Endoscopic Measurement of Polyp Size Using a Novel Calibrated Hood
Background. Although the size of colon polyps is an important risk factor for colorectal cancer, a standardized measurement technique has yet to be determined. In clinical practice, most endoscopists estimate polyp size by uncertain visual estimation; however, colonoscopic polypectomy is indicated f...
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| Format: | Article |
| Language: | English |
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Wiley
2014-01-01
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| Series: | Gastroenterology Research and Practice |
| Online Access: | http://dx.doi.org/10.1155/2014/714294 |
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| _version_ | 1832553749546008576 |
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| author | Keiichiro Kume Tatsuyuki Watanabe Ichiro Yoshikawa Masaru Harada |
| author_facet | Keiichiro Kume Tatsuyuki Watanabe Ichiro Yoshikawa Masaru Harada |
| author_sort | Keiichiro Kume |
| collection | DOAJ |
| description | Background. Although the size of colon polyps is an important risk factor for colorectal cancer, a standardized measurement technique has yet to be determined. In clinical practice, most endoscopists estimate polyp size by uncertain visual estimation; however, colonoscopic polypectomy is indicated for adenomatous polyps more than 5 mm in diameter. We have therefore developed a novel calibrated hood that enables accurate measurement of polyp size during colonoscopy. Method. We compared prepolypectomy estimates using the calibrated hood against measurements of preformalin-fixed samples immediately after polypectomy. Results. Sixty-five polyps removed from 44 patients were included in the present study. The mean size of polyps was significantly larger at prepolypectomy (6.06 ± 1.23 mm) than after polypectomy (5.48 ± 1.31 mm, P<0.05). Conclusion. Accurately measuring the size of polyps during colonoscopy is important, since polyps are shrunk by polypectomy. Attaching the calibrated hood appears useful in the measurement of polyp size to determine indications for polypectomy in patients with colon polyps. |
| format | Article |
| id | doaj-art-66518d4a99f7451eae5c44ae61132384 |
| institution | Kabale University |
| issn | 1687-6121 1687-630X |
| language | English |
| publishDate | 2014-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Gastroenterology Research and Practice |
| spelling | doaj-art-66518d4a99f7451eae5c44ae611323842025-02-03T05:53:18ZengWileyGastroenterology Research and Practice1687-61211687-630X2014-01-01201410.1155/2014/714294714294Endoscopic Measurement of Polyp Size Using a Novel Calibrated HoodKeiichiro Kume0Tatsuyuki Watanabe1Ichiro Yoshikawa2Masaru Harada3Third Department of Internal Medicine, School of Medicine, University of Occupational and Environmental Health, 1-1 Iseigaoka, Yahatanishi-ku, Kitakyushu 807-8555, JapanThird Department of Internal Medicine, School of Medicine, University of Occupational and Environmental Health, 1-1 Iseigaoka, Yahatanishi-ku, Kitakyushu 807-8555, JapanThird Department of Internal Medicine, School of Medicine, University of Occupational and Environmental Health, 1-1 Iseigaoka, Yahatanishi-ku, Kitakyushu 807-8555, JapanThird Department of Internal Medicine, School of Medicine, University of Occupational and Environmental Health, 1-1 Iseigaoka, Yahatanishi-ku, Kitakyushu 807-8555, JapanBackground. Although the size of colon polyps is an important risk factor for colorectal cancer, a standardized measurement technique has yet to be determined. In clinical practice, most endoscopists estimate polyp size by uncertain visual estimation; however, colonoscopic polypectomy is indicated for adenomatous polyps more than 5 mm in diameter. We have therefore developed a novel calibrated hood that enables accurate measurement of polyp size during colonoscopy. Method. We compared prepolypectomy estimates using the calibrated hood against measurements of preformalin-fixed samples immediately after polypectomy. Results. Sixty-five polyps removed from 44 patients were included in the present study. The mean size of polyps was significantly larger at prepolypectomy (6.06 ± 1.23 mm) than after polypectomy (5.48 ± 1.31 mm, P<0.05). Conclusion. Accurately measuring the size of polyps during colonoscopy is important, since polyps are shrunk by polypectomy. Attaching the calibrated hood appears useful in the measurement of polyp size to determine indications for polypectomy in patients with colon polyps.http://dx.doi.org/10.1155/2014/714294 |
| spellingShingle | Keiichiro Kume Tatsuyuki Watanabe Ichiro Yoshikawa Masaru Harada Endoscopic Measurement of Polyp Size Using a Novel Calibrated Hood Gastroenterology Research and Practice |
| title | Endoscopic Measurement of Polyp Size Using a Novel Calibrated Hood |
| title_full | Endoscopic Measurement of Polyp Size Using a Novel Calibrated Hood |
| title_fullStr | Endoscopic Measurement of Polyp Size Using a Novel Calibrated Hood |
| title_full_unstemmed | Endoscopic Measurement of Polyp Size Using a Novel Calibrated Hood |
| title_short | Endoscopic Measurement of Polyp Size Using a Novel Calibrated Hood |
| title_sort | endoscopic measurement of polyp size using a novel calibrated hood |
| url | http://dx.doi.org/10.1155/2014/714294 |
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