Development of expertise in the detection and classification of non-polypoid colorectal neoplasia: Experience-based data at an academic GI unit

Gastrointest Endosc Clin N Am. 2010 Jul;20(3):449-60. doi: 10.1016/j.giec.2010.03.006.


At its core, quality improvement in gastrointestinal (GI) practice relies on continuous training, education, and information among all health care providers, whether gastroenterologists, GI trainees, endoscopy nurses, or GI pathologists. Over the past few years, it became clear that objective criteria are needed to assess the quality of colonoscopy, such as cecum intubation rate, quality of bowel preparation, withdrawal time, and adenoma detection rate. In this context, development of competence among practicing endoscopists to adequately detect and treat non-polypoid colorectal neoplasms (NP-CRNs) deserves special attention. We describe a summary of the path to develop expertise in detection and management of NP-CRNs, based on experience at our academic GI unit.

MeSH terms

  • Academic Medical Centers / statistics & numerical data
  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Cathartics / administration & dosage
  • Cathartics / adverse effects
  • Colonic Polyps / classification
  • Colonic Polyps / diagnosis
  • Colonic Polyps / pathology
  • Colonoscopy / methods*
  • Colorectal Neoplasms, Hereditary Nonpolyposis / classification
  • Colorectal Neoplasms, Hereditary Nonpolyposis / diagnosis*
  • Colorectal Neoplasms, Hereditary Nonpolyposis / pathology
  • Enema / methods
  • Female
  • Humans
  • Laxatives / administration & dosage
  • Male
  • Middle Aged
  • Netherlands
  • Quality of Health Care
  • Surgery Department, Hospital / statistics & numerical data
  • Young Adult


  • Cathartics
  • Laxatives