期刊文献+

Kudo's pit pattern classification for colorectal neoplasms:A meta-analysis 被引量:9

Kudo's pit pattern classification for colorectal neoplasms:A meta-analysis
下载PDF
导出
摘要 AIM: To analyze the current available evidence of Kudo’s pit pattern classification for diagnosing colorectal neoplasms. AIM:To analyze the current available evidence of Kudo's pit pattern classification for diagnosing colorectal neoplasms.METHODS:A search was performed on Pubmed/Embase to identify studies reporting the outcomes of the pit pattern classification in colorectal polyps.Retrieved records were evaluated and selected by two independent investigators.The number of patients,polyps and diagnostic performance of Kudo’s pit pattern classification were retrieved from suitable studies.Pooled sensitivities and specificities were calculated using fixed or random effect models according to their heterogeneity.Publication bias was evaluated using funnel plot,Egger’s test,and Begg’s test.Sensitivity analysis was performed by omitting one study at a time and selecting a subgroup consisting of 11 magnifying chromoendoscopy studies.RESULTS:20 eligible studies were included in which a total of 5111 colorectal lesions in 3418 patients were identified for the differentiation of neoplastic and nonneoplastic polyps.Pit pattern classification in all the studies of mucosal patterns with magnification resulted in a pooled sensitivity of 89.0%(95%CI:85.2-91.9)and pooled specificity of 85.7%(95%CI:81.3-89.2)and the area under the SROC curve was 0.9354.There was significant publication bias(P=0.038 and 0.006 for sensitivity and specificity using Egger’s test,P=0.035and 0.139 for sensitivity and specificity using Begg’s test,respectively).No single study significantly affected the pooled result,and the magnifying chromoendoscopy subgroup yielded a sensitivity of 92.7%(95%CI:89.2-95.2)and specificity of 87.3%(95%CI:81.6-91.4).CONCLUSION:Kudo’s pit pattern classification is an accurate diagnostic method for the differentiation of neoplastic colorectal lesions.Publication bias is significant in the current available literature.
出处 《World Journal of Gastroenterology》 SCIE CAS 2014年第35期12649-12656,共8页 世界胃肠病学杂志(英文版)
关键词 META-ANALYSIS Sensitivity SPECIFICITY Colonic neoplasia ENDOSCOPE Magnifying endoscopy Meta-analysis Sensitivity Specificity Co-lonic neo
  • 相关文献

