R Keswani et al. Gastroenterol 2021; 161: 701-711. Full text (open access) AGA Clinical Practice Update on Strategies to Improve Quality of Screening and Surveillance Colonoscopy: Expert Review
While these guidelines are geared towards adult gastroenterologists for colorectal cancer screening, some advice is universally applicable
- tracking quality metrics: good prep, cecal intubation rate, and adverse events
- good bowel preparation instructions
- detailed endoscopy reports
- appropriate followup: All patients with advanced adenomas should have repeat colonoscopy in 3 years. Average-risk patients with normal screening colonoscopies or those with only small distal hyperplastic polyps should not undergo repeat examinations before 10 years
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- Improving the Value of Pediatric Colonoscopy
- Adverse Events Following Pediatric Endoscopy –Underestimated Previously
- Consensus guidelines after polypectomy | gutsandgrowth)
- Adenoma Detection Rate: Life or Death Quality Measure

