5. Conclusion
adenoma, adenomas
ADENOMA, ADENOMAS
This RCT demonstrated that tandem colonoscopy with a “cecal retroflexion observed” intervention could not detect more missed adenomas and reduce AMR of the ascending colon compared to conventional tandem colonoscopy. Consequently, cecal retroflexion observed during colonoscopy may not have much significance for adenoma missing in the ascending colon; however, further conclusions require a prospective study with a higher level of evidence.