Evidence map›Paper›PMID 42333873›Full record

Trial reportJournal of gastroenterology and hepatology2026

The Efficacy of Pan-Indigo Carmine Chromoendoscopy by Water-Jet Pump in the Detection of Colorectal Lesions: A Randomized Controlled Trial.

Huimin Tian, Can Cui, Qiuyu Wang, Ruixin Zhang, Yiyuan Sun, Mingming Zhang, Rui Ji

Registry-linked trialAbstract readRandomized Controlled TrialComparative Study
In one paragraph

Trial report in Journal of gastroenterology and hepatology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06596317 (Impact of Indigo Carmine Pump Spraying on the Adenoma Detection Rate), which is not on this map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06596317 nacompletednot on this map

Impact of Indigo Carmine Pump Spraying on the Adenoma Detection Rate: A Randomized Controlled Trial

TypeinterventionalSponsorShandong UniversityRan2024 to 2024Enrolled330ConditionsColonic Polyps, Adenomatous Polyps, Adenoma Detection Rate, ChromoendoscopyArmsChromoendoscopy, Conventional colonoscopy
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

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Huimin TianDepartment of Gastroenterology, Qilu Hospital of Shandong University, Jinan, Shandong, China.
Can CuiDepartment of Gastroenterology, Qilu Hospital of Shandong University, Jinan, Shandong, China.
Qiuyu WangDepartment of Gastroenterology, Qilu Hospital of Shandong University, Jinan, Shandong, China.
Ruixin ZhangDepartment of Gastroenterology, Qilu Hospital of Shandong University, Jinan, Shandong, China.
Yiyuan SunDepartment of Gastroenterology, Qilu Hospital of Shandong University, Jinan, Shandong, China.
Mingming ZhangDepartment of Gastroenterology, Qilu Hospital of Shandong University, Jinan, Shandong, China.
Rui JiDepartment of Gastroenterology, Qilu Hospital of Shandong University, Jinan, Shandong, China.ORCID https://orcid.org/0000-0001-5637-7796

Funding

General Program of National Natural Science Foundation of China grant no. 82470695Taishan Scholars Program of Shandong Province tsqn202312333
6 · The paper itself

Abstract

backgroundPump-based chromoendoscopy is recommended for the surveillance of dysplasia associated with inflammatory bowel disease. This study was designed to compare the efficacy of pump-based pan chromoendoscopy (PCE) with white-light endoscopy (WLE) for the detection of colorectal neoplasia in patients at high risk of colorectal cancer (CRC).

methodThis randomized controlled trial prospectively recruited 366 participants who were randomly allocated in a 1:1 ratio to the WLE group and the PCE group. PRIMARY OUTCOME: adenoma detection rate (ADR); secondary outcome: mean number of adenomas per procedure (MAP), sessile serrated lesion detection rate (SDR), flat adenoma detection rate (FDR), and advanced adenoma detection rate (AADR).

resultThe ADR was significantly higher with PCE (86/167, 51.5%) versus WLE (57/165, 34.5%; RR 1.49 [95% 1.15 to 1.93]: p = 0.002). The FDR and SDR were significantly higher in PCE than in WLE (50.3% vs. 32.1% RR 1.57 [95% 1.20 to 2.05] p = 0.001; 10.8% vs. 2.4% RR 4.45 [95% CI 1.54 to 12.86] p = 0.002).

conclusionsThis study demonstrated that using a novel spraying technique with low-concentration indigo carmine during colonoscopy achieved a significantly higher detection rate for colorectal lesions. Moreover, PCE significantly increased ADR, particularly for flat adenomas and the detection rate of sessile serrated lesions.

trial registrationClinicalTrials.gov identifier: NCT06596317.

Indexed as

AdenomaColonoscopyColorectal NeoplasmsColoring AgentsIndigo CarmineAgedFemaleHumansMaleMiddle AgedProspective StudiesWaterColoring AgentsIndigo CarmineWaterAdenomaChromoendoscopyColorectal CancerWater Jet

Identifiers

PMID42333873
PMCPMC13431716

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Registered trials

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