Colonic Adenoma
Conditions
Keywords
Colonoscopy, High-definition endoscopy, Virtual chromoendoscopy, Adenoma detection rate (ADR)
Brief summary
Over the last years a number of new endoscopic imaging modalities have been introduced (high-definition and virtual chromoendoscopy). Given the theoretical advantage of these new imaging techniques, the investigators aimed to investigate their use for the detection of polyps during colonoscopy.
Interventions
High-definition colonoscopy
Virtual chromoendoscopy
Standard colonoscopy
Sponsors
Study design
Eligibility
Inclusion criteria
* referred for colonoscopy * signed informed consent
Exclusion criteria
* subtotal colectomy * known colorectal tumor or polyp prior to colonoscopy * genetic predisposition to colon cancer namely FAP, HNPCC, Hyperplastic polyposis syndrome, juvenile polyposis, Peutz-Jeghers syndrome * inflammatory bowel disease * primary sclerosering cholangitis
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Adenoma detection rate (ADR) | 7-10 days | Percentage of colonoscopies with detection of 1 or more adenomas. ADR is a well-established quality indicator in colonoscopy in the prevalence of adenomas detected (ADR) as recommended by American Society for Gastrointestinal Endoscopy (ASGE)/American College of Gastroenterology Task Force (ACGTF) and European Society of Gastrointestinal Endoscopy (ESGE). Guidelines stipulate to use ADR as main quality indicator in colonoscopy. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Number of adenomas | 7-10 days | Adenoma per colonoscopy rate (APCR) |
| Type of adenomas | 7-10 days | Subtypes of adenomas: tubular adenomas, tubulovillous adenomas, sessile serrated adenomas and adenocarcinomas |
Countries
Belgium