Title: Terminal ileal intubation is not necessary in routine colonoscopy: data from a large-scale
retrospective study
Version: 2 Date: 30 Aug 2024
Reviewer's report:
I would like to thank editors  for giving me the opportunity to review "Terminal ileal intubation
(TII) is not recommended in routine colonoscopy: data from a large-scale retrospective study".
TII was not proposed in routine colonoscopy, owing to the limited diagnostic value and lack of
superiority on lesion detection.
There are some comments to confirm.
Conversely, this research has shown that TII does not decrease the polyp diagnosis rate (polyp
detection rate (PDR), adenoma detection rate (ADR), sessile serrated lesion detection rate
(SSDR)).
As the title suggests, TI observation is not recommended in routine colonoscopy, but if it can
reach the cecum and easily observe the TI, it is a good routine to observe TI. Of course, but I
do not think it is necessary to observe the TI all the time.
Although the withdrawal time was not measured in this study, it is difficult to understand the
disadvantages of observing TI part. I think the message that TII is not recommended is an
exaggeration.
The detection rate of TI lesions at this facility seems to be very lower than the standard in the
world.
Title: Terminal ileal intubation is not necessary in routine colonoscopy: data from a large-scale
retrospective study
Version: 2 Date: 30 Aug 2024
Reviewer's report:
I would like to thank editors  for giving me the opportunity to review "Terminal ileal intubation
(TII) is not recommended in routine colonoscopy: data from a large-scale retrospective study".
TII was not proposed in routine colonoscopy, owing to the limited diagnostic value and lack of
superiority on lesion detection.
There are some comments to confirm.
Conversely, this research has shown that TII does not decrease the polyp diagnosis rate (polyp
detection rate (PDR), adenoma detection rate (ADR), sessile serrated lesion detection rate
(SSDR)).
As the title suggests, TI observation is not recommended in routine colonoscopy, but if it can
reach the cecum and easily observe the TI, it is a good routine to observe TI. Of course, but I
do not think it is necessary to observe the TI all the time.
Although the withdrawal time was not measured in this study, it is difficult to understand the
disadvantages of observing TI part. I think the message that TII is not recommended is an
exaggeration.
The detection rate of TI lesions at this facility seems to be very lower than the standard in the
world.
Please review this paper.
user
Title: Terminal ileal intubation is not necessary in routine colonoscopy: data from a large-scale
retrospective study
Version: 2 Date: 30 Aug 2024
Reviewer's report:
I would like to thank editors  for giving me the opportunity to review "Terminal ileal intubation
(TII) is not recommended in routine colonoscopy: data from a large-scale retrospective study".
TII was not proposed in routine colonoscopy, owing to the limited diagnostic value and lack of
superiority on lesion detection.
There are some comments to confirm.
Conversely, this research has shown that TII does not decrease the polyp diagnosis rate (polyp
detection rate (PDR), adenoma detection rate (ADR), sessile serrated lesion detection rate
(SSDR)).
As the title suggests, TI observation is not recommended in routine colonoscopy, but if it can
reach the cecum and easily observe the TI, it is a good routine to observe TI. Of course, but I
do not think it is necessary to observe the TI all the time.
Although the withdrawal time was not measured in this study, it is difficult to understand the
disadvantages of observing TI part. I think the message that TII is not recommended is an
exaggeration.
The detection rate of TI lesions at this facility seems to be very lower than the standard in the
world.
assistant