A prospective dual-center proof-of-principle study evaluating the incremental benefit of narrow-band imaging with a fixed zoom function in real-time prediction of polyp histology. Can we resect and discard?

Kuruvilla, Niketh; Paramsothy, Ramesh; Gill, R. S.; Selby, Warwick; Remedios, Matthew; Kaffes, Arthur J.

doi:10.1016/j.gie.2015.01.014

Cited by 14 publications

(13 citation statements)

References 30 publications

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“…In 2015, the combination of NBI and zoom technology showed promising results with a negative predictive value of 96% for assessment of non-neoplastic polyps in the rectosigmoid [98]. …”

Section: Technical Aspectsmentioning

confidence: 99%

Endoscopic Improvement of the Adenoma Detection Rate during Colonoscopy - Where Do We Stand in 2015?

Floer

Meister²

2016

Digestion

238

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Background: The presence of colorectal adenomas is considered a major risk factor for colorectal cancer development. The implementation of screening colonoscopy programs in the Western world has led to a substantial reduction of colorectal cancer death. Many efforts have been made to reduce the adenoma miss rates by the application of new endoscopic devices and techniques for better adenoma visualization. Summary: This special review gives the readership an overview of current endoscopic innovations that can aid in the increase of the adenoma detection rate (ADR) during colonoscopy. These innovations include the use of devices like EndoCuff® and EndoRings® as well as new technical equipment like third-eye endoscope® and full-spectrum endoscopy (FUSE®). Key Message: Technical improvements and newly developed accessories are able to improve the ADR. However, additional costs and a willingness to invest into potentially expensive equipment might be necessary. Investigator-dependent skills remain the backbone in the ADR detection.

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“…In 2015, the combination of NBI and zoom technology showed promising results with a negative predictive value of 96% for assessment of non-neoplastic polyps in the rectosigmoid [98]. …”

Section: Technical Aspectsmentioning

confidence: 99%

Endoscopic Improvement of the Adenoma Detection Rate during Colonoscopy - Where Do We Stand in 2015?

Floer

Meister²

2016

Digestion

238

View full text Add to dashboard Cite

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“…[15] Both paradigms of optical diagnosis may be attractive options for providing value-based care within this framework. [16][17][18] This study demonstrated that older males were more likely to support "resect and discard," but no patient factors were associated with acceptance of "diagnose and leave." This study confirms our hypothesis that there is a patient population less willing to accept optical diagnosis.…”

mentioning

confidence: 76%

Patient acceptance of the optical diagnosis and misdiagnosis of diminutive colorectal polyps

Sakata

Lee

Kheir

et al. 2017

Gastrointestinal Endoscopy

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“…colorectal cancer screening and surveillance), which includes the costs of sedation and pathology. Optical diagnosis is an attractive mechanism for providing value‐based care within this framework …”

Section: Clinical Strategies For Optical Diagnosis In Western Practicementioning

confidence: 99%

“…Optical diagnosis is an attractive mechanism for providing valuebased care within this framework. [40][41][42] WESTERN STUDIES OF OPTICAL DIAGNOSIS N ARROW BAND IMAGING has dominated the Western literature on optical diagnosis. NBI is an image-enhanced endoscopy modality that uses a narrowed wavelength light source to optimize hemoglobin light absorption by allowing the passage of green and blue light only.…”

Section: Clinical Strategies For Optical Diagno-sis In Western Practicementioning

confidence: 99%

Optical diagnosis of colorectal neoplasia: A Western perspective

Sakata

Kheir

Hewett

2016

Digestive Endoscopy

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Optical diagnosis is an emerging paradigm in Western endoscopic practice for the colonoscopic management of diminutive polyps, and includes two complementary clinical strategies: 'resect and discard', in which diminutive high-confidence adenomas are identified, and then removed and discarded without pathological assessment; and 'diagnose and leave', where diminutive highconfidence hyperplastic polyps are identified in the rectosigmoid and then left without resection or biopsy. Like other aspects of colonoscopy performance, adoption of optical diagnosis in Western practice is limited by operator dependency and variation in clinical effectiveness. There is substantial potential for optical diagnosis of colorectal neoplasia during colonoscopy to alleviate the rising costs of health care in the West. However, operator dependence in diagnostic performance together with critical system factors such as informed consent, credentialing, medical legal support and reimbursement incentives must be overcome before optical diagnosis of diminutive lesions is considered for widespread adoption in Western clinical practice.

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A prospective dual-center proof-of-principle study evaluating the incremental benefit of narrow-band imaging with a fixed zoom function in real-time prediction of polyp histology. Can we resect and discard?

Cited by 14 publications

References 30 publications

Endoscopic Improvement of the Adenoma Detection Rate during Colonoscopy - Where Do We Stand in 2015?

Endoscopic Improvement of the Adenoma Detection Rate during Colonoscopy - Where Do We Stand in 2015?

Patient acceptance of the optical diagnosis and misdiagnosis of diminutive colorectal polyps

Optical diagnosis of colorectal neoplasia: A Western perspective

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