid: 22381531
references.citation: Scand J Gastroenterol. 1999 Apr;34(4):414-20
references.pmid: 10365903
references.citation: World J Gastroenterol. 2012 Aug 28;18(32):4270-7
references.pmid: 22969189
references.citation: Am J Gastroenterol. 2012 Sep;107(9):1315-29; quiz 1314, 1330
references.pmid: 22710576
references.citation: Dig Dis Sci. 2010 Jan;55(1):166-71
references.pmid: 19156519
references.citation: J Biomed Opt. 2004 May-Jun;9(3):568-77
references.pmid: 15189095
references.citation: Gastroenterology. 1997 Jan;112(1):24-8
references.pmid: 8978338
references.citation: Am J Gastroenterol. 2007 Apr;102(4):856-61
references.pmid: 17222317
references.citation: Clin Gastroenterol Hepatol. 2008 Oct;6(10):1091-8
references.pmid: 18639495
references.citation: World J Gastroenterol. 2012 Jul 14;18(26):3400-8
references.pmid: 22807609
references.citation: N Engl J Med. 1993 Dec 30;329(27):1977-81
references.pmid: 8247072
references.citation: Cochrane Database Syst Rev. 2010 Oct 06;(10):CD006439
references.pmid: 20927746
references.citation: Gastrointest Endosc. 2012 Sep;76(3):657-66
references.pmid: 22898423
references.citation: Gut. 2013 Feb;62(2):236-41
references.pmid: 22442161
references.citation: Cancer Prev Res (Phila). 2008 Dec;1(7):507-13
references.pmid: 19139000
references.citation: Endoscopy. 2012 Apr;44(4):444-51
references.pmid: 22438159
references.citation: Med Care. 2007 Feb;45(2):160-7
references.pmid: 17224779
references.citation: Ann Intern Med. 2009 Jan 6;150(1):1-8
references.pmid: 19075198
references.citation: N Engl J Med. 2010 May 13;362(19):1795-803
references.pmid: 20463339
references.citation: Endoscopy. 2006 Jan;38(1):76-81
references.pmid: 16429359
references.citation: Gastrointest Endosc. 2009 Jan;69(1):124-35
references.pmid: 19111693
references.citation: Gastroenterology. 2008 Dec;135(6):1892-8
references.pmid: 18835390
references.citation: Gastrointest Endosc. 2012 Mar;75(3):576-82
references.pmid: 22341104