Improving polyp detection at colonoscopy: Non-technological techniques.

Data supporting the role of minimum withdrawal times[ 5 , 28 ], dynamic position change[ 36 ] and proximal colon retroflexion[ 51 ] show a positive trend towards increasing detection of SSLs.

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Studies showed a trend towards greater detection of small and diminutive adenomas in comparison to larger polyps ≥ 1cm across all the 3 operator techniques outlined[ 20 , 29 , 36 , 42 , 46 , 50 ].

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The detection of sessile serrated adenoma was also greater in the position change limb 2.3% vs left lateral position 0.8%, but this did not reach statistical significance.

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