作者
Sheila Kumar, Ann Fioritto, Aya Mitani, Manisha Desai, Naresh Gunaratnam, Uri Ladabaum
发表日期
2013/12/1
期刊
Gastrointestinal endoscopy
卷号
78
期号
6
页码范围
902-909
出版商
Mosby
简介
Background
Serrated colorectal lesions include hyperplastic polyps (HPs) and sessile serrated adenomas (SSAs). Optical biopsy could misclassify SSAs as unimportant if they resemble HPs.
Objective
To explore the narrow-band imaging (NBI) features of SSAs. We hypothesized that SSAs resemble HPs under NBI.
Design
Retrospective analysis of data from our prospective study of NBI in routine practice.
Setting
Single specialty group.
Patients
Patients undergoing colonoscopy.
Intervention
Colonoscopy.
Main Outcome Measurements
Polyp histology prediction by community gastroenterologists. Features of SSAs versus HPs and adenomas by using the Narrow-Band Imaging International Colorectal Endoscopic (NICE) Classification.
Results
Among 2388 lesions, 141 were diagnosed on pathology as SSAs, 465 as HPs, and 1546 as adenomas. Each individual NICE feature of HPs was found in 38% to 42% of SSAs, 66 …
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