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The adenoma detection rate (ADR) is a quality benchmark for colonoscopy, influenced by several factors including bowel preparation, withdrawal time, and withdrawal technique.
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These sessions covered basic topics such as bowel preparation and withdrawal technique as well as more advanced topics such as polyp morphology, polyp pit pattern, and dye staining.
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However, high-quality baseline colonoscopy with excellent patient preparation and adequate withdrawal time should minimize this and reduce clinicians concerns.
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This Stroop Effect was proposed to result from the need to inhibit motor preparation of automatic withdrawal urges from the observed pain in order to press the correct button, yet further investigation is required to rule out alternative explanations.
Other factors, including inadequate preparation, shorter scope withdrawal time, and adenoma type (e.g., flat adenomas) and proximal location may reduce the accuracy of colonoscopy and hence reduce its effectiveness, and presence of these factors may vary across risk groups.
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