INTESTINE Vol.21 No.5(1-2-1)

Theme Modality and new development in diagnosis for colorectal tumor -- with the aim of the improvement of a presence and qualitative diagnosis
Title Does chromoendoscopy raise detection rates for serrated or depressed lesions?
Publish Date 2017/09
Author Masashi Misawa Digestive Disease Center, Showa University Northern Yokohama Hospital
Author Shin-ei Kudo Digestive Disease Center, Showa University Northern Yokohama Hospital
Author Yushi Ogawa Digestive Disease Center, Showa University Northern Yokohama Hospital
Author Akihiro Yamauchi Digestive Disease Center, Showa University Northern Yokohama Hospital
Author Hiroki Nakamura Digestive Disease Center, Showa University Northern Yokohama Hospital
Author Yuichi Mori Digestive Disease Center, Showa University Northern Yokohama Hospital
Author Takemasa Hayashi Digestive Disease Center, Showa University Northern Yokohama Hospital
Author Kunihiko Wakamura Digestive Disease Center, Showa University Northern Yokohama Hospital
Author Yui Kudo Kudo Stomach and Intestines Internal Medicine Clinic
[ Summary ] Flat and depressed lesions, as well as serrated lesions are relatively difficult to detect during colonoscopy. However, it is necessary these lesions be detected in clinical practice. We conducted a literature review and pilot study and found that chromoendoscopy (indigocarmine) seems to have the potential to raise detection rates for these lesions. Even though, pan-chromoendoscopy is time consuming and complicates procedures, it should be regarded as one option for detection.
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