Is autofluorescence inferior to chromoendoscopy for dysplasia detection in ulcerative colitis ?
Mené sur 210 patients bénéficiant d'un suivi médical par coloscopie pour des colites ulcéreuses de longue durée, cet essai international compare, du point de vue du taux de lésions dysplasiques détectées, l'efficacité de la chromo-endoscopie et de l'imagerie par autofluorescence
Dysplasia surveillance in patients with chronic ulcerative colitis has moved beyond high-definition white light to image-enhanced colonoscopy. Chromoendoscopy is the preferred technique, as evident from the recent SCENIC consensus statement.1 Unfortunately, chromoendoscopy, while increasing dysplasia detection, adds substantial time to the procedure. In-scope technologies such as narrow-band imaging are more appealing because they take less time, but these techniques have not been shown to increase dysplasia detection.
The Lancet Gastroenterology & Hepatology , commentaire, 2017