Narrow-band imaging versus I-Scan for the real-time histological prediction of diminutive colonic polyps: a prospective comparative study by using the simple unified endoscopic classification

Lee, Chang Kyun; Lee, Suck-Ho; Hwangbo, Young

doi:10.1016/j.gie.2011.04.049

Cited by 75 publications

(51 citation statements)

References 26 publications

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“…In addition, endoscopic techniques such as I-Scan Intelligent Optical Staining® [93,94,95] and confocal laser endomicroscopy [96] have higher accuracy for the identification of intestinal neoplastic and non-neoplastic lesions, whereas determination of the invasion depth needs to be validated further.…”

Section: Early Diagnosis Of Colorectal Tumorsmentioning

confidence: 99%

Consensus on the Prevention, Screening, Early Diagnosis and Treatment of Colorectal Tumors in China: Chinese Society of Gastroenterology, October 14-15, 2011, Shanghai, China

Fang¹,

Zheng²,

Jiang

et al. 2014

Gastrointest Tumors

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Background: Colorectal cancer (CRC) is steadily increasing in China. Colorectal adenoma (CRA) is the most important precancerous disease of CRC. Screening for colorectal tumors can aid early diagnosis. Advances in endoscopic mucosal resection and endoscopic submucosal dissection can aid the early treatment of colorectal tumors. Furthermore, because of high risk of recurrence after removal of adenomas under endoscopy, factors contributing to recurrence, the follow-up mode and the interval established, and the feasibility of application and the time of various chemical preventions should be concerned. However, a relevant consensus on the screening, early diagnosis and treatment, and prevention of colorectal tumors in China is lacking. Summary: The consensus recommendations include epidemiology, pathology, screening, early diagnosis, endoscopic treatment, monitoring and follow-up, and chemoprevention of colorectal tumors in China. Key Message: This is the first consensus on the prevention, screening, early diagnosis and treatment of CRA and CRC in China based on evidence in the literature and on local data. Practical Implications: Through reviewing the literature, regional data and passing the consensus by an anonymous vote, gastroenterology experts from all over China launch the consensus recommendations in Shanghai. The incidence and mortality of CRC in China has increased, and the incidence or detection rate of CRA has increased rapidly. Screening for colorectal tumors should be performed at age 50-74 years. Preliminary screening should be undertaken to find persons at high risk, followed by colonoscopy. A screening cycle of 3 years is recommended for persistent interventions. Opportunistic screening is a mode suitable for the current healthcare system and national situation. Colonoscopy combined with pathological examination is the standard method for the diagnosis of colorectal tumors. CRA removal under endoscopy can prevent CRC to some extent, but CRA has an obvious recurrence trend. The follow-up interval after the removal or surgery of colorectal tumors should be different with lesions. Primary prevention of CRA includes improved diet with more fiber, supplements containing calcium and vitamin D, supplements containing folic acid for those with low hemoglobin levels, and cessation of tobacco smoking. Non-steroidal anti-inflammatory drugs and selective cyclooxygenase-2 inhibitors have been recognized to prevent recurrence after adenoma removal.

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Section: Early Diagnosis Of Colorectal Tumorsmentioning

confidence: 99%

Consensus on the Prevention, Screening, Early Diagnosis and Treatment of Colorectal Tumors in China: Chinese Society of Gastroenterology, October 14-15, 2011, Shanghai, China

Fang¹,

Zheng²,

Jiang

et al. 2014

Gastrointest Tumors

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“…® that facilitates detection of not only the blood vessels but also other structures such as cartilage and ligaments [11][12][13][14][15][16]. Image modification is different from NBI and is done instantaneously, and modified images appear natural ( Figure 4).…”

Section: Discussionmentioning

confidence: 99%

High-Resolution ENT Video Endoscope with Superior Image Quality Equivalent to that of Gastric Video Endoscopes

Tsunoda

Tsunoda²,

Sumi³

et al. 2014

Otolaryngology

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“…If this practice is economically attractive and more efficient without jeopardizing patient outcomes, then it may become acceptable and desirable by the gastroenterologist community. Several studies from academic institutions, by investigators with special interest in advanced imaging technologies have shown that reasonably high accuracies can be achieved in the in-vivo diagnosis of polyp histology [9][10][11][12][13][14][15][16][17][18][19][20]. Meta-analyses looking at the performance of NBI in the characterization of polyp histology have been previously published.…”

Section: Methods To Become a High Performer In Characterization Of Comentioning

confidence: 99%

Methods to become a high performer in characterization of colorectal polyp histology

Saligram

Rastogi

2015

Best Practice & Research Clinical Gastroenterology

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Narrow-band imaging versus I-Scan for the real-time histological prediction of diminutive colonic polyps: a prospective comparative study by using the simple unified endoscopic classification

Cited by 75 publications

References 26 publications

Consensus on the Prevention, Screening, Early Diagnosis and Treatment of Colorectal Tumors in China: Chinese Society of Gastroenterology, October 14-15, 2011, Shanghai, China

Consensus on the Prevention, Screening, Early Diagnosis and Treatment of Colorectal Tumors in China: Chinese Society of Gastroenterology, October 14-15, 2011, Shanghai, China

High-Resolution ENT Video Endoscope with Superior Image Quality Equivalent to that of Gastric Video Endoscopes

Methods to become a high performer in characterization of colorectal polyp histology

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