Standard method of colonoscopy is to insert the colonoscope rapidly to reach the cecum, with careful inspection and polypectomy during the withdrawal phase. However, small polyps (e.g. \<1cm) seen during insertion phase are difficult to find during withdrawal phase. Also, colon is in different conformation during insertion and withdrawal phases. We think careful inspection and polypectomy during both insertion and withdrawal can improve adenoma detection rate.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
DIAGNOSTIC
Masking
NONE
Enrollment
1,142
inspection and polypectomy during both insertion and withdrawal of colonoscopy
inspection and polypectomy during only withdrawal of colonoscopy
Adenoma detection rate
Time frame: 4 weeks
Number of adenoma per patient
Time frame: 4 weeks
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