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We aimed to investigate if ileal intubation may be associated with higher detection rates (DR) for right-sided conventional adenomas (cAD) and serrated polyps (SP) compared to cecal intubation in a large screening colonoscopy cohort.<\/jats:p>\n<\/jats:sec><jats:sec>\n<jats:title>Material and methods<\/jats:title>\n<jats:p>Retrospective analysis of individuals \u226550\u2009years with average risk for colorectal cancer (CRC) who underwent screening colonoscopy between 01\/01\/2012 and 14\/12\/2016 at a tertiary academic hospital and six community-based private practices. Exclusion criteria were conditions with increased risk for CRC (e.g. inflammatory bowel disease, history of CRC, hereditary cancer syndromes), previous colonoscopy at the same institution, and incomplete procedures. Right-sided colon was defined as caecum and ascending colon.<\/jats:p>\n<\/jats:sec><jats:sec>\n<jats:title>Results<\/jats:title>\n<jats:p>4.138 individuals were analysed (mean age 62\u2009years, 52.1% female). DR for right-sided cADs and SPs were significantly higher after ileal compared to cecal intubation in univariate (12.5% vs. 6.8%, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001, and 6.3% vs. 3.3%, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001), but not in multivariate analysis (OR 1.025, 95%-CI 0.639\u20131.646, <jats:italic>p<\/jats:italic>\u2009=\u20090.918, and OR 0.937, 95%-CI 0.671\u20131.309, <jats:italic>p<\/jats:italic>\u2009=\u20090.704). DRs did not differ between ileal and cecal intubation for endoscopists with ADR \u226525 and\u2009&lt;\u200925%, respectively. ADR \u226525% was significantly associated with ileal intubation (OR 21.862, 95%-CI 18.049\u201326.481, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001).<\/jats:p>\n<\/jats:sec><jats:sec>\n<jats:title>Conclusion<\/jats:title>\n<jats:p>Ileal intubation may not provide any benefit over cecal intubation concerning the detection of cADs and SPs in the right-sided colon.<\/jats:p>\n<\/jats:sec>","DOI":"10.1186\/s12876-019-1111-0","type":"journal-article","created":{"date-parts":[[2019,11,15]],"date-time":"2019-11-15T17:02:47Z","timestamp":1573837367000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Ileal intubation is not associated with higher detection rate of right-sided conventional adenomas and serrated polyps compared to cecal intubation after adjustment for overall adenoma detection rate"],"prefix":"10.1186","volume":"19","author":[{"given":"Martin","family":"Buerger","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Philipp","family":"Kasper","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gabriel","family":"Allo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Johannes","family":"Gillessen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6752-0690","authenticated-orcid":false,"given":"Christoph","family":"Schramm","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2019,11,15]]},"reference":[{"issue":"6","key":"1111_CR1","doi-asserted-by":"publisher","first-page":"394","DOI":"10.3322\/caac.21492","volume":"68","author":"Freddie Bray","year":"2018","unstructured":"Bray F, Ferlay J, Soerjomataram I, et al. 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