作者
Abhishek Bhurwal, Puru Rattan, Avik Sarkar, Anish Patel, Shahid Haroon, Mihajlo Gjeorgjievski, Vikas Bansal, Hemant Mutneja
发表日期
2021/12
来源
Journal of Gastroenterology and Hepatology
卷号
36
期号
12
页码范围
3260-3267
简介
Introduction
The optimal colonoscopy withdrawal time is still a controversial topic. While several studies demonstrate that longer withdrawal time improves adenoma detection rate, others have contradicted these findings.
Methods
Three independent reviewers performed a comprehensive review of all original articles published from inception to January 2021 and included studies reporting comparison of the two cohorts—(i) ≥ 6 but less than 9 min of colonoscopy withdrawal time (CWT) and (ii) ≥ 9 min of CWT. The outcome measures were the following: (i) adenoma detection rate (ADR), (ii) advanced ADR, and (iii) sessile serrated adenoma detection rate (SDR). The meta‐analysis was performed, and the statistics were two‐tailed.
Results
A total of seven studies met the inclusion criteria after a thorough search of the literature was completed. The analysis revealed that ≥ 9 min of CWT had significantly higher …
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