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Studies examine Third Eye Retroscope during colonoscopy
Date:3/18/2010

pared with the colonoscope alone were 17 percent for all polyps and 25 percent for adenomas of all sizes. Additional detection rates with the TER for medium-size and large adenomas were greater than those for smaller lesions. Although this increase was not statistically significant, it suggested a trend toward improvement with greater experience. The variation in the results among the endoscopists suggests that they learned the basic mechanical skills after only a few procedures, but that they required varying amounts of experience to develop optimal technique.

According to the study authors, these results suggest that, compared with routine colonoscopy, a retrograde-viewing device can increase detection rates for clinically significant adenomas without detriment to procedure time or procedure complications.

However, in an accompanying editorial regarding the TER, James S. Barthel, MD, FASGE, H. Lee Moffitt Cancer Center and Research Institute, Tampa, Fla., stated, "It appears that colonoscopists using unassisted 140° angle of view colonoscopes who are willing to spend a few more minutes withdrawing the instrument and pay a bit more attention to procedural technique, particularly tip deflection and cleansing maneuvers, can produce efficacy and efficiency results equivalent or superior to those reported by Waye et al for colonoscopists using TER-assisted 140° to 170° angle of view colonoscopes. Therefore, the role of retroscopy remains unclear."


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Contact: Anne Brownsey
abrownsey@asge.org
630-570-5635
American Society for Gastrointestinal Endoscopy
Source:Eurekalert

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