United European gastroenterology journal
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United European Gastroenterol J · Jul 2020
Randomized Controlled Trial Multicenter Study Comparative StudyProximal retroflexion versus second forward view of the right colon during screening colonoscopy: A multicentre randomized controlled trial.
Colonoscopy is the gold standard investigation for the detection of colorectal cancer, but the right colon is more difficult to examine than the left colon. A second examination of the proximal colon has the potential to reduce rates of missed pathology. ⋯ A second examination of the right colon, either from retroflexion or second forward view, can increase adenoma detection rate and shorten surveillance intervals in patients undergoing screening colonoscopy. This should be emphasized during colonoscopy training and integrated into diagnostic colonoscopy practice.