title: Endoscopic Improvement of the Adenoma Detection Rate during Colonoscopy - Where Do We Stand in 2015?
abstract: BACKGROUND
  The presence of colorectal adenomas is considered a major risk factor for colorectal cancer development. The implementation of screening colonoscopy programs in the Western world has led to a substantial reduction of colorectal cancer death. Many efforts have been made to reduce the adenoma miss rates by the application of new endoscopic devices and techniques for better adenoma visualization.
  
  
  CONCLUSIONS
  This special review gives the readership an overview of current endoscopic innovations that can aid in the increase of the adenoma detection rate (ADR) during colonoscopy. These innovations include the use of devices like EndoCuff® and EndoRings® as well as new technical equipment like third-eye endoscope® and full-spectrum endoscopy (FUSE®).
  
  
  CONCLUSIONS
  Technical improvements and newly developed accessories are able to improve the ADR. However, additional costs and a willingness to invest into potentially expensive equipment might be necessary. Investigator-dependent skills remain the backbone in the ADR detection.
authors.affiliation: Department of Gastroenterology, HELIOS Albert-Schweitzer-Hospital Northeim, Northeim, Germany.
authors.forename: Martin
authors.initials: M
authors.lastname: Floer
authors.forename: Tobias
authors.initials: T
authors.lastname: Meister
mesh_terms: D000236:Adenoma / Q000175:diagnosis* / Q000453:epidemiology; D000367:Age Factors; D002983:Clinical Competence; D020685:Colonoscopes; D003113:Colonoscopy / Q000191:economics / Q000379:methods / Q000639:trends; D015179:Colorectal Neoplasms / Q000175:diagnosis* / Q000453:epidemiology; D005260:Female; D006801:Humans; D007089:Image Enhancement; D015994:Incidence; D008297:Male; D008403:Mass Screening / Q000379:methods*; D012307:Risk Factors; D012737:Sex Factors