Reduction of multitasking distractions underlies the higher adenoma detection rate of water exchange compared to air insufflation – blinded analysis of withdrawal phase videos

Background Experts have hypothesized that a reduction of multitasking distractions and improved bowel cleanliness can explain why insertion water exchange enhances adenoma detection rate. Objective The purpose of this study was to test the role of both distractions during withdrawal and bowel cleanliness in enhancing adenoma detection rate using coded video records of colonoscopy. Methods The withdrawal phase of videos of 299 consecutive...