Author commentary on Natalie Halvorsen et al.

Natalie Halvorsen et al. Leaving colorectal polyps in situ with endocytoscopy assisted by computer-aided diagnosis: a cost-effectiveness study

A leave-in-situ strategy for rectosigmoid hyperplastic polyps may reduce pathology costs but requires accurate endoscopic diagnosis for implementation. This retrospective analysis of data from a large multicenter endocytoscope computer-aided diagnosis (CADx) trial examined costs and surveillance interval recommendations across three strategies: leave-in-situ strategies with and without CADx, and removal of all colonic polyps. The two leave-in-situ strategies reduced colonoscopy costs by a similar amount, with minimal impact on surveillance intervals.

Publication History

Article published online:
28 May 2025