What are the quality indicators for colonoscopy?

The primary colonoscopy quality indicator is the adenoma detection rate (ADR), which is defined as the proportion of an endoscopist’s screening colonoscopies in which one or more adenomas have been detected. The risk of post-colonoscopy CRC is inversely correlated with an endoscopist’s ADR.

What is a high quality colonoscopy?

A high-quality colonoscopy should include a complete examination of the colon. To achieve this, it is necessary to fully intubate the cecum, passing the colonoscope past the ileocecal valve to examine the medial wall of the cecum.

What monitoring will occur during the colonoscopy procedure?

Important quality measures in colonoscopy include informed consent, adequate bowel preparation, cecal intubation, withdrawal time, adenoma detection rate, appropriate screening and surveillance follow-up recommendations, and adverse events.

What is a colonoscopy pre assessment?

A pre-colonoscopy consultation in colorectal cancer (CRC) screening is necessary to assess a screenee’s general health status and to explain benefits and risks of screening. The first option allows for personal attention, whereas a telephone consultation does not require travelling.

What is a good adenoma detection rate?

Currently, professional societies recommend adenoma detection rates of 15% or higher for female patients and 25% or higher for male patients as indicators of adequate colonoscopy quality, although data are lacking to validate these thresholds.

What is cecal intubation rate?

The percentage of success in which a gastroenterologist advances the colonoscope to the cecum in his or her patients is called cecal intubation rate. This indicator is always expressed as a percentage.

What is a good polyp detection rate?

The rate of polyp detection or colonoscopic yield varied from 35.7%, using the most sensitive definition, to 23.9%, using the most specific definition. The yield of colonoscopy also varied according to patient factors (Table 1).

What are the complications of colonoscopy?

Post-Colonoscopy Complications

  • Severe pain or cramping in your belly.
  • A hard belly.
  • Trouble passing gas or pooping.
  • Fever.
  • Dizziness.
  • Vomiting.
  • Frequent or severely bloody bowel movements.
  • Rectal bleeding that won’t stop, or bleeding more than a couple of tablespoons.

What are complications of colonoscopy?

What is a high risk adenoma?

High risk adenoma (HRA) was defined at index or surveillance colonoscopy as a tubular adenoma ≥ 1 cm, 3 or more adenomas, or an adenoma with villous histology or high grade dysplasia. Low risk adenoma (LRA) was defined as 1 to 2 tubular adenomas < 1 cm11 without a villous component or high grade dysplasia.

What is Retroflexion in colonoscopy?

Retroflexion of the colonoscope is a technique that has been suggested to improve visualization in the right colon, and refers to making a U-turn with the bending section of the colonoscope so that the viewing lens is looking backward.