Comparison of Linked Color Imaging and White Light Imaging Colonoscopy for Detection of Colorectal Adenoma Requiring Endoscopic Treatment: A Single-Center Randomized Controlled Trial

• DOI: 10.1272/jnms.jnms.2023_90-117
• Publication Date: 2023-03-10T22:13:49Z
• Authors: Shu Tanaka; Jun Omori; Aitoshi Hoshimoto; Takayoshi Nishimoto; Naohiko Akimoto; Atsushi Tatsuguchi; Shunji Fujimori; Katsuhiko Iwakiri
• Keywords: Colorectal adenoma; Tubular adenoma

Linked color imaging (LCI) improves detection of colorectal neoplastic lesions during colonoscopy. However, polyps <5 mm in diameter often do not require resection, and the benefits LCI are unclear for ≥5 that indicated endoscopic resection clinical practice. This randomized controlled trial compared rates adenoma polyps, stratified by size, white light (WLI).We ADR (5 mm-) PDR mm-), which were defined as proportion patients with at least one or polyp a 5 larger WLI groups. Moreover, we estimated diameters between 10 (ADR (5-9 mm), mm) ) than (10 ).Data from 594 (LCI, n=305; WLI, n=289) analyzed. significantly higher group mm-): P=0.016, P=0.020). In assessment group, although no significant differences seen these groups.Polyps mm, treatment, more easily visualized mode mode. The improvement rate was obvious <10 easier to miss.