High resolution colonoscopy in a bowel cancer screening program improves polyp detection

被引：0

作者：

Matthew R Banks ^{[1
]}

Rehan Haidry ^{[1
]}

M Adil Butt ^{[1
]}

Lisa Whitley ^{[1
]}

Judith Stein ^{[1
]}

Louise Langmead ^{[1
]}

Stuart L Bloom ^{[1
]}

Austin O' Bichere ^{[1
]}

Sara McCartney ^{[1
]}

Kalpesh Basherdas ^{[1
]}

Manuel Rodriguez-Justo ^{[2
]}

Laurence B Lovat ^{[1
]}

机构：

[1] Department of Gastrointestinal Services,University College London Hospitals NHS Foundation Trust

[2] Department of Histopathology,University College London Hospitals NHS Foundation Trust

来源：

World Journal of Gastroenterology | 2011年 / 17卷 / 38期

关键词：

High resolution colonoscopy; Bowel cancer screening; Polyp detection;

D O I：

暂无

中图分类号：

R574.62 [结肠疾病]; R735.35 [];

学科分类号：

1002 ; 100201 ; 100214 ;

摘要：

AIM:To compare high resolution colonoscopy(Olympus Lucera) with a megapixel high resolution system(Pentax HiLine) as an in-service evaluation.METHODS:Polyp detection rates and measures of performance were collected for 269 colonoscopy procedures.Five colonoscopists conducted the study over a three month period,as part of the United Kingdom bowel cancer screening program.RESULTS:There were no differences in procedure duration(χ2 P = 0.98),caecal intubation rates(χ2 P = 0.67),or depth of sedation(χ2 P = 0.64).Mild discomfort was more common in the Pentax group(χ2 P = 0.036).Adenoma detection rate was significantly higher in the Pentax group(χ2 test for trend P = 0.01).Most of the extra polyps detected were flat or sessile adenomas.CONCLUSION:Megapixel definition colonoscopes improve adenoma detection without compromising other measures of endoscope performance.Increased polyp detection rates may improve future outcomes in bowel cancer screening programs.

引用

页码：4308 / 4313

页数：6

共 50 条

[1] High resolution colonoscopy in a bowel cancer screening program improves polyp detection
Banks, Matthew R.
Haidry, Rehan
Butt, M. Adil
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Langmead, Louise
Bloom, Stuart L.
O'Bichere, Austin
McCartney, Sara
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Lovat, Laurence B.
[J]. WORLD JOURNAL OF GASTROENTEROLOGY, 2011, 17 (38) : 4308 - 4313
[2] Polyp Detection is Improved by Megapixel White Light High Resolution Colonoscopy in the UK National Bowel Cancer Screening Program
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