APPLING NARROW BAND ENDOSCOPY IN DETECTING AND PREDICTING HISTOPATHOLOGY OF COLORECTAL POLYP AT ENDOSCOPY DEPARTMENT – HOAN MY SAI GON HOSPITAL

Hung Phong Cao1,, Quoc Phu Tran1, Van Vien Cao1, Phuong Uyen Nguyen1
1 Hoan My Sai Gon Hospital

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Abstract

Background: Colorectal cancer is a common application and high mortality. Colonoscopy to detect and remove polyps is the most important preventive measure, reducing 76-90% of new cases of rectal cancer. Objectives: To evaluate the detection rate of polyps and related factors through colonoscopy with NBI, as well as the degree of compatibility between the NICE classification table and the pathological results. Materials and methods: The cross-sectional descriptive prospective study of patients undergoing narrow-band colonoscopy (NBI) on the following factors: Polyp detection rate, age, sex, BMI, lifestyle habits, chronic pathology, family factors, polyp characteristics, pathophysiology. Results: A total of 305 colonoscopy cases were eligible for sampling. The average age was 50.07 (16 – 84) years, the male to female ratio was 45.6/54.4. The polyp detection rate (PDR) was 38.4%, the adenoma detection rate (ADR) was 18.7% of the total sampled population. The age is a main factor in increasing PDR and ADR. Accuracy, sensitivity, specificity when using NBI and NICE classification in histopathology prediction were 84.6%, 71.67%, 98.25%, respectively. Conclusions: The rate of polyps and adenomas in the study was high, equivalent to the data of Western countries and countries with high rates in Asia. Age is a factor that increases the incidence of polyps and adenomas. NBI has a high specificity in predicting hyperplastic polyps.

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References

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