Experience and Enhancement: Improving Colonoscopic Polyp Detection

Launched by LONDON NORTH WEST HEALTHCARE NHS TRUST · Oct 10, 2005

Keywords

ClinConnect Summary

Colorectal cancer is the second commonest cause of cancer death. In a majority of cases it is preceeded by a precancerous lesion called an adenoma (commonly known as polyp). Patients with colitis are at specially high risk of colorectal cancer which is estimated to be 18% at 30 years of disease. Detection and removal of adenomas at colonoscopy has been shown to reduce the death rate from colorectal cancer. However, despite meticulous examination there is a "miss rate" for adenomas at colonoscopy with ranges from 6-15% in back-to-back colonoscopy studies. The nature of the polyps which as we...

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • Patients: over 18 years of age, with clinical indication for colonoscopy who are considered by the endoscopist to be fit for the procedure
• • Endoscopists who have started colonoscopy training on a recognised training rotation. Consultants who perform colonoscopy regularly
• Exclusion Criteria:
• • patients under 18 years, patients with previous colorectal surgery or known familial polyposis, patients unable to give informed consent, pregnant patients, patients for whom coloscope insertion was difficult or uncomfortable, patients whose colon is not sufficiently cleared of stool, those unwilling to participate