Article
Surgery
Ipek Sapci, Xue Jia, James Wu, Emre Gorgun, David Liska, James Church, Scott R. Steele, Michael A. Valente
Summary: The time of day does not have a significant effect on the quality metrics of colonoscopy in patients undergoing screening. In our practice, colonoscopies meet and exceed all national quality benchmarks, regardless of the time of day they are performed.
AMERICAN JOURNAL OF SURGERY
(2022)
Article
Gastroenterology & Hepatology
Joel Troya, Boban Sudarevic, Adrian Krenzer, Michael Banck, Markus Brand, Benjamin M. Walter, Frank Puppe, Wolfram G. Zoller, Alexander Meining, Alexander Hann
Summary: This study compares the performance of different CADe systems, updates, and configuration modes, providing help for clinicians to select the most appropriate system for their specific needs.
Article
Medicine, General & Internal
Yu-Hsi Hsieh, Malcolm Koo, Chih-Wei Tseng
Summary: This study found that during propofol-sedated BDE, performing EGD followed by WE colonoscopy is more efficient, despite a longer cecal-intubation time.
JOURNAL OF CLINICAL MEDICINE
(2022)
Article
Pharmacology & Pharmacy
Andrei Lucian Groza, Bogdan Silviu Ungureanu, Cristian Tefas, Bogdan Miutescu, Marcel Tantau
Summary: Colorectal cancer is a significant global public health burden, and colonoscopy is the primary diagnostic and preventive method. Many countries have implemented screening programs. In Romania, despite the highest incidence of CRC, there is no national screening program and the quality of colonoscopy is not regularly assessed. A study conducted in a region of Romania found that the quality level of colonoscopy is above the minimum recommended by international societies. The adenoma detection rate (ADR) correlates well with other quality indicators, and ADR is higher in colonoscopies performed without sedation.
FRONTIERS IN PHARMACOLOGY
(2022)
Article
Gastroenterology & Hepatology
Shengbing Zhao, Xia Yang, Shuling Wang, Qianqian Meng, Rundong Wang, Lumin Bo, Xin Chang, Peng Pan, Tian Xia, Fan Yang, Jun Yao, Jinghua Zheng, Jianqiu Sheng, Xiaojun Zhao, Shan Tang, Yali Wang, Yiping Wang, Aixia Gong, Weigang Chen, Jianwei Shen, Xian Zhu, Shaofeng Wang, Caiwen Yan, Youlin Yang, Yangbei Zhu, Rui-Jun Ma, Rong Wang, Yingcai Ma, Zhaoshen Li, Yu Bai
Summary: Prolonging withdrawal time from 6 to 9 minutes significantly improves adenoma detection rate (ADR), especially in the proximal colon and for less experienced colonoscopists.
CLINICAL GASTROENTEROLOGY AND HEPATOLOGY
(2022)
Editorial Material
Oncology
David Lieberman
Summary: There is solid evidence supporting the effectiveness of colorectal cancer screening in reducing incidence and mortality. Guidelines suggest screening for individuals between 45 to 75 years old, but there is uncertainty regarding the benefits for those above 75 years old. Dalmat et al. found that individuals who had a negative colonoscopy more than 10 years prior to reaching 76 to 85 years old had a lower risk of colorectal cancer and may not benefit from further screening. It is important to consider the study population did not include individuals with a family history of colon cancer or high-risk adenomas.
CANCER EPIDEMIOLOGY BIOMARKERS & PREVENTION
(2023)
Article
Gastroenterology & Hepatology
Tonya Kaltenbach, Andrew Gawron, Craig S. Meyer, Samir Gupta, Amandeep Shergill, Jason A. Dominitz, Roy M. Soetikno, Tiffany Nguyen-Vu, Mary A. Whooley, Charles J. Kahi
Summary: The study showed that assessing adenoma detection rate (ADR) for colonoscopies irrespective of indication may be as effective as conventional ADR based on screening colonoscopies. This could facilitate quality monitoring and implementation of quality measurement and reporting. Future studies should further evaluate the validity of using overall ADR for quality reporting before adopting this method in clinical practice.
CLINICAL GASTROENTEROLOGY AND HEPATOLOGY
(2021)
Article
Gastroenterology & Hepatology
Jeffrey Rebhun, Meredith Yellen, Yinglin Xia, Asim Shuja
Summary: This study aims to investigate the significance of the day of the work week on endoscopist performance, using ADR and proposed quality measures. The results showed that ADR on Friday was significantly lower than other days, and all days were independent predictors of increased ADR. Proposed quality indicators were well correlated with ADR, and CWT may have additional value as a quality metric.
