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We read with great interest the recently published study by Hassan et al,1 in which the authors randomised 658 faecal immunochemical test-positive patients in Italy to full-spectrum endoscopy (Fuse) or standard forward-viewing endoscopy (SFV). The authors did not identify a difference between Fuse and SFV in several endpoints, including adenoma detection rate (ADR), advanced adenoma detection rate (A-ADR) and mean number of adenomas and proximal adenomas per colonoscopy. These results were surprising given the significantly lower adenoma miss rate (AMR) with Fuse as compared with SFV (7% vs41%) in a previous multicenter, …
Contributors BN drafted the letter and BL edited the letter and approved the final submitted version.
Competing interests None.
Provenance and peer review Not commissioned; internally peer reviewed.
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