Irrigating Acetic Acid Solution During Colonoscopy for the Detection of Sessile Serrated Neoplasia: A Randomized Controlled Trial

Tribonias, George; Theodoropoulou, Anǵeliki; Stylianou, Konstantinos; Giotis, Ioannis; Mpitouli, Afroditi; Moschovis, Dimitrios; Komeda, Yoriaki; Manola, Margarita-Eleni; Paspatis, Grigorios; Tzouvala, Maria

doi:10.1007/s10620-021-06858-x

Cited by 5 publications

(4 citation statements)

References 31 publications

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“…Respecto a la instilación de ácido acético, sabemos que es un efectivo mucolítico, lo cual teóricamente permitiría una mejor visualización de las lesiones serradas sésiles, que suelen estar cubiertas con una capa de moco. Se trata de un producto seguro, fácil de usar y de bajo costo, que puede ser usado como adyuvante al uso de cromoscopia electrónica, o sólo como en el estudio de Tribonias et al (52) . Los resultados positivos en este estudio llevado a cabo por endoscopistas bien entrenados, deben ser corroborrados en futuros estudios que incluyan endoscopistas inexpertos, quienes en teoría, podrían verse más beneficiados de su uso.…”

Section: Discussionunclassified

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Intervenciones endoscópicas para mejorar la tasa de detección de lesiones serradas durante la colonoscopia

Pérez

2023

Rev Gastroenterol Peru

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El cáncer colorrectal (CCR) es una de las causas más frecuentes de mortalidad por cáncer en el mundo. Las lesiones serradas son responsables de 10 a 20% de todos los CCR. Los pólipos serrados, en particular los adenomas serrados sésiles (ASS) y adenomas serrados tradicionales (AST), tienen una apariencia sutil y localización proximal, y por ello presentan una alta tasa de lesiones perdidas. El objetivo de la presente revisión fue evaluar la evidencia disponible sobre el uso de diversas intervenciones mejorar la tasa de detección de las lesiones serradas, para de esta forma, disminuir la mortalidad relacionada al CCR.

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Section: Discussionunclassified

“…Un ECA investigó la utilidad de irrigar una solución de ácido acético en el colon derecho para mejorar la detección de ASS. En este estudio tándem se encontró que la TD de ASS en la segunda inspección usando ácido acético, comparado con irrigación con solución salina, fue de 13,5% versus 0,5%, con un p<0,001 (52) .…”

Section: F áCido Acéticounclassified

Intervenciones endoscópicas para mejorar la tasa de detección de lesiones serradas durante la colonoscopia

Pérez

2023

Rev Gastroenterol Peru

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“…Also, some endoscopists make use of acetic acid to enhance the surface pattern of colorectal lesions, especially SSL [10]. Acetic acid may not only improve characterization but also the detection of SSL in the right hemicolon [11]. In panchromoendoscopy, both indigo carmine and methylene blue aid in detecting subtle lesions, with time-release oral methylene blue capsules (MB-MMX) also being employed [12].…”

Section: Chromoendoscopymentioning

confidence: 99%

Endoscopic Assessment of Local Resectability of Colorectal Malignancies

Ebigbo,

Nagl

2024

Visc Med

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Background: The endoscopic assessment of colorectal malignancies primarily aims at deciding on the local resectability. Local resectability is defined by the risk of lymphonodal metastasis. Summary: The gross morphology as well as the surface and vessel patterns provide valuable information prior to endoscopic resection. Various classifications have been standardized to assist endoscopists during endoscopic assessment. Key Message: The macroscopic assessment of colorectal malignancies should include the Paris and laterally spreading tumor (LST) classification as well as chromoendoscopic assessments such as Kudo’s pit pattern and the Japanese NBI Expert Team classifications to describe the vessel and surface patterns.

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“…For adenoma detection during colonoscopy, the most commonly used dye is methylene blue, which is rapidly absorbed into healthy colonic mucosa and more slowly absorbed in dysplastic tissue[ 35 ]. More recently, chromoendoscopy using acetic acid has been described, acting as a mucolytic agent as well as increasing mucosal surface opacity[ 36 ].…”

Section: Polyp Detectionmentioning

confidence: 99%

Mucosal imaging in colon polyps: New advances and what the future may hold

Young¹,

Rajandran²,

Philpott³

et al. 2022

World J Gastroenterol

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An expanding range of advanced mucosal imaging technologies have been developed with the goal of improving the detection and characterization of lesions in the gastrointestinal tract. Many technologies have targeted colorectal neoplasia given the potential for intervention prior to the development of invasive cancer in the setting of widespread surveillance programs. Improvement in adenoma detection reduces miss rates and prevents interval cancer development. Advanced imaging technologies aim to enhance detection without significantly increasing procedural time. Accurate polyp characterisation guides resection techniques for larger polyps, as well as providing the platform for the “resect and discard” and “do not resect” strategies for small and diminutive polyps. This review aims to collate and summarise the evidence regarding these technologies to guide colonoscopic practice in both interventional and non-interventional endoscopists.

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Irrigating Acetic Acid Solution During Colonoscopy for the Detection of Sessile Serrated Neoplasia: A Randomized Controlled Trial

Cited by 5 publications

References 31 publications

Intervenciones endoscópicas para mejorar la tasa de detección de lesiones serradas durante la colonoscopia

Intervenciones endoscópicas para mejorar la tasa de detección de lesiones serradas durante la colonoscopia

Endoscopic Assessment of Local Resectability of Colorectal Malignancies

Mucosal imaging in colon polyps: New advances and what the future may hold

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