| Conventional colonoscopy and magnified chromoendoscopy for the endoscopic histological prediction of diminutive colorectal polyps： A single operator study |
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| 引用本文： | De Palma GD,Rega M,Masone S,Persico M,Siciliano S,Addeo P,Persico G. Conventional colonoscopy and magnified chromoendoscopy for the endoscopic histological prediction of diminutive colorectal polyps： A single operator study[J]. World journal of gastroenterology : WJG, 2006, 12(15): 2402-2405. DOI: 10.3748/wjg.v12.i15.2402 |
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| 作者姓名： | De Palma GD Rega M Masone S Persico M Siciliano S Addeo P Persico G |
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| 作者单位： | Centro eli Eccellenza per l＇Innovazione Tecnologica in Chirurgia, Dipartimento di Chirurgia Generale e Tecnologie Avanzate, Universit~ degli Studi di Napoli Federico II, Facolth di Medicina e Chirurgia, Napoli, Italy |
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| 摘 要： | AIM: To accurately differentiate the adenomatous from the non-adenomatous polyps by colonoscopy. METHODS: All lesions detected by colonoscopy were first diagnosed using the conventional view followed by chromoendoscopy with magnification. The diagnosis at each step was recorded consecutively. All polyps were completely removed endoscopically for histological evaluation. The accuracy rate of each type of endoscopic diagnosis was evaluated, using histological findings as gold standard. RESULTS: A total of 240 lesions were identified, of which 158 (65.8%) were non-neoplastic and 82 (34.2%) were adenomatous. The overall diagnostic accuracy of conventional view, and chromoendoscopy with magnification was 76.3% (183/240) and 95.4% (229/240), respectively (P< 0.001) CONCLUSION: The combination of colonoscopy and magnified chromoendoscopy is the most reliable non-biopsy method for distinguishing the non-neoplastic from the neoplastic lesions.
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| 关 键 词： | 结肠镜检查 内窥镜 结肠息肉 病理机制 |
| 收稿时间： | 2005-09-02 |
Conventional colonoscopy and magnified chromoendoscopy for the endoscopic histological prediction of diminutive colorectal polyps: a single operator study |
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| De Palma Giovanni-D,Rega Maria,Masone Stefania,Persico Marcello,Siciliano Saverio,Addeo Pietro,Persico Giovanni. Conventional colonoscopy and magnified chromoendoscopy for the endoscopic histological prediction of diminutive colorectal polyps: a single operator study[J]. World journal of gastroenterology : WJG, 2006, 12(15): 2402-2405. DOI: 10.3748/wjg.v12.i15.2402 |
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| Authors: | De Palma Giovanni-D Rega Maria Masone Stefania Persico Marcello Siciliano Saverio Addeo Pietro Persico Giovanni |
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| Affiliation: | Centro di Eccellenza per l'Innovazione Tecnologica in Chirurgia, Dipartimento di Chirurgia Generale e Tecnologie Avanzate, Università degli Studi di Napoli Federico Ⅱ, Facoltà di Medicina e Chirurgia, Napoli, Italy |
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| Abstract: | AIM: To accurately differentiate the adenomatous from the non-adenomatous polyps by colonoscopy. METHODS: All lesions detected by colonoscopy were first diagnosed using the conventional view followed by chromoendoscopy with magnification. The diagnosis at each step was recorded consecutively. All polyps were completely removed endoscopically for histological evaluation. The accuracy rate of each type of endoscopic diagnosis was evaluated, using histological findings as gold standard. RESULTS: A total of 240 lesions were identified, of which 158 (65.8%) were non-neoplastic and 82 (34.2%) were adenomatous. The overall diagnostic accuracy of conventional view, and chromoendoscopy with magnification was 76.3% (183/240) and 95.4% (229/240), respectively (P< 0.001) CONCLUSION: The combination of colonoscopy and magnified chromoendoscopy is the most reliable non-biopsy method for distinguishing the non-neoplastic from the neoplastic lesions. |
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| Keywords: | Colorectal polyps Colonoscopy Chromoendoscopy Magnifying endoscopy |
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