Editorial: Detection targets for colonoscopy: from variable detection to validation

Am J Gastroenterol. 2010 Dec;105(12):2665-9. doi: 10.1038/ajg.2010.330.


Variation in the detection of both adenomas and cancers at colonoscopy is well established, and adenoma detection is a valid indicator of the quality of colonoscopy. A study reported in this issue demonstrated variable detection of serrated lesions among endoscopists. It is possible that serrated lesions are a major key to the lower level of protection provided by colonoscopy for proximal compared with the distal colon cancer, and serrated lesions may be an appropriate detection target during colonoscopy.

Publication types

  • Comment
  • Editorial

MeSH terms

  • Adenoma / diagnosis*
  • Adenoma / pathology
  • Biopsy
  • Colonic Polyps / diagnosis*
  • Colonic Polyps / pathology
  • Colonoscopy*
  • Colorectal Neoplasms / diagnosis*
  • Colorectal Neoplasms / pathology
  • Humans
  • Mass Screening
  • Observer Variation
  • Quality of Health Care