Please use this identifier to cite or link to this item: https://ahro.austin.org.au/austinjspui/handle/1/12504
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dc.contributor.authorChandran, Sujievvan-
dc.contributor.authorParker, Frank-
dc.contributor.authorVaughan, Rhys B-
dc.contributor.authorMitchell, Brent-
dc.contributor.authorFanning, Scott-
dc.contributor.authorBrown, Gregor-
dc.contributor.authorYu, Jenny-
dc.contributor.authorEfthymiou, Marios-
dc.date.accessioned2015-05-16T02:12:38Z
dc.date.available2015-05-16T02:12:38Z
dc.date.issued2014-10-29-
dc.identifier.citationGastrointestinal Endoscopy 2014; 81(3): 608-13en_US
dc.identifier.otherPUBMEDen
dc.identifier.urihttps://ahro.austin.org.au/austinjspui/handle/1/12504en
dc.description.abstractColonoscopy and polypectomy can prevent up to 80% of colon cancer; however, a significant adenoma miss rate still exists, particularly in the right side of the colon.To assess whether retroflexion in the right side of the colon significantly improves the adenoma detection rate (ADR) over forward-view assessment.Multicenter prospective cohort study.Three tertiary care public and 2 private hospitals.A total of 1351 consecutive adult patients undergoing elective colonoscopy.Withdrawal from the cecum was performed in the forward view initially and identified polyps removed. Once the hepatic flexure was reached, the cecum was reintubated and the right side of the colon was assessed in the retroflexed view to the hepatic flexure.ADR in the retroflexed view when compared with forward-view examination of the right side of the colon.Retroflexion was successful in 95.9% of patients, with looping the predominant (69.6%) reason for failure. Forward-view assessment of the right side of the colon identified 642 polyps, of which 531 were adenomas yielding a polyp and ADR of 28.57% and 24.64%, respectively. Retroflexion identified a further 84 polyps of which 75 were adenomas, improving the polyp and ADR to 30.57% and 26.4%, respectively.Observational study.Right-sided retroflexion was successful in most of our cohort with a statistically significant but small increase in ADR. Right-sided retroflexion is safe when performed by experienced endoscopists with no adverse events observed in this cohort. (Australian New Zealand Clinical Trials Registry, ACTRN12613000424707.).en_US
dc.language.isoenen
dc.titleRight-sided adenoma detection with retroflexion versus forward-view colonoscopy.en_US
dc.typeJournal Articleen_US
dc.identifier.journaltitleGastrointestinal endoscopyen_US
dc.identifier.affiliationDepartment of Gastroenterology, Alfred Health, Victoria, Australiaen_US
dc.identifier.affiliationMedicine (University of Melbourne)en_US
dc.identifier.affiliationCalvary Health Care, St. Vincent's Campus, Tasmania, Australiaen_US
dc.identifier.affiliationEpworth HealthCare, Richmond, Victoria, Australiaen_US
dc.identifier.affiliationGastroenterology and Hepatologyen_US
dc.identifier.affiliationAnaesthesiaen_US
dc.identifier.affiliationDepartment of Gastroenterology, Launceston General Hospital, Tasmania, Australiaen_US
dc.identifier.doi10.1016/j.gie.2014.08.039en_US
dc.description.pages608-13en
dc.relation.urlhttps://pubmed.ncbi.nlm.nih.gov/25440687en
dc.type.contentTexten_US
dc.type.austinJournal Articleen
local.name.researcherChandran, Sujievvan
item.openairecristypehttp://purl.org/coar/resource_type/c_18cf-
item.cerifentitytypePublications-
item.fulltextNo Fulltext-
item.grantfulltextnone-
item.languageiso639-1en-
item.openairetypeJournal Article-
crisitem.author.deptGastroenterology and Hepatology-
crisitem.author.deptGastroenterology and Hepatology-
crisitem.author.deptGastroenterology and Hepatology-
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