Masterclass Colonoscopy: Trends and Recommendations Forward (Virtual) | February 2024-Detection in Colonoscopy: How to maximize it, how to measure it

Video Transcription

Video Summary

The video transcript discusses the importance of detection and diagnosis in colonoscopy. It highlights the need for endoscopists to maximize detection rates and measure the quality of their procedures, particularly in colon cancer screening. Adenoma detection rate (ADR) is emphasized as a key marker of detection and quality, with higher rates associated with a reduction in colorectal cancer incidence and mortality. The recommended minimum ADR is currently 25%, but this may increase in the future. The video also discusses the challenges and barriers to measuring detection, such as the need to differentiate between screening and diagnostic procedures. Strategies for improving detection include having a straight scope, using a clean mucosa, and employing techniques such as retroflexion and double examination of the right colon. The use of simethicone in the bowel preparation and the benefits of caps for mucosal exposure are also highlighted. The role of AI in detection is mentioned, with AI systems shown to increase detection rates, although there is mixed evidence on its effectiveness. Overall, the video emphasizes the importance of continuous quality improvement, engagement in quality assurance programs, and the use of detection techniques and technologies to improve outcomes in colonoscopy.

Asset Subtitle

Tonya R. Kaltenbach, MD, MS, MASGE

Keywords

colonoscopy

detection

diagnosis

endoscopists

adenoma detection rate

colorectal cancer screening

bowel preparation

artificial intelligence