Narrow Band Imaging versus White Light for the Detection of Sessile Serrated Colorectal Lesions

Bibliographic Details
Main Author: Ferreira, Alexandre Oliveira
Publication Date: 2023
Other Authors: Reves, Joana Branco, Nascimento, Catarina, Frias-Gomes, Catarina, Costa-Santos, Maria Pia, Ramos, Lídia Roque, Palmela, Carolina, Gloria, Luísa, Cravo, Marília, Dinis-Ribeiro, Mário, Canena, Jorge
Format: Article
Language: eng
Source: Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)
Download full: http://hdl.handle.net/10362/147231
Summary: Funding Information: The authors would like to acknowledge the support of the Portuguese Society of Gastroenterology by granting the use of the REDCap software. Study data were collected and managed using REDCap (Research Electronic Data Capture) tools hosted at Sociedade Portuguesa de Gastrenterologia. REDCap is a secure, Web-based software platform designed to support data capture for research studies, providing (1) an intuitive interface for validated data capture; (2) audit trails for tracking data manipulation and export procedures; (3) automated export procedures for seamless data downloads to common statistical packages; and (4) procedures for data integration and interoperability with external sources. Publisher Copyright: © 2022 The Author(s). Published by S. Karger AG, Basel.
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spelling Narrow Band Imaging versus White Light for the Detection of Sessile Serrated Colorectal LesionsA Randomized Clinical TrialAdenomaChromoendoscopyColonoscopyNarrow band imagingQualitySessile serrated lesionGastroenterologySDG 3 - Good Health and Well-beingFunding Information: The authors would like to acknowledge the support of the Portuguese Society of Gastroenterology by granting the use of the REDCap software. Study data were collected and managed using REDCap (Research Electronic Data Capture) tools hosted at Sociedade Portuguesa de Gastrenterologia. REDCap is a secure, Web-based software platform designed to support data capture for research studies, providing (1) an intuitive interface for validated data capture; (2) audit trails for tracking data manipulation and export procedures; (3) automated export procedures for seamless data downloads to common statistical packages; and (4) procedures for data integration and interoperability with external sources. Publisher Copyright: © 2022 The Author(s). Published by S. Karger AG, Basel.Background: Colorectal cancer (CRC) is a leading cause of cancer. The detection of pre-malignant lesions by colonoscopy is associated with reduced CRC incidence and mortality. Narrow band imaging has shown promising but conflicting results for the detection of serrated lesions. Methods: We performed a randomized clinical trial to compare the mean detection of serrated lesions and hyperplastic polyps ≥10 mm with NBI or high-definition white light (HD-WL) withdrawal. We also compared all sessile serrated lesions (SSLs), adenoma, and polyp prevalence and rates. Results: Overall, 782 patients were randomized (WL group 392 patients; NBI group 390 patients). The average number of serrated lesions and hyperplastic polyps ≥10 mm detected per colonoscopy (primary endpoint) was similar between the HD-WL and NBI group (0.118 vs. 0.156, p = 0.44). Likewise, the adenoma detection rate (55.2% vs. 53.2%, p = 0.58) and SSL detection rate (6.8% vs. 7.5%, p = 0.502) were not different between the two study groups. Withdrawal time was higher in the NBI group (10.88 vs. 9.47 min, p = 0.004), with a statistically nonsignificant higher total procedure time (20.97 vs. 19.30 min, p = 0.052). Conclusions: The routine utilization of narrow band imaging does not improve the detection of serrated class lesions or any pre-malignant lesion and increases the withdrawal time.NOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM)RUNFerreira, Alexandre OliveiraReves, Joana BrancoNascimento, CatarinaFrias-Gomes, CatarinaCosta-Santos, Maria PiaRamos, Lídia RoquePalmela, CarolinaGloria, LuísaCravo, MaríliaDinis-Ribeiro, MárioCanena, Jorge2023-01-09T22:16:21Z2023-10-272023-10-27T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10362/147231eng2341-4545PURE: 