Narrow band imaging versus conventional white light colonoscopy for the detection of colorectal polyps

Nagorni, Aleksandar; Bjelaković, Goran; Petrović, Branislav

doi:10.1002/14651858.cd008361

Cited by 18 publications

(17 citation statements)

References 48 publications

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“…Fujinon Intelligent colour Enhancement (FICE) and the Pentax technology equivalent, i-Scan, are examples of other systems that narrow the bandwidth of conventional whitelight colonoscopy to improve visualisation. There is, however, a lack of evidence to support their use in order to improve ADR, with many concluding NBI does not increase the yield of colon polyps, adenomas, or flat adenomas, nor does it decrease the miss rate of colon polyps or adenomas in patients undergoing screening/surveillance colonoscopy [50][51][52]. The use of these systems is best placed in assessment of polyps once they have been detected.…”

Section: Enhanced Imaging Techniquesmentioning

confidence: 99%

How Can We Improve Adenoma Detection Rate?

Bond

Sarkar

2016

Curr Colorectal Cancer Rep

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Adenoma detection rate (ADR) is a considerable component of colonoscopy quality assurance; it has a clear link to future morbidity and mortality from colorectal cancer. There are a number of potential factors, both modifiable and non-modifiable that can impact upon ADR. Modes of improving ADR include techniques and behaviours during colonoscopy, image enhancement techniques, technological advancements, advancements in endoscope designs, developments in accessories and continued medical education. However, whilst a number of technologies are emerging to improve ADR, at present, it seems that education, team work and optimising current practice will provide the biggest gains in ADR whilst maintaining financial acceptability. The review aims to present a balanced summary of the evidence currently available and does not propose to serve as a guideline.

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Section: Enhanced Imaging Techniquesmentioning

confidence: 99%

How Can We Improve Adenoma Detection Rate?

Bond

Sarkar

2016

Curr Colorectal Cancer Rep

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“…Several systematic reviews have compared the adenoma yield between narrow-band imaging and white light colonoscopy. The majority of available evidence suggests that using narrow-band imaging does not improve adenoma or even polyp detection [37][38][39]. This may improve with the enhanced narrow-band imaging technology built into the newer generation of scopes and may also enhance detection of sessile serrated adenomas.…”

Section: Chromoendoscopy and Narrow-band Imagingmentioning

confidence: 99%

Can Technology Improve the Quality of Colonoscopy?

Thirumurthi

Ross

Raju

2016

Curr Gastroenterol Rep

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In order for screening colonoscopy to be an effective tool in reducing colon cancer incidence, exams must be performed in a high-quality manner. Quality metrics have been presented by gastroenterology societies and now include higher adenoma detection rate targets than in the past. In many cases, the quality of colonoscopy can often be improved with simple low-cost interventions such as improved procedure technique, implementing split-dose bowel prep, and monitoring individuals' performances. Emerging technology has expanded our field of view and image quality during colonoscopy. We will critically review several technological advances in the context of quality metrics and discuss if technology can really improve the quality of colonoscopy.

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“…One of these was a Cochrane review performed on 8 randomized trials with 3673 participants. 41 This review compared NBI with SD-WLE and HD-WLE together as well as SD-WLE and HD-WLE separately. There was no statistically significant difference between WLE (SD and HD) and NBI for the detection of patients with colorectal polyps (6 trials, n Z 2832, relative risk [RR] 0.97), patients with colorectal adenomas (8 trials, n Z 3673, RR 0.94), or patients with colorectal hyperplastic polyps (2 trials, n Z 645, RR 0.87).…”

Section: Colon Polypsmentioning

confidence: 99%