Advanced endoscopic imaging in gastric neoplasia and preneoplasia

Conventional white light endoscopy remains the current standard in routine clinical practice for early detection of gastric cancer. However, it may not accurately diagnose preneoplastic gastric lesions. The technological advancements in the field of endoscopic imaging for gastric lesions are fast gr...

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Bibliographic Details
Published in:BMJ open gastroenterology 2017, Vol.4 (1), p.e000105-e000105
Main Authors: Lee, Jonathan W J, Lim, Lee Guan, Yeoh, Khay Guan
Format: Article
Language:English
Subjects:
Accuracy
Clinical medicine
Endoscopy
Gastric cancer
Lasers
Meta-analysis
Spectrum analysis
Studies
Systematic review
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Description
Summary:Conventional white light endoscopy remains the current standard in routine clinical practice for early detection of gastric cancer. However, it may not accurately diagnose preneoplastic gastric lesions. The technological advancements in the field of endoscopic imaging for gastric lesions are fast growing. This article reviews currently available advanced endoscopic imaging modalities, in particular chromoendoscopy, narrow band imaging and confocal laser endomicroscopy, and their corresponding evidence shown to improve diagnosis of preneoplastic gastric lesions. Raman spectrometry and polarimetry are also introduced as promising emerging technologies.
ISSN:2054-4774
2054-4774
DOI:10.1136/bmjgast-2016-000105