Water Exchange Method Significantly Improves Adenoma Detection Rate: A Multicenter, Randomized Controlled Trial

@article{Jia2017WaterEM,
  title={Water Exchange Method Significantly Improves Adenoma Detection Rate: A Multicenter, Randomized Controlled Trial},
  author={Hui Jia and Yanglin Pan and Xuegang Guo and Lina Zhao and Xiangping Wang and Linhui Zhang and Tao Dong and Hui Luo and Zhi-Zheng Ge and Jun Liu and Jianyu Hao and Ping Yao and Yao Zhang and Hongyu Ren and Weizhen Zhou and Yujie Guo and Wei Zhang and Xiao-lin Chen and Dayong Sun and Xiaoqiang Yang and Xiaoyu Kang and Na Liu and Zhiguo Liu and Felix Leung and Kaichun Wu and Dai-ming Fan},
  journal={The American Journal of Gastroenterology},
  year={2017},
  volume={112},
  pages={568-576}
}
Objectives:Adenoma detection rate (ADR) is a key colonoscopy quality indicator in Western clinical literature. Our low ADR prompted us to assess novel methods to improve performance. Western retrospective reports suggested that water exchange (WE) could increase ADR. However, most of these studies used pain score or intubation rate as the primary outcome. Here we test the hypothesis that WE significantly increases ADR among Chinese colonoscopists and design a prospective randomized controlled… CONTINUE READING

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