Value of magnifying endoscopy in the detection and diagnosis of colorectal lesion / 中国实用内科杂志

ABSTRACT

Objective To evalulate the clinical value of magnifying endoscopy(ME)in combination with pit pattern in the detection and diagnosis of colorectal lesions.Methods Once the lesions were detected by ME,Indigo Carmine was sprayed,the pit pattern observed and the type of the lesion determined according to the Kudo' criteria for classification.The pathology diagnosis was as contrast.Results The accuracies of ME in detection of inflammatory polyps,tubular adenomas,villous adenomas or colorectal cancer were 100%,93.3%,90.9% and 100% respectively,as compared with those of the pathology outcomes.And the total accuracy was 96.1%.Conclusion ME examination, which appears to be sensitive in distinguishing the neoplasms from the non-neoplasms,or the benign from the malignant,can also be applied for predicting the depth of cancers and choosing the strategy of therapy.It is,therefore,of value to the detection and diagnosis of colorectal lesions.