Narrow band imaging in the detection of colorectal polyp: Korean experience

Jeong Sik Byeon, Joo Sung Kim, Chang Kyun Lee, Jae Myung Park, Dong Kyung Chang, Young Bae Kim, Yong Sik Kim, Yong Chan Lee, Sam Ryong Jee, Kyu Yong Choi

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Background: Although white light (WL) colonoscopy is a gold standard to detect colorectal polyps, substantial polyps are missed. Narrow band imaging (NBI) is a new technology that enables a more detailed visualization of the mucosal surface. The aim of the present study was to determine whether NBI can improve the detection of colorectal polyps. Methods: We prospectively enrolled 188 (M : F = 99:89, 21-80 years) subjects undergoing colonoscopy as a screening procedure in nine referral centers. After a careful WL examination of the whole colorectum, rectosigmoid colon (0-30 cm from the anal verge) was reobserved by NBI. Size, macroscopic morphology, and the histology of all the polyps detected during WL and NBI examination were analyzed. Results: WL examination detected 162 polyps in 188 subjects, of which 106 lesions were neoplastic, while NBI of rectosigmoid colon detected an additional 61 polyps of which eight lesions were neoplastic. Only 10 (6.2%) of 162 polyps discovered during WL examination were flat polyps compared to 10 (16.4%) of 61 newly detected polyps during NBI being flat type (P = 0.002). The mean polyp size detected by NBI was smaller than that found by WL colonoscopy (2.8 ± 1.0 mm vs 6.5 ± 4.5 mm, P < 0.001). Conclusion: Many additional colorectal polyps, especially flat type, could be detected by NBI examination for normal-looking rectosigmoid mucosa. The role of NBI in colorectal neoplasm screening needs to be further investigated in future studies.

Original languageEnglish
Pages (from-to)61-66
Number of pages6
JournalDigestive Endoscopy
Volume20
Issue number2
DOIs
Publication statusPublished - 2008 Apr 1

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Narrow Band Imaging
Polyps
Light
Colonoscopy
Colon
Colorectal Neoplasms
Histology
Mucous Membrane

All Science Journal Classification (ASJC) codes

  • Radiology Nuclear Medicine and imaging
  • Gastroenterology

Cite this

Byeon, J. S., Kim, J. S., Lee, C. K., Park, J. M., Chang, D. K., Kim, Y. B., ... Choi, K. Y. (2008). Narrow band imaging in the detection of colorectal polyp: Korean experience. Digestive Endoscopy, 20(2), 61-66. https://doi.org/10.1111/j.1443-1661.2008.00777.x
Byeon, Jeong Sik ; Kim, Joo Sung ; Lee, Chang Kyun ; Park, Jae Myung ; Chang, Dong Kyung ; Kim, Young Bae ; Kim, Yong Sik ; Lee, Yong Chan ; Jee, Sam Ryong ; Choi, Kyu Yong. / Narrow band imaging in the detection of colorectal polyp : Korean experience. In: Digestive Endoscopy. 2008 ; Vol. 20, No. 2. pp. 61-66.
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abstract = "Background: Although white light (WL) colonoscopy is a gold standard to detect colorectal polyps, substantial polyps are missed. Narrow band imaging (NBI) is a new technology that enables a more detailed visualization of the mucosal surface. The aim of the present study was to determine whether NBI can improve the detection of colorectal polyps. Methods: We prospectively enrolled 188 (M : F = 99:89, 21-80 years) subjects undergoing colonoscopy as a screening procedure in nine referral centers. After a careful WL examination of the whole colorectum, rectosigmoid colon (0-30 cm from the anal verge) was reobserved by NBI. Size, macroscopic morphology, and the histology of all the polyps detected during WL and NBI examination were analyzed. Results: WL examination detected 162 polyps in 188 subjects, of which 106 lesions were neoplastic, while NBI of rectosigmoid colon detected an additional 61 polyps of which eight lesions were neoplastic. Only 10 (6.2{\%}) of 162 polyps discovered during WL examination were flat polyps compared to 10 (16.4{\%}) of 61 newly detected polyps during NBI being flat type (P = 0.002). The mean polyp size detected by NBI was smaller than that found by WL colonoscopy (2.8 ± 1.0 mm vs 6.5 ± 4.5 mm, P < 0.001). Conclusion: Many additional colorectal polyps, especially flat type, could be detected by NBI examination for normal-looking rectosigmoid mucosa. The role of NBI in colorectal neoplasm screening needs to be further investigated in future studies.",
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Byeon, JS, Kim, JS, Lee, CK, Park, JM, Chang, DK, Kim, YB, Kim, YS, Lee, YC, Jee, SR & Choi, KY 2008, 'Narrow band imaging in the detection of colorectal polyp: Korean experience', Digestive Endoscopy, vol. 20, no. 2, pp. 61-66. https://doi.org/10.1111/j.1443-1661.2008.00777.x

