Hang Some Pictures of Sessile Serrated Lesions in Your Endoscopy Unit
Douglas K. Rex, MD, MASGE, reviewing Shaukat A, et al. Endosc Int Open 2022 Apr.
The first requirement in detecting subtle colorectal lesions during colonoscopy is to know what they look like. In this study from Minneapolis, a poster with pictures of sessile serrated lesions (SSLs) and advanced neoplasia was placed above the endoscopy screens for an intervention group of endoscopists, but the poster was not used in a control group. During a study interval of 6 months, more than 54,000 colonoscopies were evaluated.
Compared with preintervention levels, during the study period, the advanced neoplasia detection rate, SSL detection rate, and adenoma detection rate (ADR) remained essentially identical in the control group. In the intervention group, there was no change in the detection of advanced adenomas or in ADR, but the SSL detection rate improved from 11.7% to 12.3% (P<.001), an overall relative increase of 4.4%.
COMMENTThis gain in SSL detection is modest, and the mechanism by which the poster worked is uncertain. Maybe decorating more rooms in the endoscopy suite with photos of SSLs would have an even greater effect!
Note to readers: At the time we reviewed this paper, its publisher noted that it was not in final form and that subsequent changes might be made.
CITATION(S)
Shaukat A, Rex DK, Shyne M, Church TR, Moscatelli JP, Colton JB. Effect of a polyp detection poster on detection of sessile serrated lesions: a prospective controlled study. Endosc Int Open 2022;10:E534-E538. (https://dx.doi.org/10.1055%2Fa-1784-0313)
