| Category |
Gastroenterology & Hepatology |
| Manuscript Type |
Retrospective Study |
| Article Title |
Narrow-band imaging observation of colorectal lesions using NICE classification to avoid discarding significant lesions
|
| Manuscript Source |
Invited Manuscript |
| All Author List |
Santa Hattori, Mineo Iwatate, Wataru Sano, Noriaki Hasuike, Hidekazu Kosaka, Taro Ikumoto, Masahito Kotaka, Akihiro Ichiyanagi, Chikara Ebisutani, Yasuko Hisano, Takahiro Fujimori and Yasushi Sano |
| Funding Agency and Grant Number |
| Funding Agency |
Grant Number |
| Institute of Minimally Invasive Endoscopic Care (iMEC), Sano Hospital |
2014-02 |
|
| Corresponding Author |
Santa Hattori, MD, PhD, Gastrointestinal Center and Institution of Minimally Invasive Endoscopic Care, Sano Hospital, 2-5-1 Shimizugaoka, Tarumi-ku, Kobe, Hyogo 655-0031, Japan. sahattor@hotmail.com |
| Key Words |
Image-enhanced endoscopy; Narrow-band imaging; Resect and discard; NICE classification; Magnifying endoscope; Colonoscopy; SM-d |
| Core Tip |
Discarding a polyp without performing histological evaluation runs the risk of failing to detect small invasive colorectal cancer. Retrospectively, we aimed to assess the risk of failing to detect diminutive and small colorectal invasive cancer with the “resect and discard” strategy by using the NICE classification scheme with a magnifying endoscope. We reviewed and assessed 878 polyps less than 1 cm in diameter detected in our hospital. Among them, 2 SM-d carcinomas were found and both of their optical features were classified as NICE type 3. We concluded that the risk of failing to detect diminutive and small invasive colorectal cancer with the “resect and discard” strategy might be prevented by employing NICE classification under narrow-band imaging magnification. |
| Publish Date |
2014-12-18 19:00 |
| Citation |
Hattori S, Iwatate M, Sano W, Hasuike N, Kosaka H, Ikumoto T, Kotaka M, Ichiyanagi A, Ebisutani C, Hisano Y, Fujimori T, Sano Y. Narrow-band imaging observation of colorectal lesions using NICE classification to avoid discarding significant lesions. World J Gastrointest Endosc 2014; 6(12): 600-605 |
| URL |
http://www.wjgnet.com/1948-5190/full/v6/i12/600.htm |
| DOI |
http://dx.doi.org/10.4253/wjge.v6.i12.600 |