参考文献12

  • 1Johanna L Chan,Li Lin,Michael Feiler,Andrew I Wolf,Diana M Cardona,Ziad F Gellad.Comparative effectiveness of i-SCAN^(TM) and high-definition white light characterizing small colonic polyps[J].World Journal of Gastroenterology,2012,18(41):5905-5911. 被引量:3
  • 2Shigeharu Kato,Kuang I Fu,Yasushi Sano,Takahiro Fujii,Yutaka Saito,Takahisa Matsuda,Ikuro Koba,Shigeaki Yoshida,Takahiro Fujimori.Magnifying colonoscopy as a non-biopsy technique for differential diagnosis of non-neoplastic and neoplastic lesions[J].World Journal of Gastroenterology,2006,12(9):1416-1420. 被引量:31
  • 3Hai-Yan Li,Zhi-Zheng Ge,Mitsuhiro Fujishiro,Xiao-Bo Li,Tomohiro Kato.Current Clinical Applications of Magnifying Endoscopy with Narrow Band Imaging in the Stomach[J].<journal-title>Diagnostic and Therapeutic Endoscopy.2012
  • 4Kazutomo Togashi,Hiroyuki Osawa,Koji Koinuma,Yoshikazu Hayashi,Tomohiko Miyata,Keijiro Sunada,Mitsuhiro Nokubi,Hisanaga Horie,Hironori Yamamoto.A comparison of conventional endoscopy, chromoendoscopy, and the optimal-band imaging system for the differentiation of neoplastic and non-neoplastic colonic polyps[J].Gastrointestinal Endoscopy.2009(3)
  • 5J. East,N. Suzuki,P. Bassett,M. Stavrinidis,H. Thomas,T. Guenther,P. Tekkis,B. Saunders.Narrow band imaging with magnification for the characterization of small and diminutive colonic polyps: pit pattern and vascular pattern intensity[J].Endoscopy.2008(10)
  • 6Charles J. Kahi,Douglas K. Rex,Thomas F. Imperiale.Screening, Surveillance, and Primary Prevention for Colorectal Cancer: A Review of the Recent Literature[J].Gastroenterology.2008(2)
  • 7Jason N. Rogart,Dhanpat Jain,Uzma D. Siddiqui,Tal Oren,Joseph Lim,Priya Jamidar,Harry Aslanian.Narrow-band imaging without high magnification to differentiate polyps during real-time colonoscopy: improvement with experience[J].Gastrointestinal Endoscopy.2008(6)
  • 8J. Tischendorf,H. Wasmuth,A. Koch,H. Hecker,C. Trautwein,R. Winograd.Value of magnifying chromoendoscopy and narrow band imaging (NBI) in classifying colorectal polyps: a prospective controlled study[J].Endoscopy.2007(12)
  • 9Dariusz Apel,Ralf Jakobs,Dieter Schilling,Uwe Weickert,Joachim Teichmann,Manfred H. Bohrer,Jürgen F. Riemann.Accuracy of high-resolution chromoendoscopy in prediction of histologic findings in diminutive lesions of the rectosigmoid[J].Gastrointestinal Endoscopy.2006(6)
  • 10D. Hurlstone,D. Sanders,A. Lobo,M. McAlindon,S. Cross.Indigo Carmine-Assisted High-Magnification Chromoscopic Colonoscopy for the Detection and Characterisation of Intraepithelial Neoplasia in Ulcerative Colitis: A Prospective Evaluation[J].Endoscopy.2005(12)

二级参考文献56

  • 1[1]Morson B.President's address.The polyp-cancer sequence in the large bowel.Proc R Soc Med 1974; 67:451-457
  • 2[2]Winawer SJ,Zauber AG,Ho MN,O'Brien MJ,Gottlieb LS,Sternberg SS,Waye JD,Schapiro M,Bond JH,Panish JF.Prevention of colorectal cancer by colonoscopic polypectomy.The National Polyp Study Workgroup.N Engl J Med 1993; 329:1977-1981
  • 3[3]Kato S,Fujii T,Koba I,Sano Y,Fu KI,Parra-Blanco A,Tajiri H,Yoshida S,Rembacken B.Assessment of colorectal lesions using magnifying colonoscopy and mucosal dye spraying:can significant lesions be distinguished? Endoscopy 2001; 33:306-310
  • 4[4]Kudo S,Hirota S,Nakajima T,Hosobe S,Kusaka H,Kobayashi T,Himori M,Yagyuu A.Colorectal tumours and pit pattern.J Clin Pathol 1994; 47:880-885
  • 5[5]Kudo S,Tamura S,Nakajima T,Yamano H,Kusaka H,Watanabe H.Diagnosis of colorectal tumorous lesions by magnifying endoscopy.Gastrointest Endosc 1996; 44:8-14
  • 6[6]Kudo S,Rubio CA,Teixeira CR,Kashida H,Kogure E.Pit pattern in colorectal neoplasia:endoscopic magnifying view.Endoscopy 2001; 33:367-373
  • 7[7]General rules for clinical and pathological studies on cancer of the colon,rectum and anus.Part Ⅰ.Clinical classification.Japanese Research Society for Cancer of the Colon and Rectum.Jpn J Surg 1983; 13:557-573
  • 8[8]Weston AP,Campbell DR.Diminutive colonic polyps:histopathology,spatial distribution,concomitant significant lesions,and treatment complications.Am J Gastroenterol 1995;90:24-28
  • 9[9]Granqvist S,Gabrielsson N,Sundelin P.Diminutive colonic polyps--clinical significance and management.Endoscopy 1979;11:36-42
  • 10[10]Tedesco FJ,Hendrix JC,Pickens CA,Brady PG,Mills LR.Diminutive polyps:histopathology,spatial distribution,and clinical significance.Gastrointest Endosc 1982; 28:1-5

