Wide view and retroview during colonoscopy

Colonoscopy is the best imaging device currently available for the detection of lesions in the large bowel, but may be an imperfect tool against colon cancer. Because recent guidelines for colorectal cancer screening and surveillance depend on whether polyps are found on colonoscopy and on their size, the need to identify all the neoplasia in the colon has assumed greater importance. This article reviews and assesses the latest developments in colonoscopy including wide-angle optics, endoscope caps and hoods, retroflexion and the use of the third eye retroscope.