Publication Name	World Journal of Gastrointestinal Endoscopy
Manuscript ID	126001
DOI	10.4253/wjge.126001
Country	Netherlands

Category	Gastroenterology & Hepatology
Manuscript Type	Observational Study
Article Title	Colorectal polyp size measurement comparing biopsy forceps with visual assessment during real-time colonoscopy: A prospective, multicenter, international study
Manuscript Source	Unsolicited Manuscript
All Author List	Demi Gerritsen, Milou LM van Riswijk, Douglas K Rex, Seth A Gross, Omer Goldstein, Nathaniel A Cohen, Safwat Odeh, Dana Ben-Ami Shor, Arjun D Koch, Vincent Rijckborst and Peter D Siersema
Funding Agency and Grant Number	Funding Agency Grant Number VTM Technologies
Corresponding Author	Demi Gerritsen, Doctorate Student, Department of Gastroenterology and Hepatology, Erasmus MC Cancer Institute, University Medical Center, Dr. Molewaterplein 40, Rotterdam 3015 GD, South-Holland, Netherlands. d.gerritsen@erasmusmc.nl
Key Words	Colonoscopy; Colorectal polyp; Polyp size; Biopsy forceps; Visual assessment; Laser system; Measurement agreement
Core Tip	Colorectal polyp size is visually assessed (VA) during colonoscopy, often causing misclassification and potentially leading to incorrect surveillance intervals. Biopsy forceps (BF)-assisted size measurement is recommended by European and American societies guidelines as it potentially reduces VA-related bias; however, its added value over VA is poorly studied. We prospectively evaluated measurement performance of BF and VA against reference laser-based measurements. Both techniques showed only moderate agreement with wide limits of agreement and resulted in a 2%-50% size misclassification. In contrast, BF and VA demonstrated almost perfect agreement with each other, suggesting limited added value of BF to VA.
Citation	Gerritsen D, van Riswijk MLM, Rex DK, Gross SA, Goldstein O, Cohen NA, Odeh S, Ben-Ami Shor D, Koch AD, Rijckborst V, Siersema PD. Colorectal polyp size measurement comparing biopsy forceps with visual assessment during real-time colonoscopy: A prospective, multicenter, international study. World J Gastrointest Endosc 2026; In press DOI: https://doi.org/10.4253/wjge.126001
PDF	126001-in-press.pdf

Received	2026-07-22 07:21
Peer-Review Started	2026-07-22 07:21
First Decision by Editorial Office Director
Return for Revision	2026-08-26 09:56
Revised	2026-09-09 09:36
Publication Fee Transferred
Second Decision by Editor	2026-10-26 07:15
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director	2026-10-26 10:21
Articles in Press	2026-10-26 10:21
Edit the Manuscript by Language Editor
Typeset the Manuscript

ISSN	1948-5190 (online)
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