Clin Colon Rectal Surg 2010; 23(1): 021-030
DOI: 10.1055/s-0030-1247853
© Thieme Medical Publishers

Current Status of Chromoendoscopy and Narrow Band Imaging in Colonoscopy

Jonathan P. Nass1 , Sean E. Connolly1
  • 1Department of Gastroenterology, Ochsner Clinic Foundation, New Orleans, Louisiana
Further Information

Publication History

Publication Date:
09 March 2010 (online)


Colonoscopy, the preferred procedure for colon cancer screening, has well-documented limitations. To improve colonoscopy's effectiveness, augmented endoscopy techniques, such as chromoendoscopy and narrow band imaging (NBI) have been evaluated. Both techniques are inexpensive, safe, and relatively easy to perform. Chromoendoscopy has an increasingly important role in surveillance of IBD, but significant work is needed to determine the optimal staining techniques and mucosal surface pattern analysis before this technique can be incorporated into routine clinical practice. NBI is a much newer technology with far less data. Well-designed prospective randomized controlled trials have failed to identify a benefit of NBI in screening colonoscopy, in surveillance for high-risk populations or as an adjunct for therapeutic procedures.


Sean E ConnollyM.D. 

Department of Gastroenterology, Ochsner Clinic Foundation

1514 Jefferson Hwy., New Orleans, LA 70121