Roel Bogie

Chapter 7

Figure 7.3: Minimal photo-documentation set at baseline and surveillance colonoscopy. | (1) During withdrawal, the quality of bowel preparation should be evaluated after cleansing of the colonic mucosa. For this, a validated scale should be used (e.g. Boston Bowel Preparation Scale); (2) Completeness of colonoscopy needs to be documented by at least a long view image of the ileo-cecal valve (left) and a close view image of the appendiceal orifice (right); (3) Then, each lesion should be carefully characterized. In this case, two colorectal neoplasms were identified. (Upper images) Nonpolypoid neoplasm long view image (left) permits estimation of the location and size of the lesion, whereas a close view image and selective chromoendoscopy (right) better clarifies the borders and shape. (Lower images) Polypoid colorectal neoplasm (left). Retroflexion eventually rules out rectal pathology (right); (4) The endoscopic technique used (left) and radicality of resection (right) can be documented; (5) The recommended surveillance interval should be included in the final colonoscopy report. The endoscopist has the main responsibility to determine the surveillance interval and provide a written recommendation.

Minimal photo documentation set for index colonoscopy 1 Is bowel preparation adequate? 1

2

Is colonoscopy complete?

3

Optimal polyp detection?

4

Optimal polyp resection?

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5

Documentation of recommended surveillance interval?

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