Diagnosis by endoscopy and advanced imaging

Best Practice & Research. Clinical Gastroenterology
Anne-Fré SwagerJacques J Bergman

Abstract

Evaluation of patients with Barrett's oesophagus (BO) using dye-based chromoendoscopy, optical chromoendoscopy, autofluorescence imaging, or confocal laser endomicroscopy does not significantly increase the number of patients with a diagnosis of early neoplasia compared with high-definition white light endoscopy (HD-WLE) with random biopsy analysis. These newer imaging techniques are not more effective in standard surveillance of patients with BO because the prevalence of early neoplasia is low and HD-WLE with random biopsy analysis detects most cases of neoplasia. The evaluation and treatment of patients with BO and early-stage neoplasia should be centralized in tertiary referral centers, where procedures are performed under optimal conditions, by expert endoscopists. Lesions that require resection are almost always detected by HD-WLE, although advanced imaging techniques can detect additional flat lesions. However, these are of limited clinical significance because they are effectively eradicated by ablation therapy. No endoscopic imaging technique can reliably assess submucosal or lymphangio-invasion. Endoscopic resection of early-stage neoplasia in patients with BO is important for staging and management. Optical chromoendo...Continue Reading

References

Apr 1, 2000·Gastrointestinal Endoscopy·M V SivakJ Willis
Feb 24, 2001·Gastroenterology·J M PonerosN S Nishioka
Oct 16, 2004·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·A G E M de BoerM A G Sprangers
Jun 4, 2005·Endoscopy·UNKNOWN Endoscopic Classification Review Group
Dec 2, 2006·Gastrointestinal Endoscopy·John A EvansGuillermo J Tearney
Mar 27, 2007·Gastrointestinal Endoscopy·Benjamin J VakocBrett E Bouma
Apr 19, 2007·Diseases of the Esophagus : Official Journal of the International Society for Diseases of the Esophagus·M A KaraB C Wilson
Nov 13, 2007·Gastroenterology Clinics of North America·Jason L Hornick, Robert D Odze
Apr 24, 2008·Diseases of the Esophagus : Official Journal of the International Society for Diseases of the Esophagus·F P PetersJ J G H M Bergman
Oct 18, 2008·Gastrointestinal Endoscopy·Melissa J SuterGuillermo J Tearney
Dec 10, 2008·Endoscopy·W L CurversJ J Bergman
Mar 7, 2009·Current Opinion in Biotechnology·Brett E BoumaGuillermo J Tearney
Jul 6, 2010·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·Gaius Longcroft-WheatonPradeep Bhandari
Aug 1, 2012·Annals of Oncology : Official Journal of the European Society for Medical Oncology·A P Thrift, D C Whiteman
Jul 3, 2013·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·Venkataraman Subramanian, Krish Ragunath
Oct 30, 2013·Endoscopy·Lorenza Alvarez HerreroJacques G H M Bergman

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Citations

Oct 25, 2016·Revista de gastroenterología de México·F Huerta-IgaUNKNOWN en representación del Grupo para el estudio de la ERGE 2015
Jul 13, 2016·Journal of Biophotonics·Martin HohmannH Albrecht
Aug 10, 2019·Clinical Rehabilitation·Samuel TurcotteFrançois Routhier
May 19, 2019·Scientific Reports·Martin HohmannMichael Schmidt
May 8, 2018·Journal of Magnetic Resonance Imaging : JMRI·Shaocheng ZhuBin Song
Mar 20, 2021·Current Treatment Options in Gastroenterology·Ying Gibbens, Prasad G Iyer

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