<transcript><audio_52> han demostrado que en nueve minutos permiten una mayor ADR. ADR es tasa de detección de adenomas. Y este estudio no solamente demostró que mayor tasa de detección</transcript><video><caption><image_53>The image is a slide from a presentation on 9-minute withdrawal time improvement. The slide has a white background and black text. The title of the slide is "9-Minute Withdrawal Time Improves Adenoma Detection Rate Compared With 6-Minutes Withdrawn Time During Colonoscopy". Below the title, there is a subtitle that reads "A Meto-analysis of Randomized Controlled Trials". 

The slide also has a blue circle in the center with the text "Conclusion: The 9-minute withdrawal time improved ADR and APC compared with the 6 minute withdrawal. Given the high-quality evidence, we recommend that clinicians at least perform a 9- minute withdrawal to achieve higher quality metrics including ADR to reduce interval CRC."

There is also a note at the bottom right corner that says "J Clin Gastroenterol 2012-online may 29".</caption><caption><image_54>The image is an infographic that explains the 9-minute withdrawal time reduces adenoma miss rate of screening colonoscopy. It is divided into three sections.

The first section is titled "Screening Colonoscopy" and it shows a diagram that shows the different stages of the screening process. The diagram is divided by three circles, each representing a different stage of the process. 

In the first circle, there is an illustration of a person with a blood pressure monitor and a thermometer, indicating that the screening is randomized. The second circle shows a person in a hospital bed with a monitor and thermometer. The third circle shows the percentage of people who have been diagnosed with adenomia miss rate. The fourth circle shows that the percentage has decreased from 14.5% to 36.6% in the first quarter of the year, with a decrease of 5.5%.

There is also a text box on the right side of the image that explains that 9-Minute withdrawal time reduces adenooma miss rates. The text box states that 9 Mf versus 6 Mf, which is the lowest rate of shortening surveillance interval. The image also mentions that 7.7% vs. 16.1% of</caption></video><transcript><audio_55> buenísima indicador de calidad que próximamente se va a imponer que él disminuye la tasa de pérdida de adenomas y también disminuye la tasa de pérdida</transcript><transcript><audio_56> también disminuye el número de colonoscopias que habría que hacer más frecuentemente. Así entonces, hoy día, seis minutos son nueve minutos y será tres minutos en cada segmento del</transcript><transcript><audio_57> La tasa de detección de adenomas, lo que se estima hoy día es que de una de cada tres colonoscopias, el doctor debe encontrar adenomas y se aspira a que sea moderado.</transcript><caption><image_58>The image is a close-up of a person's skin, specifically the abdomen. The skin appears to be red and inflamed, with small white spots scattered across it. The image is accompanied by text that reads "Adenoma detection rate" and "Goal: = 30%, aspirational = 35%". This suggests that the image is related to the detection rate of adenoma, which is a type of inflammation that occurs in the body.</caption><transcript><audio_59> de detección de adenomas. Esto hay que auditarlo permanentemente en las áreas de endoscopia. Se ha encontrado con este trabajo pivotal que por cada 1% que haya de ADR, se baja la mortalidad</transcript><caption><image_60>The image shows a man standing at a podium in front of a group of people. He is wearing a suit and tie and appears to be giving a presentation. Behind him, there are several flags of different countries, including the United States, Mexico, and the United Kingdom. On the right side of the image, there is a title slide that reads "Adenoma Detection Rate and Risk of Colorectal Cancer and Death". Below the title slide, it states that the image is related to the Adenoma detection rate and risk of colorectals cancer and death. The slide also mentions that the article is titled "Mortalidad por CCR" which translates to "Mortality for CCR".</caption><transcript><audio_61> Y este estudio demostró básicamente eso, pero específicamente quiero hacer énfasis en que si la tasa de detección de edomas es más del 20% versus menos del 20%, la aparición de cánceres</transcript><caption><image_62>The image is a screenshot of a document titled "Quality Indicators for Colonoscopy and the Risk of Internal Cancer". The document is divided into two sections. 

On the left side of the image, there is a title that reads "Original Article" and below it, there are two graphs. The first graph on the right side shows a line graph with different colors representing the quality indicators for colonoscopy. The graph shows that the quality indicator is 0.01% and the risk of internal cancer is 20%. The second graph shows a decrease in the number of patients who have been diagnosed with the condition.

The graph also has a legend that explains the meaning of the colors used in the graph. The colors used are blue, green, yellow, and red. The text on the image reads "ADR >20% 0.011% ADR > 20% 0,115%".</caption><transcript><audio_63> veces menor arriba que abajo. Pero este estudio, creo yo, es un reto para todos nosotros. Ha demostrado algo interesantísimo, que cuando el colonoscopista se esmera y tiene</transcript> has shown that compared to 9 minutes, it has been shown that 9 minutes allows for greater adr  adr is the detection rate of adenomas and this study not only demonstrated that a higher detection rate of adenomas but also demonstrates a very good quality indicator that will soon be imposed that reduces the rate of adenomas.  loss of adenomas and also reduces the rate of loss of advanced adenomas and also reduces the number of colonoscopies that would have to be done more frequently, so today 6 minutes are 9 minutes and it will be 3 minutes in each segment of the colon so that it can be seen better  the lesions the detection rate of adenomas the goal Sorry, what is estimated today is that in one out of every three colonoscopies the doctor must find adenomas and it is hoped that this will be very soon and it reaches 35 percent of detection of adenomas  adenomas this must be audited permanently in the endoscopy rooms it has been found with this pivotal work that for every 1% of adr the mortality of choral cancer is reduced by 3% and this study basically demonstrated that but specifically I want to emphasize  in that if the detection rate of adenomas is more than 20% versus less than 20%, the appearance of interval cancer is 10 times lower at the top than at the bottom, but this study I think is a challenge for all of us has shown something  Very interesting that when the conoscopy tries hard and has
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