JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES) ›› 2015, Vol. 53 ›› Issue (11): 69-72.doi: 10.6040/j.issn.1671-7554.0.2015.216

• Clinical Medicine • Previous Articles     Next Articles

Non-magnifying narrow band imaging for histologic prediction of diminutive colorectal polyps

CHEN Zhaosheng1, WU Honglei1, ZHOU Chengjun2, GUO Jianqiang1   

  1. 1. Department of Gastroenterology, The Second Hospital of Shandong University, Jinan 250033, Shandong, China;
    2. Department of Pathology, The Second Hospital of Shandong University, Jinan 250033, Shandong, China
  • Received:2015-02-28 Online:2015-11-10 Published:2015-11-10

PDF (PC)

275

Abstract: Objective To evaluate the significance of colonoscopy with non-mangnifying narrow band imaging (NM-NBI) in predicting the pathological histology of diminutive colorectal polyps. Methods A total of 293 lesions detected by white light colonoscopy were enrolled in this study. These lesions were predicted as neoplastic (adenoma or cancer) or non-neoplastic based on narrow-band imaging international colorectal endoscopic (NICE) classification, which were compared with the results of pathology. The sensitivity, specificity, positive and negative predictive values, and accuracy were evaluated. Results In the differentiation between neoplastic and non-neoplastic lesions, the sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV) and accuracy were 92.14%, 81.05%, 81.64%, 91.85% and 86.35%, respectively. Conclusion For most diminutive colorectal polyps, colonoscopy with NM-NBI has potential to replace pathological diagnosis and reduces costs related to post-polypectomy pathologic examinations and polyp removal.

Key words: NICE classification, Diminutive colorectal polyps, Narrow band imaging, Pathological diagnosis

CLC Number: 

