Masterclass: Colorectal Screening Plus (On-Demand) | September 2025-Q and A Session 2

Video Transcription

Video Summary

The panel discussed the use of distal attachment devices like endo cuffs and caps in screening colonoscopies, noting benefits in visualization and withdrawal confidence, but use varies based on practice setting and training. Surveillance guideline intervals for low-risk adenomas generally favor longer intervals (7-10 years), tailored to patient anxiety and polyp characteristics, while emphasizing excellent baseline colonoscopy quality. Improving adenoma detection involves techniques like water exchange, lengthened withdrawal time, retroflexion, position changes, distal attachments, enhanced imaging, and AI, with varying degrees of benefit and costs. Documentation standards now recommend detailed descriptions of polyp size, shape, location, and resection method to ensure quality and effective follow-up. Transportation barriers post-procedure remain a challenge; some centers use medical transport services or programs funded by health departments to safely provide rides home, as sedation requires an escort. Alternatives like two-step tests are suggested where colonoscopy access is limited. Collaboration with practice management and awareness of resources is critical to avoid procedure cancellations.

Keywords

distal attachment devices

screening colonoscopy

adenoma detection

surveillance guidelines

post-procedure transportation