Evidence map›Paper›PMID 41970684›Full record

ArticleEndoscopy international open2026

Impact of acetic acid chromoendoscopy on detection of serrated lesions in the proximal colon compared with white-light endoscopy.

Fernando José Savóia de Oliveira, Fernando Lander Mota, Eduardo Mendes Alves Pereira Junior, Jarbas Faraco Loureiro, Tomas Navarro-Rodriguez

Abstract read
In one paragraph

Article in Endoscopy international open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

5 authors.

Fernando José Savóia de OliveiraEndoscopy, Hospital Sírio-Libanês, São Paulo, Brazil.
Fernando Lander MotaEndoscopy, Hospital Sírio-Libanês, São Paulo, Brazil.ORCID 0000-0001-6189-5272
Eduardo Mendes Alves Pereira JuniorEndoscopy, Hospital Sírio-Libanês, São Paulo, Brazil.
Jarbas Faraco LoureiroEndoscopy, Hospital Sírio-Libanês, São Paulo, Brazil.
Tomas Navarro-RodriguezGastroenterology Department, Universidade de São Paulo Faculdade de Medicina, São Paulo, Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and study aims: Colorectal cancer (CRC) screening programs demonstrated a significant reduction in distal CRC mortality. However, similar results are not observed in proximal cancer, probably due to subtle and easily overlooked serrated lesions (SLs) that account for up to 30% of cases. Acetic acid chromoendoscopy may be useful in characterization of SLs. Data on its impact on SL detection rates remain limited. The aim of this study was to assess SL detection rates using high-definition white-light endoscopy (HD-WLE) versus sequential HD-WLE followed by 2% acetic acid chromoendoscopy (AAC) in the proximal colon and to evaluate the association between proximal SL rates and risk factors. Patients and methods: This prospective study included colonoscopies performed at a tertiary care center in patients aged ≥ 18 years between January and July 2021. HD-WLE was followed by HD-WLE with 2% acetic acid chromoendoscopy (AAC). SL detection rates were analyzed using McNemar's test, and risk factors were evaluated using multivariable logistic regression. Results: Four hundred thirty-four patients aged 18 to 82 years underwent both inspection strategies. Among proximal lesions, 60.9% were detected under HD-WLE and 39.1% after AAC ( Conclusions: HD-WLE with sequential application of 2% acetic acid chromoendoscopy was associated with higher proximal SL detection compared with HD-WLE alone. Hypertension was the only risk factor significantly associated with proximal SL detection, within the context of a sequential examination design.

Indexed as

Colorectal cancerCRC screeningDiagnosis and imaging (inc chromoendoscopy, NBI, iSCAN, FICE, CLE...)Endoscopy Lower GI TractPolyps / adenomas / ...

Identifiers

PMID41970684
PMCPMC13062679

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.