  • R574.6
[1] Edwards BK, Ward E, Kohler BA, et al. Annual report to the nation on the status of cancer, 1975-2006, featuring colorectal cancer trends and impact of interventions (risk factors, screening, and treatment) to reduce future rates[J]. J Cancer, 2010, 116(3): 544-573.
[2] Winawer SJ, Zauber AG, Ho MN, et al. Prevention of colorectal cancer by colonoscopic polypectomy. The National Polyp Study Workgroup[J]. N Engl J Med, 1993, 329(27): 1977-1981.
[3] Imperiale TF, Wagner DR, Lin CY, et al. Risk of advanced proximal neoplasms in asymptomatic adults according to the distal colorectal findings[J]. N Engl J Med, 2000, 343(3):169-174.
[4] Baxter NN, Goldwasser MA, Paszat LF, et al. Association of colonoscopy and death from colorectal cancer[J]. Ann Intern Med, 2009, 150(1): 1-8.
[5] Levin TR, Zhao W, Conell C, et al. Complications of colonoscopy in an integrated health care delivery system[J]. Ann Intern Med, 2006, 145(12): 880-886.
[6] Rastogi A, Early DS, Gupta N, et al. Randomized, controlled trial of standard-definition white-light, high-definition white-light, and narrow-band imaging colonoscopy for the detection of colon polyps and prediction of polyp histology[J]. Gastrointest Endosc, 2011, 74(3): 593-602.
[7] Hewett DG, Kaltenbach T, Sano Y, et al. Validation of a simple classification system for endoscopic diagnosis of small colorectal polyps using narrow-band imaging[J]. J Gastroenterology, 2012, 143(3): 599-607.
[8] 张晶晶, 戈之铮, 李晓波. 窄带成像内镜下NICE分型对结直肠肿瘤的诊断价值[J].中华消化内镜杂志, 2014, 31(14): 650-654. ZHANG Jingjing, GE Zhizheng, LI Xiaobo. Efficacy of NICE classification under narrow-band imaging in real-time diagnosis of colorectal polyps[J]. J Chinese Journal of Digestive Endoscopy, 2014, 31(14): 650-654.
[9] Lieberman D, Moravec M, Holub J, et al. Polyp size and advanced histology in patients undergoing colonoscopy screening: implications for CT colonography[J]. Gastroenterology, 2008, 135(4): 1100-1105.
[10] Gupta N, Bansal A, Rao D, et al. Prevalence of advanced histological features in diminutive and small colon polyps[J]. Gastrointest Endosc, 2012, 75(5): 1022-1030.
[11] Rex DK. Reducing costs of colon polyp management[J]. Lancet Oncol, 2009, 10(12): 1135-1136.
[12] Rex DK, Kahi C, O Brien M, et al. The American Society for Gastrointestinal Endoscopy PIVI (Preservation and Incorporation of Valuable Endoscopic Innovations) on real-time endoscopic assessment of the histology of diminutive colorectal polyps[J]. Gastrointest Endosc, 2011, 73(3): 419-422.
[13] Lieberman DA, Rex DK, Winawer SJ, et al. Guidelines for colonoscopy surveillance after screening and polypectomy: a consensus update by the US Multi-Society Task Force on Colorectal Cancer[J]. Gastroenterology, 2012, 143(3): 844-857.
[14] Repici A, Hassan C, Radaelli F, et al. Accuracy of narrow-band imaging in predicting colonoscopy surveillance intervals and histology of distal diminutive polyps: results from a multicenter, prospective trial[J]. Gastrointest Endosc, 2013, 78(1):106-114.
[15] Chiu HM, Chang CY, Chen CC, et al. A prospective comparative study of narrow band imaging, chromoendoscopy, and conventional colonoscopy in the diagnosis of colorectal neoplasia[J]. Gut, 2007, 56(3): 373-379.
[16] Togashi K, Osawa H, Koinuma K, et al. A comparison of conventional endoscopy, chromoendoscopy, and the optimal-band imaging system for the differentiation of neoplastic and non-neoplastic colonic polyps[J]. Gastrointest Endosc, 2009, 69(3PT2): 734-741.
[17] McGill SK, Evangelou E, Ioannidis JP, et al. Narrow band imaging to differentiate neoplastic and non-neoplastic colorectal polyps in real time: a meta-analysis of diagnostic operating characteristics[J]. J Gut, 2013, 62(12): 1704-1713.
[18] 林香春, 吴静, 魏南, 等. 窄带成像结肠镜对结肠息肉样病变的诊断价值[J]. 中华消化内镜杂志, 2010, 27(5): 256-258. LIN Xiangchun, WU Jing, WEI Nan, et al. Colonoscopy with narrow band imaging in diagnosis of colorectal polypoid lesions[J]. Chinese Journal of Digestive Endoscopy, 2010, 27(5): 256-258.
[1] . [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2014, 52(S2): 136-136.
[2] SI Zhiwen, LI Guangchun, WU Honglei, GUO Jianqiang. Factors influencing the miss rate of colorectal polyps in a back-to-back high-quality colonoscopy examination#br# [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2014, 52(6): 90-93.
[3] LI Guangchun1, SI Zhiwen1, WU Honglei1, ZHOU Chengjun2, ZHU Kongxi1, LIU Bin1, GUO Jianqiang1. Screening of high-risk population after endoscopic polypectomy of colorectal adenomatous polyps [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2014, 52(3): 92-95.
[4] XIN Yu1, YUAN Jun-hua2, SUN Cheng-gang1. Mechanisms of EGCG inhibiting the proliferation of human colon cancer HT-29 cells and preventing angiogenesis [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2013, 51(3): 21-26.
[5] LI Mei1,2, GAO Yan-jing1, CUI Xiang-hua1， XU Yong-mei3. Expression and clinical significance of EP2 prostanoid receptor in
colon mucosa of ulcerative colitis [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2012, 50(11): 79-83.
[6] MENG Xian-yi, ZHANG Yun, WU Zhen-zhou. Therapeutic effect of tylophorine analog DCB3503 on
TNBS-induced ulcerative colitis [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2012, 50(10): 81-.
[7] CHENG Zhao-ling, LI Xue-mei, YANG Ting-ting, ZHU Qiang. Expression of TLR 4 in colorectal cancer and its
relationships with FasL and EGFR [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2012, 50(5): 92-.
[8] LI Ling, CHEN Yong, YANG Chong-mei. Correlation study of single nucleotide polymorphism of multiple
drug resistance 1 and ulcerative colitis prednisone sensitivity [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2012, 50(5): 99-102.
[9] MA Ming-ze, ZHANG An-zhong，KUAI Jing-hua，YANG Chong-mei. Detection of serum food allergen-specific IgG and impact of allergic food  elimination on the treatment of ulcerative colitis patients [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2011, 49(1): 86-89.
[10] LI Wan-quan1, ZHU Xiao-lin2, YU Cheng-gong2. Effects of sodium butyrate on cell proliferation and expression of ICAM-1 in the HT-29 colon cancer cell line [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2010, 48(11): 70-.
[11] SONG Dong-ling,WANG Meng-xin,ZENG Juan,LI Yan-qing. Effect of psychological treatment for patients with irritable bowel syndrome [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2007, 45(10): 1068-1071.
Viewed
Full text


Abstract

Cited
  Shared   
  Discussed   
No Suggested Reading articles found!
Copyright 2018 © Editorial office of Journal of Shandong University (Health Sciences)
Supported by Beijing Magtech Co.Ltd