3.8 Article

Factors influencing endoscopic estimation of colon polyp size in a colon model

Journal

CLINICAL ENDOSCOPY
Volume 55, Issue 4, Pages 540-548

Publisher

KOREAN SOC GASTROINTESTINAL ENDOSCOPY
DOI: 10.5946/ce.2022.017

Keywords

Colonic polyps; Colonoscopy; Endoscopy

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This study aimed to gain insight into the factors influencing endoscopic polyp size estimation. The results showed that endoscopic estimation of polyp size correlated poorly with pathological reports. Estimation at 3 cm from the colonoscope's tip yielded the best results, and a shorter distance between the tip and the polyp was associated with a larger estimated size.
Background/Aims: Colorectal polyps are removed to prevent progression to colorectal cancer. Polyp size is an important factor for risk stratification of malignant transformation. Endoscopic size estimation correlates poorly with pathological reports and several factors have been suggested to influence size estimation. We aimed to gain insight into the factors influencing endoscopic polyp size estima-tion. Methods: Images of polyps in an artificial model were obtained at 1, 3, and 5 cm from the colonoscope's tip. Participants were asked to estimate the diameter and volume of each polyp. Results: Fifteen endoscopists from three large-volume centers participated in this study. With an intraclass correlation coefficient of 0.66 (95% confidence interval [CI], 0.62-0.71) for diameter and 0.56 (95% CI, 0.50-0.62) for volume. Polyp size estimated at 3 cm from the colonoscope's tip yielded the best results. A lower distance between the tip and the polyp was associated with a larger estimated pol-yp size. Conclusions: Correct endoscopic estimation of polyp size remains challenging. This finding can affect size estimation skills and future training programs for endoscopists.

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