Advances in diagnostic and therapeutic colonoscopy

Victoria Gómez, Michael B. Wallace

Research output: Contribution to journalArticle

10 Citations (Scopus)

Abstract

PURPOSE OF REVIEW: We review current studies on endoscopic and technologic advances for the detection and treatment of colorectal neoplasia. RECENT FINDINGS: Improvements in adenoma detection have been shown to be possible with the use of high definition white light as well as water-related methods such as water exchange. Use of cap assist colonoscopy, when combined with water-related methods, has recently been shown to also improve the detection of adenomas. Narrow band imaging and confocal laser endomicroscopy may have an advantage of offering endoscopists the ability to make an 'optical diagnosis' with the possibility of discarding nonadenomatous tissue. Furthermore, educational interventions aimed at improving adenoma detection may have lasting effects on endoscopists' adenoma detection rates. Lastly, endoscopic mucosal resection and endoscopic submucosal dissection are being applied for the treatment of large colorectal polyps, obviating the need for surgery in most instances. However, further studies are needed to establish the optimal methods for polyp resection. SUMMARY: Advances in endoscopic technology are being shown to enhance the detection of early cancers and precancerous lesions. However, these tools may be supplementary to a high-quality colonoscopy using excellent techniques, factors that are now being implemented in training programs.

Original languageEnglish (US)
Pages (from-to)63-68
Number of pages6
JournalCurrent Opinion in Gastroenterology
Volume30
Issue number1
DOIs
StatePublished - Jan 2014

Fingerprint

Colonoscopy
Adenoma
Polyps
Water
Narrow Band Imaging
Therapeutics
Early Detection of Cancer
Lasers
Technology
Education
Light
Neoplasms
Endoscopic Mucosal Resection

Keywords

  • colonoscopy
  • colorectal cancer

ASJC Scopus subject areas

  • Gastroenterology

Cite this

Advances in diagnostic and therapeutic colonoscopy. / Gómez, Victoria; Wallace, Michael B.

In: Current Opinion in Gastroenterology, Vol. 30, No. 1, 01.2014, p. 63-68.

Research output: Contribution to journalArticle

Gómez, Victoria ; Wallace, Michael B. / Advances in diagnostic and therapeutic colonoscopy. In: Current Opinion in Gastroenterology. 2014 ; Vol. 30, No. 1. pp. 63-68.
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