Journal Basic Info
- Impact Factor: 1.995**
- H-Index: 8
- ISSN: 2474-1647
- DOI: 10.25107/2474-1647
Major Scope
- Robotic Surgery
- Thoracic Surgery
- Vascular Surgery
- Minimally Invasive Surgery
- Endocrine Surgery
- General Surgery
- Otolaryngology - Head and Neck Surgery
- Oral and Maxillofacial Surgery
Abstract
Citation: Clin Surg. 2017;2(1):1583.Research Article | Open Access
Detection of Anal Dysplasia by Chromoendoscopy with Narrow Band Imaging and Acetic Acid (NBIA) in 182 Patients
Michelle D Inkster and James S Wu
Digestive Diseases and Surgery Institute, Cleveland Clinic, Cleveland, Ohio, USA
*Correspondance to: James S Wu
PDF Full Text DOI: 10.25107/2474-1647.1583
Abstract
Anal squamous intraepithelial lesion (SIL) precedes the development of anal squamous cell carcinoma (SCC). Detection of SIL is facilitated by chromoendoscopy with narrow band imaging and acetic acid (NBIA). Between 2011 and 2017, 182 patients with abnormal anal cytology underwent NBIA to identify and ablate SIL. The majority of patients were HIV positive men. Other associated diagnoses included urogynecologic dysplasia, inflammatory bowel disease and organ transplantation. The histopathologic diagnosis of SIL/SCC was found in 65% of cases overall (52% for cytology showing atypical cells, 81% for cytology showing low-grade SIL and 73% for cytology showing high-grade SIL). Illustrative examples showing the endoscopic appearance of LSIL, HSIL, and SCC are shown. The procedure can be done in any facility where endoscopy is practiced.
Keywords
Squamous intraepithelial neoplasia; Chromoendoscopy; Narrow band imaging; Human papillomavirus; Human immunodeficiency virus; Organ transplantation; Inflammatory bowel disease
Cite the article
Inkster MD, Wu JS. Detection of Anal Dysplasia by Chromoendoscopy with Narrow Band Imaging and Acetic Acid (NBIA) in 182 Patients. Clin Surg. 2017; 2: 1583.
