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Diagnostic and Therapeutic Endoscopy
Volume 2012 (2012), Article ID 596303, 6 pages
http://dx.doi.org/10.1155/2012/596303
Clinical Study

Detectability of Colon Polyp Using Computed Virtual Chromoendoscopy with Flexible Spectral Imaging Color Enhancement

1Department of Surgery, Gunma Chuo General Hospital, Maebashi, Gunma 371-0025, Japan
2Department of General Surgical Science, Graduate School of Medicine, Gunma University, Maebashi, Gunma 371-8511, Japan
3Endoscopy Division, National Cancer Center Hospital, Tokyo 104-0045, Japan

Received 9 August 2011; Accepted 19 December 2011

Academic Editor: C. M. Wilcox

Copyright © 2012 Shinsuke Kiriyama et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

The aim of this pilot study was to assess the feasibility of using computed virtual chromoendoscopy with the flexible spectral imaging color enhancement (FICE) for colon neoplasia screening. A modified back-to-back colonoscopy using FICE and white light in the right-sided colon was conducted prospectively for the consecutive patients attending for the postoperative (sigmoidectomy or anterior resection) follow-up colonoscopy. Histopathology of detected lesions was confirmed by evaluation of endoscopic resection or biopsy specimens. One-hundred and two patients were enrolled, and 100 patients (61 males and mean age 63 years) were finally analyzed. The total number of polyps detected by FICE and white light colonoscopy was 65 and 45, respectively. The miss rate for all polyps with FICE (24%) was significantly less than that with white light (46%) ( 𝑃 = 0 . 0 3 ). Colonoscopy using FICE could beneficially enhance the detection of neoplastic lesions in the right-sided colon compared to white light colonoscopy.