Accepted Manuscript Impact of a new distal attachment on colonoscopy performance in an academic screening center Zacharias P. Tsiamoulos, MBBS PhD, Ravi Misra, MBBS BSc. MRCP, Rajaratanam Rameshshanker, MBBS MRCP, Timothy R. Elliott, MBBS FRACP PhD, Iosif Beintaris, MBBS, Siwan Thomas-Gibson, MBBS BSc FRCP MD, Adam Haycock, MBBS BSc MRCP MD, Noriko Suzuki, MD PhD, Colin Rees, MBBS FRCP, Brian P. Saunders, MBBS MD FRCP PII: S0016-5107(17)31789-3 DOI: 10.1016/j.gie.2017.04.001 Reference: YMGE 10524 To appear in: Gastrointestinal Endoscopy Received Date: 22 December 2016 Accepted Date: 3 April 2017 Please cite this article as: Tsiamoulos ZP, Misra R, Rameshshanker R, Elliott TR, Beintaris I, Thomas- Gibson S, Haycock A, Suzuki N, Rees C, Saunders BP, Impact of a new distal attachment on colonoscopy performance in an academic screening center, Gastrointestinal Endoscopy (2017), doi: 10.1016/j.gie.2017.04.001. This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.