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Digestive Diseases and Sciences

, Volume 55, Issue 6, pp 1716–1720 | Cite as

A Comparison of High-Definition Versus Conventional Colonoscopes for Polyp Detection

  • Carol A. Burke
  • Anuja G. Choure
  • Madhusudhan R. Sanaka
  • Rocio Lopez
Original Article

Abstract

Background

High-resolution, high-definition colonoscopes (HD) with 170° angle of view providing brighter images, sharper resolution, and a 30° wider field of view than conventional colonoscopes (CC) are available. The impact of these innovations on enhancing the detection of clinically important colonic lesions or over detection of clinically insignificant colonic lesions is not well established.

Objectives

To compare the difference in the detection of individuals with polyps, adenomas, or high-risk adenoma features between HD and CC. We also compared the difference in detection of individuals with clinically insignificant colonic lesions, ≥2, <6-mm hyperplastic polyps between HD and CC.

Methods

Endoscopic findings from 426 individuals who underwent HD were compared to a cohort of 426 individuals who underwent CC after matching by gender, age (±5 years), and indication for colonoscopy based on propensity score. Conditional logistic regression was used to assess for differences in polyp detection rates and risk classification between the two groups.

Results

HD affords no increase over CC in the detection of individuals with polyps, 39.9 vs. 36.9% (P = 0.34) or adenomas, 24.7 vs. 21.9% (P = 0.36). The proportion of subjects classified as high risk did not differ between the groups, 5.7% in the HD group and 4.5% in the CC group (P = 0.43) and 5.6% of each cohort was found to have ≥2, <6-mm hyperplastic polyps (P = 0.99).

Conclusions

HD colonoscopy does not increase the detection of individuals with polyps, adenomas, or high-risk adenoma features. HD does not increase the detection of individuals with clinically insignificant colonic lesions.

Keywords

Colonoscopy High-definition colonoscopy Wide-angle colonoscopy Polyp detection 

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Copyright information

© Springer Science+Business Media, LLC 2009

Authors and Affiliations

  • Carol A. Burke
    • 1
  • Anuja G. Choure
    • 2
  • Madhusudhan R. Sanaka
    • 1
  • Rocio Lopez
    • 3
  1. 1.Gastroenterology and Hepatology/A 30Cleveland ClinicClevelandUSA
  2. 2.Department of Internal MedicineCleveland ClinicClevelandUSA
  3. 3.Department of Quantitative Health SciencesCleveland ClinicClevelandUSA

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