The Role of Behind Folds Visualizing Techniques and Technologies in Improving Adenoma Detection Rate

AbstractPurpose of reviewColorectal cancer is one of the most common malignancies in the Western world and is thought to develop from premalignant polyps. Over the past decade, several behind folds visualizing techniques (BFTs) have become available to improve polyp detection. This systematic review and meta-analysis aims to compare BFTs with conventional colonoscopy (CC).Recent findingsIn the past five  years, 14 randomized controlled trials (RCTs) including 8384 patients comparing different BFTs with CC were published. The overall relative risks for adenoma detection rate, polyp detection rate, and adenoma miss rate comparing BFTs with CC were 1.04 (95% confidence interval [CI] 0.98–1.10;P = 0.15), 1.03 (95% CI 0.98–1.09;P = 0.28), and 0.70 (95% CI 0.46–1.05;P = 0.08), respectively. Other quality metrics for colonoscopy were not significantly different between BFT-assisted colonoscopy and CC either.SummaryThis meta-analysis of RCTs published in the past five  years does not show a significant benefit of BFTs on any of the important quality metrics of colonoscopy. The lack of additional effect of BFTs might be due to improved awareness of colonoscopy quality metrics and colonoscopy skills among endoscopists combined with improvements of conventional col onoscope technology.
Source: Current Treatment Options in Gastroenterology - Category: Gastroenterology Source Type: research