Withdrawal times affects polyp and diverticulum detection on the right-side colon

Hepatogastroenterology. 2012 Jan-Feb;59(113):108-11. doi: 10.5754/hge11299.

Abstract

Background/aims: We aimed to investigate the association between colorectal polyp detection rates and withdrawal times, and also to investigate diverticulum detection rates as a counterpart lesion.

Methodology: Thirteen trainee colonoscopists were characterized by their mean withdrawal time for normal colon. A total of 2,314 colonoscopies were analyzed.

Results: The mean withdrawal times ranged from 6.5 to 10.4 minutes among colonoscopists. Polyp detection rates in individual endoscopists ranged between 36.5% and 60.0%. When stratified by the hood use, a significant association was shown when the hood was not used (p=0.03), whereas no association was found when the hood used. On the other hand, diverticulum detection rates varied from 20.7% to 43.2%. A strong association was shown only when the hood was not used (p=0.009).

Conclusions: An association between the polyp or diverticulum detection rate and the withdrawal time was observed when the transparent hood was not attached, and mainly on the right-side colon.

MeSH terms

  • Aged
  • Clinical Competence
  • Colonic Polyps / pathology*
  • Colonoscopes
  • Colonoscopy* / instrumentation
  • Diverticulum, Colon / pathology*
  • Equipment Design
  • Female
  • Humans
  • Intestinal Polyps / pathology*
  • Japan
  • Male
  • Middle Aged
  • Predictive Value of Tests
  • Rectal Diseases / pathology*
  • Retrospective Studies
  • Time Factors