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• W2023257795 abstract "The report of a study of the Third Eye Retroscope (Advantis Medical Systems, Sunnyvale, Calif) by Waye et al,1Waye J.D. Heigh R.I. Rex D.K. et al.A retrograde-viewing device improves detection of adenomas in the colon: a prospective efficacy evaluation.Gastrointest Endosc. 2010; 71: 551-556Abstract Full Text Full Text PDF PubMed Scopus (86) Google Scholar was accompanied by Dr. Barthel's editorial2Barthel J.S. Adenoma detection and retroscopy.Gastrointest Endosc. 2010; 71: 557-559Abstract Full Text Full Text PDF PubMed Scopus (8) Google Scholar that stated, “The any size adenoma per patient detection rate and the any size adenoma per mean withdrawal minute detection rate represent practical efficacy and efficiency standards for comparing the impact of different colonoscopy procedure modifications on adenoma detection, when applied across similar cohorts of colonoscopists and screened patients. These summary statistics are not easily confounded by the peculiarities of study design.” However, the assumption that all studies have similar cohorts of colonoscopists and screened patients may not be well founded. As noted in the editorial, factors other than withdrawal time can affect endoscopists' detection rates, whereas variations in patient demographics can influence adenoma prevalence. For example, cohorts with a higher proportion of older, male patients are likely to show a higher prevalence of adenomas compared with the general population. Such issues may account for the large disparity in mean adenoma per patient detection rates among studies and may limit the usefulness of that measure for comparisons. There is now compelling evidence that a retrograde view assists the detection of lesions hidden behind folds, and there are currently two technologies that can provide such a retrograde view: CT colonography and the Third Eye Retroscope. Advantages of the latter include its ability to reveal small, medium, and large lesions and its effectiveness in screening and surveillance as well as in the evaluation of symptomatic patients. Further, the Third Eye Retroscope offers such a retrograde view during colonoscopy, the only technology that is capable of both detecting and removing colonic neoplasia in a single procedure. The Third Eye Retroscope offers an opportunity for substantial improvement in our current standard of care. An increase in adenoma detection ultimately translates into colon cancer prevention and lives saved. The author disclosed the following financial relationship relevant to this publication: Dr. Triadafilopoulos serves on the Advisory Board and has an equity position with Avantis Medical Systems, Inc, the makers of the Third Eye Retroscope. A retrograde-viewing device improves detection of adenomas in the colon: a prospective efficacy evaluation (with videos)Gastrointestinal EndoscopyVol. 71Issue 3PreviewColonoscopy may fail to detect neoplasia located on the proximal sides of haustral folds and flexures. The Third Eye Retroscope (TER) provides a simultaneous retrograde view that complements the forward view of a standard colonoscope. Full-Text PDF Adenoma detection and retroscopyGastrointestinal EndoscopyVol. 71Issue 3PreviewDuring withdrawal of the colonoscope from the cecum, there are 4 interdependent technical variables that govern polyp detection rates: (1) instrument angle of view, (2) withdrawal time, (3) bowel preparation quality, and (4) tip deflection technique. Optimization of these 4 interdependent variables improves polyp detection rates through one single mechanism, that of maximizing the visualization of the colonic mucosal surface area. Full-Text PDF" @default.
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• W2023257795 date "2011-01-01" @default.
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• W2023257795 title "A retrograde view during colonoscopy assists detection of lesions hidden behind folds" @default.
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• W2023257795 doi "https://doi.org/10.1016/j.gie.2010.04.017" @default.
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