Concordance between nice classification and histopathology in colonic polyps: a tertiary center experience

Autor: Andrea C. Buitrago-Tamayo, Carlos E. Lombo-Moreno, Valentina Ursida, Ana M. Leguizamo-Naranjo, Oscar M. Muñoz-Velandia, Rómulo D. Vargas-Rubio
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: Therapeutic Advances in Gastrointestinal Endoscopy, Vol 17 (2024)
Druh dokumentu: article
ISSN: 2631-7745
26317745
DOI: 10.1177/26317745241231102
Popis: Background: Narrow-Band imaging International Colorectal Endoscopic (NICE) could reduce histopathology study requirements in colorectal polyp evaluation. Local and regional studies are required to validate its utility. Objectives: To evaluate concordance between NICE classification and histopathology. Design: Prospective analytic study performed in the Hospital Universitario San Ignacio, Bogotá (Colombia) between 2021 and 2022. Methods: Concordance between NICE I, II and III classification and histopathology [Hyperplastic Polyp (HP), adenoma and deep submucosal invasive cancer (DSIC)] was evaluated using weighted kappa. Diagnostic performance was evaluated for NICE I–II versus NICE III for DSIC versus adenoma/HP. A subgroup analysis was performed for polyps ⩾10 mm and those located in the rectum, sigmoid, and left colon. Results: A total of 238 polyps from 135 patients were evaluated. Median age 67 years (IQR 58.5–74.5), 54.4% males. 23 (17.1%) had ⩾3 polyps. Of polyps, 52.1% were located on rectum, sigmoid and left colon. A total of 182 (76.5%) were
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