Double right-sided colon examination has been advocated as a way to reduce interval cancers, which are more common in the proximal colon. Mucosal exposure devices, such as Endocuff Vision (ECV; Olympus Corp, Center Valley, Pa), AmplifEYE (Cantel, Minneapolis, Minn), and the distal cap, improve detection in most studies. It is unclear whether a second right-side colon examination is warranted if the first examination is performed using a mucosal exposure device. <\/p>\n\n\n\n
In this study, 1331 eligible, consecutive patients underwent colonoscopy performed with a mucosal exposure device \u2013 almost exclusively ECV. A second examination of the right side of the colon was then performed, also using ECV. <\/p>\n\n\n\n
The first examination miss rates for adenomas, sessile serrated lesions (SSLs), and hyperplastic polyps (HPs) were 15.8%, 14.1%, and 16.7%, respectively. The second examination was performed primarily in retroflexion (97.4% of cases), with the remainder performed in the forward view if retroflexion was unsuccessful. Miss rates for lesions \u226510 mm in size were also substantial for adenomas, SSLs, and HPs at 13.3%, 14.7%, and 11.1%, respectively.<\/p>\n\n\n\n
Exactly half of the missed lesions were detected during reinsertion of the colonoscope, and half of them were detected during the second withdrawal.<\/p>\n","protected":false},"excerpt":{"rendered":"
Double right-sided colon examination has been advocated as a way to reduce interval cancers, which are more common in the proximal colon. Mucosal exposure devices, such as Endocuff Vision (ECV; Olympus Corp, Center Valley, Pa), AmplifEYE (Cantel, Minneapolis, Minn), and the distal cap, improve detection in most studies. It is unclear whether a second right-side … Read more<\/a><\/p>\n","protected":false},"template":"","categories":[1768,1769],"tags":[2897,2898,2895,2058,2027,2011,90,2900,2899,2894,2896],"class_list":["post-10754","ec-news","type-ec-news","status-publish","hentry","category-asge-journal-scan","category-asge-kolon","tag-amplifeye","tag-cantel","tag-center-valley","tag-colon-2","tag-double-right-sided-colon-examination","tag-ecv","tag-endocuff-vision","tag-minn","tag-minneapolis","tag-olympus-corp","tag-pa"],"_links":{"self":[{"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/ec-news\/10754","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/ec-news"}],"about":[{"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/types\/ec-news"}],"wp:attachment":[{"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/media?parent=10754"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/categories?post=10754"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/tags?post=10754"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}