49447948https://doi.org/10.1159/000526606info:eu-repo/semantics/openAccessreponame:Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)instname:FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologiainstacron:RCAAP2024-05-22T18:07:52Zoai:run.unl.pt:10362/147231Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireinfo@rcaap.ptopendoar:https://opendoar.ac.uk/repository/71602025-05-28T17:38:23.918774Repositórios Científicos de Acesso Aberto de Portugal (RCAAP) - FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologiafalse
dc.title.none.fl_str_mv Narrow Band Imaging versus White Light for the Detection of Sessile Serrated Colorectal Lesions
A Randomized Clinical Trial
title Narrow Band Imaging versus White Light for the Detection of Sessile Serrated Colorectal Lesions
spellingShingle Narrow Band Imaging versus White Light for the Detection of Sessile Serrated Colorectal Lesions
Ferreira, Alexandre Oliveira
Adenoma
Chromoendoscopy
Colonoscopy
Narrow band imaging
Quality
Sessile serrated lesion
Gastroenterology
SDG 3 - Good Health and Well-being
title_short Narrow Band Imaging versus White Light for the Detection of Sessile Serrated Colorectal Lesions
title_full Narrow Band Imaging versus White Light for the Detection of Sessile Serrated Colorectal Lesions
title_fullStr Narrow Band Imaging versus White Light for the Detection of Sessile Serrated Colorectal Lesions
title_full_unstemmed Narrow Band Imaging versus White Light for the Detection of Sessile Serrated Colorectal Lesions
title_sort Narrow Band Imaging versus White Light for the Detection of Sessile Serrated Colorectal Lesions
author Ferreira, Alexandre Oliveira
author_facet Ferreira, Alexandre Oliveira
Reves, Joana Branco
Nascimento, Catarina
Frias-Gomes, Catarina
Costa-Santos, Maria Pia
Ramos, Lídia Roque
Palmela, Carolina
Gloria, Luísa
Cravo, Marília
Dinis-Ribeiro, Mário
Canena, Jorge
author_role author
author2 Reves, Joana Branco
Nascimento, Catarina
Frias-Gomes, Catarina
Costa-Santos, Maria Pia
Ramos, Lídia Roque
Palmela, Carolina
Gloria, Luísa
Cravo, Marília
Dinis-Ribeiro, Mário
Canena, Jorge
author2_role author
author
author
author
author
author
author
author
author
author
dc.contributor.none.fl_str_mv NOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM)
RUN
dc.contributor.author.fl_str_mv Ferreira, Alexandre Oliveira
Reves, Joana Branco
Nascimento, Catarina
Frias-Gomes, Catarina
Costa-Santos, Maria Pia
Ramos, Lídia Roque
Palmela, Carolina
Gloria, Luísa
Cravo, Marília
Dinis-Ribeiro, Mário
Canena, Jorge
dc.subject.por.fl_str_mv Adenoma
Chromoendoscopy
Colonoscopy
Narrow band imaging
Quality
Sessile serrated lesion
Gastroenterology
SDG 3 - Good Health and Well-being
topic Adenoma
Chromoendoscopy
Colonoscopy
Narrow band imaging
Quality
Sessile serrated lesion
Gastroenterology
SDG 3 - Good Health and Well-being
description Funding Information: The authors would like to acknowledge the support of the Portuguese Society of Gastroenterology by granting the use of the REDCap software. Study data were collected and managed using REDCap (Research Electronic Data Capture) tools hosted at Sociedade Portuguesa de Gastrenterologia. REDCap is a secure, Web-based software platform designed to support data capture for research studies, providing (1) an intuitive interface for validated data capture; (2) audit trails for tracking data manipulation and export procedures; (3) automated export procedures for seamless data downloads to common statistical packages; and (4) procedures for data integration and interoperability with external sources. Publisher Copyright: © 2022 The Author(s). Published by S. Karger AG, Basel.
publishDate 2023
dc.date.none.fl_str_mv 2023-01-09T22:16:21Z
2023-10-27
2023-10-27T00:00:00Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
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url http://hdl.handle.net/10362/147231
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 2341-4545
PURE: 49447948
https://doi.org/10.1159/000526606
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