CLINICAL CHARACTERISTICS, IMAGES OF VIRTUAL MAGNIFYING CHROMOENDOSCOPY WITH BLI MODE IN PATIENTS WITH COLORECTAL POLYPS AT CAN THO CENTRAL GENERAL HOSPITAL

Anh Kiet Nguyen 1, , Hieu Tam Huynh 2, Kim Phuong Bo 1, Thi Quynh Mai Nguyen 1, Tuan Kiet Huynh 1, Truong Giang Pham 1
1 Can Tho Central General Hospital
2 Can Tho University of Medicine and Pharmacy

Main Article Content

Abstract

Background: Colonoscopy is the best method for detecting and treating polyps, helping to reduce the incidence of colorectal cancer by 76-90%. Magnified colonoscopy with BLI staining is used for early detection of colorectal polyps. Objective: To describe clinical characteristics, the images of virtual magnifying chromoendoscopy with BLI of patients with colorectal polyps.
Materials and methods: This was a descriptive study on a total of 100 colorectal polyps of 70 patients at Can Tho Central General Hospital from March 2021 to June 2022. The patients underwent a colonoscopy to detect polyps. Then, polyps were magnified endoscopically stained using the BLI mode according to the JNET classification. Results: Patients with hematochezia accounted for 7.1% compared with no symptoms 37.1%. Location of polyps: Polyps were most common in the rectum (24%) and sigmoid colon (18%). According to the Paris classification, polyp type 0-IIa accounted for the highest 66%, of which 1 polyp type 0- IIa + IIc was recorded. JNET classification for magnified endoscopy with BLI staining, the rate of JNET polyps type 1, 2A, 2B, 3 was 60%, 36%, 3% and 1%, respectively. Conclusion: Colorectal polyps are usually asymptomatic. JNET type I polyps are the most common.

Article Details

References

1. Nguyễn Văn Dũng (2021), Nhận xét, đánh giá về chẩn đoán lâm sàng, nội soi và giải phẫu bệnh ở bệnh nhân có polyp đại-trực tràng. Tạp chí Y học Việt Nam, 509(2), tr.354-359.
2. Nguyễn Công Long (2022), Giá trị của phân loại JNET và Kudo đối chiếu với mô bệnh học trong đánh giá polyp đại-trực tràng. Tạp chí Y học Việt Nam, 514(2), tr.164-169.
3. Phạm Bình Nguyên (2021), Nghiên cứu giá trị của nội soi phóng đại, nhuộm màu trong chẩn đoán polyp đại trực tràng, Luận án Tiến sỹ Y khoa, Đại học Y Hà Nội.
4. Thái Thị Hồng Nhung (2019), Nghiên cứu đặc điểm lâm sàng, hình ảnh nội soi, mô bệnh học và đánh giá kết quả cắt đốt polyp đại-trực tràng qua nội soi tại Bệnh viện Trường Đại học Y Dược Cần Thơ. Tạp chí Y Dược học Cần Thơ, 22(23), tr.24-25.
5. Vũ Việt Sơn (2018), Khảo sát phân loại polyp đại trực tràng bằng phương pháp nội soi phóng đại nhuộm màu ảo, Luận văn Thạc sỹ Y học, Đại học Y Hà Nội.
6. Nguyễn Thanh Tùng (2022), Khảo sát polyp đại-trực tràng bằng phương pháp phóng đại BLI theo phân loại BASIC. Tạp Chí Y học Việt Nam, 512(1), tr.271-275.
7. He Xiaosheng (2018), Association Between Risk Factors for Colorectal Cancer and Risk of Serrated Polyps and Conventional Adenomas. Gastroenterology. 155(2), 355-373.e18.
8. Higurashi Takuma (2022), Comparison of the diagnostic performance of NBI, Laser-BLI and LED-BLI: a randomized controlled noninferiority trial. Surg Endosc. 36(10), 7577-7587.
9. Kobayashi Shunsuke (2019), Diagnostic yield of the Japan NBI Expert Team (JNET) classification for endoscopic diagnosis of superficial colorectal neoplasms in a large-scale clinical practice database. United European Gastroenterol J, 7(7), pp.914-923.
10. Long Xiaohua (2015), Clinical and endoscopic-pathological characteristics of colorectal polyps: an analysis of 1,234 cases. Int J Clin Exp Med, 8(10), 19367-73.
11. Nakano Arihiro (2017), Comparison of the diagnostic ability of blue laser imaging magnification versus pit pattern analysis for colorectal polyps. Endosc Int Open, 5(4), E224-e231.
12. Wada Yoshiki (2009), Diagnosis of colorectal lesions with the magnifying narrow-band imaging system. Gastrointest Endosc, 70(3), 522-31.
13. Yamasaki Yasushi (2020), Blue laser imaging and linked color imaging improve the color difference value and visibility of colorectal polyps in underwater conditions. Dig Endosc, 32(5), pp.791-800.
14. Yoshida Naohisa (2022), History, clinical application, and future perspective of narrow band imaging and blue laser imaging. Dig Endosc, 34 Suppl 2, pp.86-90.
15. Zhu Ying (2021), Evaluation of blue laser endoscopy for detecting colorectal non-pedunculated adenoma. Arab J Gastroenterol, 22(2), pp.127-132.