Colonoscopywith magnified view is the most reliable nonbiopsy method for distinguishingnon-neoplastic from neoplastic colorectal lesions. This study analysed lhe interobserverconcordance in diagnosis of pit patem, with 3 experients endoscopists usingKudo Classification and correlating the this aspects with histological ones.A total of 213 magnificated images injuries (polipoides and plain) had beencollected of 161 independent observing patients consecutive and presented tresthat had expressed opinion on the predominant standard of criptas. All the injurieshad been completely ressected and send for histopatológico study. Theanalysis esteem statistics of Kappa showed that the indice of general agreementfor standards of criptas between the 3 observers was 84%; sensitivity 91.4%;specificity 67.2% positive preditivo value 86.6%; negative preditivo value 79.3%;e index of Kappa of 0,61%. Although the interobserver reproduction of pit paternare good, the image for colonoscopia with magnificação, does nothave to substitute the histopatologic study, therefore it does not differentiatewith the necessary security neoplastic injuries of non neoplastic.