共引文献33

同被引文献93

  • 1Rajvinder Singh,Swee Lin Chen Yi Mei,William Tam,Devinder Raju,Andrew Ruszkiewicz.Real-time histology with the endocytoscope[J].World Journal of Gastroenterology,2010,16(40):5016-5019. 被引量:3
  • 2Santa Hattori,Mineo Iwatate,Wataru Sano,Noriaki Hasuike,Hidekazu Kosaka,Taro Ikumoto,Masahito Kotaka,Akihiro Ichiyanagi,Chikara Ebisutani,Yasuko Hisano,Takahiro Fujimori,Yasushi Sano.Narrow-band imaging observation of colorectal lesions using NICE classification to avoid discarding significant lesions[J].World Journal of Gastrointestinal Endoscopy,2014,6(12):600-605. 被引量:5
  • 3Shigeharu Kato,Kuang I Fu,Yasushi Sano,Takahiro Fujii,Yutaka Saito,Takahisa Matsuda,Ikuro Koba,Shigeaki Yoshida,Takahiro Fujimori.Magnifying colonoscopy as a non-biopsy technique for differential diagnosis of non-neoplastic and neoplastic lesions[J].World Journal of Gastroenterology,2006,12(9):1416-1420. 被引量:31
  • 4李为光,戈之铮.消化内镜自发荧光技术[J].胃肠病学,2007,12(7):435-438. 被引量:10
  • 5Zauber Ann G,Winawer Sidney J,O’Brien Michael J,Lansdorp-Vogelaar Iris,van Ballegooijen Marjolein,Hankey Benjamin F,Shi Weiji,Bond John H,Schapiro Melvin,Panish Joel F,Stewart Edward T,Waye Jerome D.Colonoscopic polypectomy and long-term prevention of colorectal-cancer deaths[].The New England Quarterly.2012
  • 6David A. Lieberman,Douglas K. Rex,Sidney J. Winawer,Francis M. Giardiello,David A. Johnson,Theodore R. Levin.Guidelines for Colonoscopy Surveillance After Screening and Polypectomy: A Consensus Update by the US Multi-Society Task Force on Colorectal Cancer[J].Gastroenterology.2012(3)
  • 7David G. Hewett,Tonya Kaltenbach,Yasushi Sano,Shinji Tanaka,Brian P. Saunders,Thierry Ponchon,Roy Soetikno,Douglas K. Rex.Validation of a Simple Classification System for Endoscopic Diagnosis of Small Colorectal Polyps Using Narrow-Band Imaging[J].Gastroenterology.2012(3)
  • 8Douglas K. Rex,Charles Kahi,Michael O’Brien,T.R. Levin,Heiko Pohl,Amit Rastogi,Larry Burgart,Tom Imperiale,Uri Ladabaum,Jonathan Cohen,David A. Lieberman.The American Society for Gastrointestinal Endoscopy PIVI (Preservation and Incorporation of Valuable Endoscopic Innovations) on real-time endoscopic assessment of the histology of diminutive colorectal polyps[J].Gastrointestinal Endoscopy.2011(3)
  • 9Hiroyuki Kanao,Shinji Tanaka,Shiro Oka,Mayuko Hirata,Shigeto Yoshida,Kazuaki Chayama.Narrow-band imaging magnification predicts the histology and invasion depth of colorectal tumors[J]. Gastrointestinal Endoscopy . 2009 (3)
  • 10Cesare Hassan,Perry J. Pickhardt,Douglas K. Rex.A Resect and Discard Strategy Would Improve Cost-Effectiveness of Colorectal Cancer Screening[J]. Clinical Gastroenterology and Hepatology . 2010 (10)

引证文献9

二级引证文献25

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部