Impact of Real-time Automatic Quality Control System on Colorectal Adenoma Detection

Impact of Real-time Automatic Quality Control System on Colorectal Adenoma Detection: a Multicenter Randomized Controlled Trial

The purpose of this study was to assess the performance of automatic quality-control system (AQCS) in real-time quality control of colonoscopy.

We carried a multicenter randomised controlled trial to assess the performance of this system in quality control of real-time colonoscopy, including the adenoma detection rate (ADR), withdraw time, adequate bowel preparation rate and other indicators.

Inclusion Criteria:

• Consecutive patients (aged 18-80 years) scheduled for colonoscopy examination.

Exclusion Criteria:

• Patients with a history of inflammatory bowel disease, advanced colorectal cancer, polyposis syndromes or known colorectal polyps without complete removal previously.
• Patients with a history of colorectal surgery.
• Patients with a contraindication for biopsy.
• Patients with prior failed colonoscopy.
• Patients with known stenosis or obstruction.
• Patients in pregnancy or lactation phase.
• Patients refused to participate in the trial.