JOURNAL OF CLINICAL GASTROENTEROLOGY
(2022)
Article
Medicine, General & Internal
Kazuhiro Mizukami, Erina Fushimi, Ryota Sagami, Takashi Abe, Takao Sato, Shohei Terashi, Masahide Fukuda, Hidefumi Nishikiori, Takayuki Nagai, Masaaki Kodama, Kazunari Murakami
Summary: This study investigated the lesion-detection ability of an AI-equipped colonoscopy as an addition to colonoscopy screening. The results showed that the CADe group had a significantly higher adenoma detection rate compared to the conventional group, especially for non-expert endoscopists.
JOURNAL OF CLINICAL MEDICINE
(2023)
Article
Gastroenterology & Hepatology
Shunsuke Kamba, Naoto Tamai, Iduru Saitoh, Hiroaki Matsui, Hideka Horiuchi, Masakuni Kobayashi, Taku Sakamoto, Mai Ego, Akihiro Fukuda, Aya Tonouchi, Yuki Shimahara, Masako Nishikawa, Haruo Nishino, Yutaka Saito, Kazuki Sumiyama
Summary: In a multicenter randomized controlled trial, it was found that the adenoma miss rate could be significantly reduced with CADe assistance based on deep learning, leading to a higher adenoma detection rate compared to standard colonoscopy.
JOURNAL OF GASTROENTEROLOGY
(2021)
Article
Gastroenterology & Hepatology
Zhiyu Dong, Huihui Sun, Bo Li, Qiongmei Zhang, Kejing Sun, Zhenxiang Wang, Xue Qian, Junwen Wang, Tingting Zhan, Yuanxi Jiang, Ying Chen, Shuchang Xu
Summary: This study aimed to identify the appropriate number of procedures required to attain satisfactory adenoma detection rate (ADR) for well-trained endoscopists with a cecal intubation rate (CIR) >= 90%. The results indicated that 200 procedures might be an optimal number to reach an ADR >= 20%, and various factors such as total number of procedures, patient age and gender were significantly associated with adenoma detection.
JOURNAL OF GASTROENTEROLOGY AND HEPATOLOGY
(2021)
Article
Surgery
Oscar Nogales, Jon De la Maza, Esperanza Martos, Laura Carrion, Rodrigo Borobia, Luis Lucendo, Maria Lopez-Ibanez, Javier Garcia-Lledo, Leticia Perez-Carazo, Beatriz Merino
Summary: The study showed that right colon retroflexion (RCR) is a safe and feasible maneuver that can help increase adenoma detection rate (ADR), suggesting its routine inclusion in colonoscopy practice.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2021)
Article
Gastroenterology & Hepatology
Wenxi Jiang, Linying Xin, Shefeng Zhu, Zhaoxue Liu, Jiali Wu, Feng Ji, Chaohui Yu, Zhe Shen
Summary: Nearly a quarter of polyps were missed during routine colonoscopy. Diminutive, flat, sessile, and right-side colon polyps were at higher risk of missing. The risk of missing polyps was higher in older men, current smokers, and individuals with multiple polyps detected in the first colonoscopy than their counterparts.
DIGESTIVE DISEASES AND SCIENCES
(2023)
Article
Gastroenterology & Hepatology
Joel Troya, Daniel Fitting, Markus Brand, Boban Sudarevic, Jakob Nikolas Kather, Alexander Meining, Alexander Hann
Summary: This study found that CADe systems are faster than humans in detecting polyps, but using CADe does not improve human reaction times. Moreover, CADe increased misinterpretation of normal mucosa and decreased the eye travel distance.
Article
Oncology
Ke Zhang, Abdiwahid Mohamed Bile, Xinyi Feng, Yemin Xu, Yaoyao Li, Qiang She, Guiqing Li, Jian Wu, Weiming Xiao, Yanbing Ding, Bin Deng
Summary: In order to reduce the incidence and mortality of colorectal cancer, improving the quality of colonoscopy is crucial. The adenoma detection rate is widely used to evaluate the quality of colonoscopy. This study aimed to identify the factors influencing the quality of colonoscopy and determine novel quality indicators by analyzing the relationship between these factors and the adenoma detection rate.
