Narrow-band imaging for the detection of polyps in patients with serrated polyposis syndrome
| العنوان: | Narrow-band imaging for the detection of polyps in patients with serrated polyposis syndrome |
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| المؤلفون: | Yark Hazewinkel, Kristien M. A. J. Tytgat, Susanne van Eeden, Monique E. van Leerdam, Paul Fockens, JJ Koornstra, Barbara A. J. Bastiaansen, Evelien Dekker |
| المساهمون: | Gastroenterology & Hepatology, Guided Treatment in Optimal Selected Cancer Patients (GUTS), Gastroenterology and Hepatology, AGEM - Amsterdam Gastroenterology Endocrinology Metabolism, CCA -Cancer Center Amsterdam, APH - Amsterdam Public Health, Pathology |
| المصدر: | Gastrointestinal Endoscopy, 81(3), 531-538. Mosby Inc. Gastrointestinal endoscopy, 81(3), 531-538. MOSBY-ELSEVIER Gastrointestinal endoscopy, 81(3), 531-538. Mosby Inc. |
| بيانات النشر: | MOSBY-ELSEVIER, 2015. |
| سنة النشر: | 2015 |
| مصطلحات موضوعية: | Adult, Male, HYPERPLASTIC POLYPOSIS, medicine.medical_specialty, ENDOSCOPY, Colorectal cancer, medicine.medical_treatment, education, SOCIETY, Colonic Polyps, NEOPLASIA, CLASSIFICATION, COLORECTAL-CANCER, Narrow Band Imaging, SDG 3 - Good Health and Well-being, COLONOSCOPY SURVEILLANCE, medicine, otorhinolaryngologic diseases, Humans, Radiology, Nuclear Medicine and imaging, POLYPECTOMY, Aged, Cross-Over Studies, LESIONS, medicine.diagnostic_test, business.industry, Gastroenterology, Odds ratio, Colonoscopy, Middle Aged, medicine.disease, Serrated polyposis, Crossover study, Confidence interval, Polypectomy, digestive system diseases, Endoscopy, Surgery, Clinical trial, Logistic Models, Adenomatous Polyposis Coli, UPDATE, Female, Radiology, business |
| الوصف: | Background: Serrated polyposis syndrome (SPS) is characterized by the presence of multiple serrated polyps spread throughout the colon.Patients with SPS are considered to be at risk of colorectal cancer and are advised to undergo endoscopic surveillance. Narrow-band imaging (NBI) may improve the detection of polyps during these surveillance colonoscopies.Objective: To compare polyp miss rates between NBI and high-resolution white-light endoscopy (HR-WLE).Design: Multicenter, randomized, crossover study.Setting: Four tertiary referral institutions.Patients: A total of 52 patients with SPS undergoing surveillance colonoscopy.Intervention: All patients underwent back-to-back colonoscopies with HR-WLE and NBI in a randomized order.Main Outcome Measurements: Polyp miss rates of HR-WLE and NBI.Results: In the HR-WLE group, 116 polyps were detected during the first inspection. A second inspection with NBI added 47 polyps, resulting in an overall polyp miss rate of 29% with HR-WLE (95% confidence interval, 22-36). In the NBI group, a total of 128 polyps were detected during the first inspection. Subsequent inspection with HR-WLE added 32 polyps, resulting in an overall polyp miss rate of NBI of 20% (95% confidence interval, 15-27). Comparison of the overall polyp miss rates of HR-WLE and NBI showed no significant difference (P = .065).Limitations: Small sample size; second inspection was performed by the same endoscopist.Conclusions: The results of our study suggest that NBI does not reduce polyp miss rates in patients with SPS compared with HR-WLE. Further multinational studies with larger numbers of patients are warranted to verify these results. |
| اللغة: | English |
| تدمد: | 0016-5107 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::b19b5df3a8876ed25e0369a28f0cf036Test https://doi.org/10.1016/j.gie.2014.06.043Test |
| حقوق: | RESTRICTED |
| رقم الانضمام: | edsair.doi.dedup.....b19b5df3a8876ed25e0369a28f0cf036 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 00165107 |
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