High-definition colonoscopy detects colorectal polyps at a higher rate than standard white-light colonoscopy

Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association
Anna M BuchnerMichael B Wallace

Abstract

Adenoma detection rates might be improved through use of high-definition colonoscopy, which can detect subtle mucosal changes. We investigated whether the use of high-definition white-light (HDWL) colonoscopy resulted in a higher rate of adenoma detection than standard-definition white-light (SDWL) colonoscopy in a clinical practice setting. This retrospective study included 2430 patients who underwent colonoscopies from September 2006 to December 2007; 1226 received SDWL colonoscopy and 1204 received HDWL colonoscopy. We analyzed data from consecutive screening, surveillance, and diagnostic colonoscopies, comparing adenoma and overall polyp detection between procedures. Potentially confounding variables were controlled using multivariable logistic regression analysis. The adenoma detection rate was higher among patients who underwent HDWL compared with SDWL colonoscopies (28.8% vs 24.3%; P = .012), as was the polyp detection rate (42.2% vs 37.8%; P = .026). These findings remained after adjustments for potentially confounding variables (P = .018 and .022, respectively). In a general clinical practice setting, HDWL colonoscopy resulted in a higher adenoma detection rate compared with SDWL colonoscopy. The use of SDWL colonoscop...Continue Reading

References

Dec 30, 1993·The New England Journal of Medicine·S J WinawerJ F Panish
Jan 2, 1997·The New England Journal of Medicine·T E ReadL F Butterly
Oct 9, 1999·Gastrointestinal Endoscopy·F A FarrayeA Albillos
Mar 3, 2004·Diseases of the Colon and Rectum·James M Church
Jul 14, 2005·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·Shin-ei Kudo, Hiroshi Kashida
Mar 11, 2006·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·Lynn F ButterlyGale S Fiarman
Mar 11, 2006·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·Marc Le RhunJean-Paul Galmiche
Mar 28, 2006·Gastrointestinal Endoscopy·Douglas O FaigelMichael A Safdi
Dec 15, 2006·The New England Journal of Medicine·Robert L BarclayRoger L Greenlaw
Dec 22, 2006·American Journal of Epidemiology·Eric Vittinghoff, Charles E McCulloch
Dec 11, 2007·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·Hala FatimaSteven Bensen
Jul 22, 2008·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·Robert L BarclayRoger L Greenlaw
May 29, 2009·CA: a Cancer Journal for Clinicians·Ahmedin JemalMichael J Thun
Jul 2, 2009·Annals of Internal Medicine·Harold C Sox, Sheldon Greenfield
Jul 7, 2009·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·Silvia PaggiVittorio Terruzzi

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Citations

Jul 24, 2012·Current Gastroenterology Reports·Bashar J Qumseya, Michael B Wallace
Feb 2, 2013·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·Yan GaoSheng-Zhou Wu
Aug 3, 2010·World Journal of Gastroenterology : WJG·Christopher-J Fyock, Peter-V Draganov
Nov 3, 2011·World Journal of Gastroenterology : WJG·Tolga ErimFernando Castro
Feb 28, 2013·World Journal of Gastrointestinal Oncology·Suresh Kumar Nayudu, Bhavna Balar
Jun 29, 2014·Gastrointestinal Endoscopy·Michael B WallaceDouglas Riegert-Johnson
Aug 6, 2014·Digestive Diseases and Sciences·Helmut Neumann, Rungsun Rerknimitr
Jul 10, 2014·Surgical Endoscopy·Elisabeth WaldmannMonika Ferlitsch
Mar 8, 2014·World Journal of Gastroenterology : WJG·Vincent K DikPeter D Siersema
Aug 13, 2013·Gastroenterology Clinics of North America·Zilla H Hussain, Heiko Pohl
Jun 6, 2013·Gastrointestinal Endoscopy Clinics of North America·Steven Naymagon, James F Marion
Mar 3, 2012·Gastrointestinal Endoscopy·Reena V ChokshiJean S Wang
Oct 4, 2011·Gastrointestinal Endoscopy·Mohammad F Madhoun, William M Tierney
Jan 18, 2011·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·Gregory L AustinDennis J Ahnen
Oct 5, 2010·Gastrointestinal Endoscopy Clinics of North America·David G HewettDouglas K Rex
Nov 26, 2010·Gastroenterology Clinics of North America·Jenny SaukRalf Kiesslich
Jun 29, 2010·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·Georgios TriboniasGregorios A Paspatis
Dec 23, 2009·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·Douglas K Rex
Jan 6, 2015·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·Tomohiko MoriyamaTakayuki Matsumoto
Sep 19, 2015·Best Practice & Research. Clinical Gastroenterology·Joren R ten Hove, Bas Oldenburg
Oct 15, 2013·Gastrointestinal Endoscopy·Prateek SharmaMichael Wallace
Apr 4, 2015·Gastrointestinal Endoscopy Clinics of North America·David G Hewett, Douglas K Rex
Dec 17, 2014·Digestive Diseases and Sciences·Douglas K Rex
Jun 12, 2016·Surgical Endoscopy·Nezar Y JrebiMartin Luchtefeld
Apr 14, 2016·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·Douglas MillsTimothy Laurie
Nov 30, 2016·International Journal of Colorectal Disease·Tianzuo ZhanSebastian Belle
Jun 15, 2017·Nature Reviews. Gastroenterology & Hepatology·Arthur HoffmanRalf Kiesslich
Jun 12, 2014·United European Gastroenterology Journal·Helmut Neumann, Oliver Pech
Jun 12, 2014·United European Gastroenterology Journal·Gaius Longcroft-WheatonPradeep Bhandari
Dec 6, 2017·World Journal of Gastroenterology : WJG·Mineo IwatateMasaya Tamano
Aug 19, 2014·World Journal of Gastrointestinal Endoscopy·Johannes Wilhelm ReyArthur Hoffman
Jan 17, 2015·Expert Review of Gastroenterology & Hepatology·Alyssa Parian, Mark Lazarev
Feb 1, 2018·Therapeutic Advances in Gastroenterology·Wee Sing Ngu, Colin Rees
Apr 6, 2012·The American Journal of Gastroenterology·Vivian M Ussui, Michael B Wallace
Jan 9, 2013·The American Journal of Gastroenterology·Susan G CoeMichael B Wallace
Feb 18, 2011·The American Journal of Gastroenterology·Cristina AlmansaMichael B Wallace
Nov 3, 2010·Current Opinion in Gastroenterology·Silvio W de Melo, Michael B Wallace
Sep 7, 2011·Nature Reviews. Gastroenterology & Hepatology·Yark Hazewinkel, Evelien Dekker
Jan 21, 2014·Journal of Clinical Gastroenterology·Sara L ChalifouxAmit Rastogi
Jul 26, 2011·Current Opinion in Gastroenterology·Krishna C Vemulapalli, Douglas K Rex

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