Optical diagnosis of colorectal neoplasia: A Western perspective

Sakata, Shinichiro, Kheir, Ammar O. and Hewett, David G. (2016) Optical diagnosis of colorectal neoplasia: A Western perspective. Digestive Endoscopy, 28 3: 281-288. doi:10.1111/den.12625


Author Sakata, Shinichiro
Kheir, Ammar O.
Hewett, David G.
Title Optical diagnosis of colorectal neoplasia: A Western perspective
Journal name Digestive Endoscopy   Check publisher's open access policy
ISSN 1443-1661
0915-5635
Publication date 2016-04
Sub-type Article (original research)
DOI 10.1111/den.12625
Volume 28
Issue 3
Start page 281
End page 288
Total pages 8
Place of publication Richmond, Australia
Publisher Wiley-Blackwell Publishing Asia
Collection year 2017
Language eng
Formatted abstract
Optical diagnosis is an emerging paradigm in Western endoscopic practice for the colonoscopic management of diminutive polyps, and includes two complementary clinical strategies: ‘resect and discard’, in which diminutive high-confidence adenomas are identified, and then removed and discarded without pathological assessment; and ‘diagnose and leave’, where diminutive high-confidence hyperplastic polyps are identified in the rectosigmoid and then left without resection or biopsy. Like other aspects of colonoscopy performance, adoption of optical diagnosis in Western practice is limited by operator dependency and variation in clinical effectiveness. There is substantial potential for optical diagnosis of colorectal neoplasia during colonoscopy to alleviate the rising costs of health care in the West. However, operator dependence in diagnostic performance together with critical system factors such as informed consent, credentialing, medical legal support and reimbursement incentives must be overcome before optical diagnosis of diminutive lesions is considered for widespread adoption in Western clinical practice.
Keyword Adenoma
Colonoscopy
Cost savings
Health-care reform
Narrow band imaging
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
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