FRONTIERS IN ONCOLOGY
(2023)
Article
Gastroenterology & Hepatology
Erika S. Boroff, Molly Disbrow, Michael D. Crowell, Francisco C. Ramirez
GASTROENTEROLOGY RESEARCH AND PRACTICE
(2017)
Article
Public, Environmental & Occupational Health
Michael J. Cevette, Gaurav N. Pradhan, Daniela Cocco, Michael D. Crowell, Anna M. Galea, Jennifer Bartlett, Jan Stepanek
AVIATION SPACE AND ENVIRONMENTAL MEDICINE
(2014)
Article
Surgery
Rebecca L. Corey, Michael D. Whitaker, Michael D. Crowell, Mira T. Keddis, Bashar Aqel, Vijayan Balan, Thomas Byrne, Elizabeth Carey, David D. Douglas, M. Edwyn Harrison, Hugo E. Vargas, Jorge Rakela
CLINICAL TRANSPLANTATION
(2014)
Article
Gastroenterology & Hepatology
Ivana Dzeletovic, David E. Fleischer, Michael D. Crowell, Rahul Pannala, Lucinda A. Harris, Francisco C. Ramirez, George E. Burdick, Lauri A. Rentz, Robert V. Spratley, Susan D. Helling, Jeffrey A. Alexander
DIGESTIVE DISEASES AND SCIENCES
(2013)
Article
Gastroenterology & Hepatology
Scott L. Gabbard, Brian E. Lacy, Gary M. Levine, Michael D. Crowell
DIGESTIVE DISEASES AND SCIENCES
(2014)
Article
Gastroenterology & Hepatology
Diana M. Orbelo, Felicity T. Enders, Yvonne Romero, Dawn L. Francis, Sami R. Achem, Tushar S. Dabade, Michael D. Crowell, Debra M. Geno, Ramona S. DeJesus, Vikneswaran Namasivayam, Steven C. Adamson, Amindra S. Arora, Andrew J. Majka, Jeffrey A. Alexander, Joseph A. Murray, Matthew Lohse, Nancy N. Diehl, Mary Fredericksen, Kee Wook Jung, Margaret S. Houston, Angela E. O'Neil, David A. Katzka
DIGESTIVE DISEASES AND SCIENCES
(2015)
Article
Otorhinolaryngology
Shiva K. Ratuapli, Stephanie L. Hansel, Sarah B. Umar, George E. Burdick, Francisco C. Ramirez, David E. Fleischer, Lucinda A. Harris, Brian E. Lacy, John K. DiBaise, Michael D. Crowell
Article
Gastroenterology & Hepatology
Neal C. Patel, Rafiul S. Islam, Qing Wu, Suryakanth R. Gurudu, Francisco C. Ramirez, Michael D. Crowell, Douglas O. Faigel
GASTROINTESTINAL ENDOSCOPY
(2013)
Article
Gastroenterology & Hepatology
Ivana Dzeletovic, M. Edwyn Harrison, Michael D. Crowell, Francisco C. Ramirez, Catherine R. Yows, Lucinda A. Harris, Shabana F. Pasha, Suryakanth R. Gurudu, Jonathan A. Leighton, Russell I. Heigh
GASTROINTESTINAL ENDOSCOPY
(2013)
Article
Gastroenterology & Hepatology
Ting-Hui Hsieh, Kristin L. Mekeel, Michael D. Crowell, Cuong C. Nguyen, Ananya Das, Bashar A. Aqel, Elizabeth J. Carey, Thomas J. Byrne, Hugo E. Vargas, David D. Douglas, David C. Mulligan, M. Edwyn Harrison
GASTROINTESTINAL ENDOSCOPY
(2013)
Article
Gastroenterology & Hepatology
R. S. Choung, G. R. Locke, D. D. Francis, D. Katzka, P. J. Winkle, W. C. Orr, M. D. Crowell, K. Devault, W. S. Harmsen, A. R. Zinsmeister, N. J. Talley
NEUROGASTROENTEROLOGY AND MOTILITY
(2014)
Article
Gastroenterology & Hepatology
Lucinda A. Harris, Stephanie L. Hansel, Elizabeth Rajan, Komandoor Srivathsan, Robert Rea, Michael D. Crowell, David E. Fleischer, Shabana F. Pasha, Suryakanth R. Gurudu, Russell I. Heigh, Arthur D. Shiff, Janice K. Post, Jonathan A. Leighton
GASTROENTEROLOGY RESEARCH AND PRACTICE
(2013)
Editorial Material
Gastroenterology & Hepatology
Michael D. Crowell
EXPERT REVIEW OF GASTROENTEROLOGY & HEPATOLOGY
(2013)
Article
Rheumatology
Jamie Bering, W. Leroy Griffing, Michael Crowell, Sarah B. Umar
Summary: Research shows that patients with SSc generally demonstrate longitudinal stability or improvement in GI symptoms, but a subset of patients experience worsening of GI symptoms, leading to negative impacts on GI-related quality of life.
RHEUMATOLOGY INTERNATIONAL
(2021)
Article
Gastroenterology & Hepatology
Ivana Dzeletovic, Edwyn Harrison, Michael D. Crowell, Rahul Pannala, Cuong C. Nguyen, Qing Wu, Douglas O. Faigel
JOURNAL OF CLINICAL GASTROENTEROLOGY
(2014)