At the Research Champions’ Den at the European Society of Gastrointestinal Endoscopy (ESGE) days 2022 ten researchers presented their projects to a panel of ESGE top international experts, in a bid to win an ESGE Research Grant.
After facing tough questioning from the ‘Dragons’ three grants were awarded. The research proposal of Milou van Riswijk was 1 of the 3 best contestants in the Champions’ Den and was awarded a research grant!
Colonoscopy is the gold standard for colorectal cancer screening, but up to 20% of polyps are missed during colonoscopy. This greatly contributes to the incidence of post-colonoscopy colorectal cancer. As a solution, computer aided detection (CADe) has been developed to alert the endoscopist on a potential polyp in the field of view. The added benefit of CADe’s is being studied increasingly, and evidence suggests that the miss-rate of adenomas is reduced significantly.
However, if the polyp is located outside the field of view, the CADes cannot detect it! Haustral fold and endoscope slippage can preclude a polyp from being detected and are a large contributor to missed polyps. A solution for this might be devices that are attached to the endoscope that help retract the haustral folds, thereby increasing mucosal visualization.
Therefore, we hypothesize that by combining these techniques, a synergistic effect on the detection rate of adenomas can be established.