In this randomized controlled trial, 614 patients were assigned to computer-aided detection (CADe) or standard colonoscopy. Colonoscopies were performed by eight screening-accredited colonoscopists in a bowel cancer screening program center. A borderline significant difference in polyp detection rate (79.7% vs. 85.7%; P=0.05) was found but no significant difference in adenoma detection rate (ADR; 65.0% vs. 71.4%; P=0.09). Use of CADe for improving ADR may be of limited value for screening-accredited colonoscopists with high ADRs.​​​​​

This Technical Review from the European Society of Gastrointestinal Endoscopy (ESGE) is a companion to the recently updated Guideline on endoscopic submucosal dissection (ESD) for superficial gastrointestinal lesions. The Review addresses the technical aspects of ESD with a particular focus on the techniques and the technology/devices used during ESD, as well as the prevention and resolution of adverse events.​​​​​​