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Volume 356:1174 March 15, 2007 Number 11
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Colonoscopic Withdrawal Times and Adenoma Detection

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 by Barclay, R. L.
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To the Editor: Barclay and colleagues (Dec. 14 issue)1 report on their study demonstrating that endoscopists who withdraw the colonoscope rapidly appear to miss more lesions than do endoscopists who withdraw the colonoscope more slowly. An interesting question raised by this study is why withdrawal times are so fast for some endoscopists. Certainly, there are differences in skill levels. (Indeed, an analysis of the rate of detection of neoplasia in relation to insertion times, rather than withdrawal times, might shed some light on the importance of skill.) Though skill is one possible explanation for a rapid colonoscopy, another has to . . . [Full Text of this Article]




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