American College of Gastroenterology Annual Meeting

American College of Gastroenterology Annual Meeting

November 05, 2019
7 min watch

VIDEO: Techniques, technology to improve adenoma detection

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SAN ANTONIO — In this exclusive video from the American College of Gastroenterology Annual Meeting, Tonya R. Kaltenbach, MD, MS, FACG, from the University of California, San Francisco and the San Francisco Veterans Affairs Medical Center, discusses how physicians can improve their adenoma detection rate.

“We play a huge role in findings these polyps, and we do that through several things within the procedure,” Kaltenbach told Healio Gastroenterology and Liver Disease. “We do it with our mindset, we do it with the techniques and we do it with our technology.”

Kaltenbach said it’s important to look for subtle things that could eventually turn into cancer. Keeping that mindset helps with the inspection process.

For techniques, Kaltenbach said good bowel prep is one of the most critical components. Endoscopists need to be meticulous in checking behind folds and take time to ensure nothing is missed. Kaltenbach suggests inspecting the right colon twice to check for additional lesions.

Technology plays an important part in adenoma detection and comes in many forms, from distal scope attachments to artificial intelligence systems.

“Lastly, everyone should engage in a quality assurance program,” Kaltenbach said. “Everyone should audit themselves and get feedback. When we are measured and we get feedback on our performance, our performance can change.”


Kaltenbach TR. Techniques and New Technology to Improve ADR. Presented at: American College of Gastroenterology Annual Meeting; Oct. 25-30, 2019; San Antonio.

Disclosures: Kaltenbach reports consulting for Olympus.