A study of Fuji Intelligent Chromo Endoscopy in the diagnosis of colonrectal neoplasia

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Author:
XU Ning(Digestive systern department of Yuhuangding Hospital, Yantai 264000, Shandong China)
LIU Yun-xiang(Digestive systern department of Yuhuangding Hospital, Yantai 264000, Shandong China)
HUANG Liu-ye(Digestive systern department of Yuhuangding Hospital, Yantai 264000, Shandong China)
()
()
Journal Title:
CHINA CLINICAL PRACTICAL MEDICINE
Issue:
Volume 04, Issue 06, 2010
DOI:
10.3760/cma.j.issn 1673-8799.2010.06.01
Key Word:
Fuji Intelligent Chromo Endoscopy;Colon tumor;Diagnosis

Abstract: Objective To investgate the value of Fuji Intelligent Chromo Endoscopy(FICE) for the diagnosis of colonrectal neoplasia. Methods 781 patients were examined with ordinary colonoscopy from Janury in 2009 to February in 2010. 236 patients with colon neoplasm or polypoid lesion were enrolled in this study. The patients were examined with magnifying conventional colonoscopy, magnifying FICE technique and magnifying chromoendoscopy technique, the pit pattern and blood capillary form of the lesion were examined. The endoscopic diagnosis was made,and compared with pathologic diagnosis. Results 431 neoplasms were detected in the 236 patients,among those 91.0% were detected with magnifying conventional endoscopy,97.9% were detected with FICE technique, there was significant difference between the two methods. FICE could more clearly show the structure and form of mucosal blood capillary than chromoendoscopy technique, ( P < 0. 01 ) , there was no significant difference between the two methods for showing the pit pattern. The coincident rate of FICE for the diagnosis of tumor and non-tumor lesions was 90.7% ,which was significant higher than that of chromoendoscopy 82.3% (P < 0. 01 ). Conclusion Magnifying FICE endoscopy could show mucosal microstructure and blood capillary form. It has the superiority of high coincident rate in distinguishing neoplastic from non-neoplastic colorectal lesions compared with conventional magnifying colonoscopy and magnifying chromoendoscopy. The detected rate of early carcinoma of colon is dramatically increased with FICE. FICE could be easily operated, and have satisfactory clinical practical value

  • [1]Eisen GM,Kim CY,Fleischer DE,et al.High resolution chromoendoscopy for classifying colonic polyps:a multi center study.Gastrointest Endosc,2002,55 (6):687-694.
  • [2]Kato S,Fu KI,Sano Y,Fujii T,Saito Y,Matsuda T,et al.Magnifying colonoscopy as a non-biopsy technique for differential diagnosis of non-neoplastic and neoplastic lesions.World J Gastroenterol,2006,12(9):1416-1420.
  • [3]Liu HH,Kudo SE,Juch JP.Pit pattern analysis by magnifying chromoendoscopy for the diagnosis of colorectal polyps.J Formos Med Assos,2003,102 (3):178-182.
  • [4]Kudo S,Tamura S,Nakajima T,Yamano H,Kusaka H,Watanabe H.Diagnosis of colorectal tumorous lesions by magnifying endoscopy.Gastrointest Endosc,1996,44(1):8-14.
  • [5]Nagata S,Tanaka S,Haruma K,Yoshihara M,Sumii K,Kajiyama G,et al.Pit pattern diagnosis of early colorectal carcinoma by magnifying colonoscopy:clinical and histological implications.Int J Oncol,2000 (10):16:927-934.
  • [6]佐野寜,堀松高博,片桐敦,他.Narrow band imaging(NBI)colonoscopyを用いた大腸踵瘍の微細血管診断学.消化器内視鏡,2005,17(12):2129-2138.
  • [7]堀松高博,工藤豊樹,片桐敦,他.大腸病变:色素内視镜によび鑑別診断-NBIとの对比および併用の有用性.消化器内視镜,2006,18(9):1891-1896.
  • [8]樫田博史,和田祥城,水野研一,他.拡大内視鏡観察-Pit pattern,NBIを含めて.消化器内視镜,2007,19(5):423-428.
  • [9]Fu K-I,Sano Y,Kato S,et al.Chromoendoscopy using indigocarmine dey spraying with magnifying obserbation is the most reliable method for differential diagnosis between non-neoplastic and neoplastic colorectal lesions:a prospective study.Endoscopy,2004,36(12):1089-1093.
  • [10]Machida H,Sano Y,Hamamoto Y,et al.Narrow band imaging in the diagnosis of colorectal mucosal lesions:a pilot study.Endoscopy,2004,36 (12):1094-1098.
  • [11]Hirata M,Tanaka S,Oka S,et al.Magnifying endoscopy with narrow band imaging for diagnosis of colorectal tumors.Gastrointest Endosc,2007,65 (7):988-995.
  • [12]Kiesslich R,Neurath MF.Chromo-and magnifying endoscopy for colorectal lesions.Eur J Gastroenterol Hepatol,2005,17 (8):793-801.
  • [13]Averbach M,Zanoni EC,Corr(e)a PA,Rossini G,Paccos JL,Alencar ML,et al.High resolution chromoendoscopy in the differential diagnosis of neoplastic and non-neoplastic polyps.Arq Gastroenterol,2003,40 (2):99-103.
  • [14]Hurlstone DP,Cross SS,Adam I,Shorthouse AJ,Brown S,Sanders DS,et al.Efficacy of high magnification chromoscopic colonoscopy for the diagnosis of neoplasia in flat and depressed lesions of the colorectum:a prospective analysis.Gut,2004,53 (2):284-290.
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