The impact of full-spectrum endoscopy on pathological lesion detection in different regions of the colon: a randomised, controlled trial
Introduction Colonoscopy is crucial for detecting and localising pathological lesions within the colon. Colonoscopy quality is defined by the caecal intubation rate, withdrawal time, adenoma detection rate, and polyp detection rate. The newly introduced full-spectrum endoscope (FUSE®) provides a 330...
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| Format: | Article |
| Language: | English |
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Termedia Publishing House
2019-09-01
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| Series: | Archives of Medical Science |
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| Online Access: | https://www.archivesofmedicalscience.com/The-impact-of-full-spectrum-endoscopy-on-pathological-lesion-detection-in-different,99643,0,2.html |
| _version_ | 1811252747948785664 |
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| author | Artur Pasternak Miroslaw Szura Rafal Solecki Pawel Bogacki Piotr J. Bachul Jerzy A. Walocha |
| author_facet | Artur Pasternak Miroslaw Szura Rafal Solecki Pawel Bogacki Piotr J. Bachul Jerzy A. Walocha |
| author_sort | Artur Pasternak |
| collection | DOAJ |
| description | Introduction
Colonoscopy is crucial for detecting and localising pathological lesions within the colon. Colonoscopy quality is defined by the caecal intubation rate, withdrawal time, adenoma detection rate, and polyp detection rate. The newly introduced full-spectrum endoscope (FUSE®) provides a 330° field of view, allowing endoscopists to observe more colonic anatomy. It is intended to increase detection of pathological lesions, especially those situated behind the haustral folds of the bowel. This diagnostic modality should increase the adenoma detection rate (ADR), especially in the right hemicolon. The aim of this study was to explore the efficacy of FUSE for detecting pathologic lesions in different colonic regions.
Material and methods
The study enrolled 408 patients who were randomised to either a standard frontal view (SFV) or the novel full-spectrum colonoscopy. Analysis was performed among three broad regions of the colon: right, transverse, and left colon, according to the Boston Bowel Preparation Scale.
Results
FUSE yielded a higher diverticula detection rate (DDR) in the right and middle colon (DDR-R [p < 0.05], DDR-T [p < 0.05], DDR-L [p = 0.862]). ADR (p = 0.761), advanced ADR (aADR) (p = 0.950), and DDR (p = 0.967) in respective regions of the colon were similar between the groups; however, the total number of adenomas detected with FUSE was higher in the right and middle regions of the colon compared with those detected by SFV (p < 0.05).
Conclusions
Full-spectrum colonoscopy allows for effective recognition of pathological lesions in the right and middle regions of the colon. Although full-spectrum colonoscopy did not statistically affect ADR, the absolute number of adenomas detected was higher compared with classical endoscopy. |
| first_indexed | 2024-04-12T16:40:14Z |
| format | Article |
| id | doaj.art-3d3968d88b324b55b7ee717604c3ae6e |
| institution | Directory Open Access Journal |
| issn | 1734-1922 1896-9151 |
| language | English |
| last_indexed | 2024-04-12T16:40:14Z |
| publishDate | 2019-09-01 |
| publisher | Termedia Publishing House |
| record_format | Article |
| series | Archives of Medical Science |
| spelling | doaj.art-3d3968d88b324b55b7ee717604c3ae6e2022-12-22T03:24:50ZengTermedia Publishing HouseArchives of Medical Science1734-19221896-91512019-09-011761636164210.5114/aoms.2019.8771499643The impact of full-spectrum endoscopy on pathological lesion detection in different regions of the colon: a randomised, controlled trialArtur Pasternak0Miroslaw Szura1Rafal Solecki2Pawel Bogacki3Piotr J. Bachul4Jerzy A. Walocha5Department of Anatomy, Jagiellonian University Medical College, Cracow, PolandMEDICINA – Specialist Diagnostic and Therapeutic Centre, Cracow, PolandMEDICINA – Specialist Diagnostic and Therapeutic Centre, Cracow, PolandMEDICINA – Specialist Diagnostic and Therapeutic Centre, Cracow, PolandDepartment of Surgery, University of Chicago, Chicago, IL, USADepartment of Anatomy, Jagiellonian University Medical College, Cracow, PolandIntroduction Colonoscopy is crucial for detecting and localising pathological lesions within the colon. Colonoscopy quality is defined by the caecal intubation rate, withdrawal time, adenoma detection rate, and polyp detection rate. The newly introduced full-spectrum endoscope (FUSE®) provides a 330° field of view, allowing endoscopists to observe more colonic anatomy. It is intended to increase detection of pathological lesions, especially those situated behind the haustral folds of the bowel. This diagnostic modality should increase the adenoma detection rate (ADR), especially in the right hemicolon. The aim of this study was to explore the efficacy of FUSE for detecting pathologic lesions in different colonic regions. Material and methods The study enrolled 408 patients who were randomised to either a standard frontal view (SFV) or the novel full-spectrum colonoscopy. Analysis was performed among three broad regions of the colon: right, transverse, and left colon, according to the Boston Bowel Preparation Scale. Results FUSE yielded a higher diverticula detection rate (DDR) in the right and middle colon (DDR-R [p < 0.05], DDR-T [p < 0.05], DDR-L [p = 0.862]). ADR (p = 0.761), advanced ADR (aADR) (p = 0.950), and DDR (p = 0.967) in respective regions of the colon were similar between the groups; however, the total number of adenomas detected with FUSE was higher in the right and middle regions of the colon compared with those detected by SFV (p < 0.05). Conclusions Full-spectrum colonoscopy allows for effective recognition of pathological lesions in the right and middle regions of the colon. Although full-spectrum colonoscopy did not statistically affect ADR, the absolute number of adenomas detected was higher compared with classical endoscopy.https://www.archivesofmedicalscience.com/The-impact-of-full-spectrum-endoscopy-on-pathological-lesion-detection-in-different,99643,0,2.htmladvanced endoscopic imagingfull-spectrum endoscopy-systemfusepolypscolorectal cancer |
| spellingShingle | Artur Pasternak Miroslaw Szura Rafal Solecki Pawel Bogacki Piotr J. Bachul Jerzy A. Walocha The impact of full-spectrum endoscopy on pathological lesion detection in different regions of the colon: a randomised, controlled trial Archives of Medical Science advanced endoscopic imaging full-spectrum endoscopy-system fuse polyps colorectal cancer |
| title | The impact of full-spectrum endoscopy on pathological lesion detection in different regions of the colon: a randomised, controlled trial |
| title_full | The impact of full-spectrum endoscopy on pathological lesion detection in different regions of the colon: a randomised, controlled trial |
| title_fullStr | The impact of full-spectrum endoscopy on pathological lesion detection in different regions of the colon: a randomised, controlled trial |
| title_full_unstemmed | The impact of full-spectrum endoscopy on pathological lesion detection in different regions of the colon: a randomised, controlled trial |
| title_short | The impact of full-spectrum endoscopy on pathological lesion detection in different regions of the colon: a randomised, controlled trial |
| title_sort | impact of full spectrum endoscopy on pathological lesion detection in different regions of the colon a randomised controlled trial |
| topic | advanced endoscopic imaging full-spectrum endoscopy-system fuse polyps colorectal cancer |
| url | https://www.archivesofmedicalscience.com/The-impact-of-full-spectrum-endoscopy-on-pathological-lesion-detection-in-different,99643,0,2.html |
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