Narrow band imaging in the detection of colorectal polyp : Korean experience. / Byeon, Jeong Sik; Kim, Joo Sung; Lee, Chang Kyun; Park, Jae Myung; Chang, Dong Kyung; Kim, Young Bae; Kim, Yong Sik; Lee, Yong Chan; Jee, Sam Ryong; Choi, Kyu Yong.

In: Digestive Endoscopy, Vol. 20, No. 2, 01.04.2008, p. 61-66.

Research output: Contribution to journalArticle

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T1 - Narrow band imaging in the detection of colorectal polyp

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AU - Byeon, Jeong Sik

AU - Kim, Joo Sung

AU - Lee, Chang Kyun

AU - Park, Jae Myung

AU - Chang, Dong Kyung

AU - Kim, Young Bae

AU - Kim, Yong Sik

AU - Lee, Yong Chan

AU - Jee, Sam Ryong

AU - Choi, Kyu Yong

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N2 - Background: Although white light (WL) colonoscopy is a gold standard to detect colorectal polyps, substantial polyps are missed. Narrow band imaging (NBI) is a new technology that enables a more detailed visualization of the mucosal surface. The aim of the present study was to determine whether NBI can improve the detection of colorectal polyps. Methods: We prospectively enrolled 188 (M : F = 99:89, 21-80 years) subjects undergoing colonoscopy as a screening procedure in nine referral centers. After a careful WL examination of the whole colorectum, rectosigmoid colon (0-30 cm from the anal verge) was reobserved by NBI. Size, macroscopic morphology, and the histology of all the polyps detected during WL and NBI examination were analyzed. Results: WL examination detected 162 polyps in 188 subjects, of which 106 lesions were neoplastic, while NBI of rectosigmoid colon detected an additional 61 polyps of which eight lesions were neoplastic. Only 10 (6.2%) of 162 polyps discovered during WL examination were flat polyps compared to 10 (16.4%) of 61 newly detected polyps during NBI being flat type (P = 0.002). The mean polyp size detected by NBI was smaller than that found by WL colonoscopy (2.8 ± 1.0 mm vs 6.5 ± 4.5 mm, P < 0.001). Conclusion: Many additional colorectal polyps, especially flat type, could be detected by NBI examination for normal-looking rectosigmoid mucosa. The role of NBI in colorectal neoplasm screening needs to be further investigated in future studies.

AB - Background: Although white light (WL) colonoscopy is a gold standard to detect colorectal polyps, substantial polyps are missed. Narrow band imaging (NBI) is a new technology that enables a more detailed visualization of the mucosal surface. The aim of the present study was to determine whether NBI can improve the detection of colorectal polyps. Methods: We prospectively enrolled 188 (M : F = 99:89, 21-80 years) subjects undergoing colonoscopy as a screening procedure in nine referral centers. After a careful WL examination of the whole colorectum, rectosigmoid colon (0-30 cm from the anal verge) was reobserved by NBI. Size, macroscopic morphology, and the histology of all the polyps detected during WL and NBI examination were analyzed. Results: WL examination detected 162 polyps in 188 subjects, of which 106 lesions were neoplastic, while NBI of rectosigmoid colon detected an additional 61 polyps of which eight lesions were neoplastic. Only 10 (6.2%) of 162 polyps discovered during WL examination were flat polyps compared to 10 (16.4%) of 61 newly detected polyps during NBI being flat type (P = 0.002). The mean polyp size detected by NBI was smaller than that found by WL colonoscopy (2.8 ± 1.0 mm vs 6.5 ± 4.5 mm, P < 0.001). Conclusion: Many additional colorectal polyps, especially flat type, could be detected by NBI examination for normal-looking rectosigmoid mucosa. The role of NBI in colorectal neoplasm screening needs to be further investigated in future studies.

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