Abstract
Barrett’s esophagus (BE) is the premalignant lesion for the majority of patients with esophageal and gastroesophageal junction adenocarcinoma, a cancer rapidly rising in incidence in the United States and western Europe. Endoscopic diagnosis of BE and neoplasia arising from within a BE segment continues to be a challenge and is typically dependent on random biopsies. Because of the focal and patchy nature of intestinal metaplasia and neoplasia, novel endoscopic approaches aimed at improving current screening and surveillance strategies have been explored. Narrow-band imaging (NBI) with or without magnification endoscopy is a new endoscopic technique that changes the optical filters of the current sequential lighting video endoscopes to spectral narrow-band filters. Use of a higher intensity of blue light with narrow-band filters allows detailed imaging of mucosal and vascular surface patterns with a high degree of resolution. Studies to date have yielded promising results for NBI alone or in combination with other advanced endoscopic techniques in the detection and surveillance of patients with BE.
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References
Spechler SJ (2002) Clinical practice: Barrett’s esophagus. N Engl J Med 346:836–842
Sharma P, Falk GW, Weston AP, et al (2006) Dysplasia and cancer in a large multicenter cohort of patients with Barrett’s esophagus. Clin Gastroenterol Hepatol 4:566–572
Eloubeidi MA, Mason AC, Desmond RA, et al (2003) Temporal trends (1973–1997) in survival of patients with esophageal adenocarcinoma in the United States: a glimmer of hope? Am J Gastroenterol 98:1627–1633
Sampliner RE (2002) Practice parameters committee of the ACG. Updated guidelines for the diagnosis, surveillance, and therapy of Barrett’s esophagus. Am J Gastroenterol 97:1888–1895
Eloubeidi M, Homan R, Martz M, et al (1999) A cost analysis of outpatient care for patients with Barrett’s esophagus in a managed care setting. Am J Gastroenterol 94:2033–2036
Eloubeidi M, Provenzale D (1999) Does this patient have Barrett’s esophagus? The utility of predicting Barrett’s esophagus at the index endoscopy. Am J Gastroenterol 94:937–943
Muto M, Nakane M, Katada C, et al (2004) Squamous cell carcinoma in situ at oropharyngeal and hypopharyngeal mucosal sites. Cancer (Phila) 101:1375–1381
Hamamoto Y, Endo T, Nosho K, et al (2004) Usefulness of narrow band imaging endoscopy for diagnosis of Barrett’s esophagus. J Gastroenterol 39:14–20
Nakayoshi T, Tajiri H, Matsuda K, et al (2004) Magnifying endoscopy combined with narrow band imaging system for early gastric cancer: correlation of vascular pattern with histopathology. Endoscopy 36:1080–1084
Machida H, Sano Y, Hamamoto Y, et al (2004) Narrow band imaging in the diagnosis of colorectal mucosal lesions: a pilot study. Endoscopy 36:1094–1098
Gono K, Obi T, Yamaguchi M, et al (2004) Appearance of enhanced tissue features in narrow band endoscopic imaging. J Biomed Opt 9:568–577
Kara MA, Fockens P, Peters F, et al (2004) Narrow band imaging in Barrett’s esophagus: what features are relevant for detection of high-grade dysplasia and early cancer? Gastroenterology 126:A50
Kara MA, Ennahachi M, Fockens P, et al (2006) Detection and classification of the mucosal and vascular patterns (mucosal morphology) in Barrett’s esophagus by using narrow band imaging. Gastrointest Endosc 64:155–166
Sharma P, Bansal A, Mathur S, et al (2006) The utility of a novel narrow band imaging endoscopy system in patients with Barrett’s esophagus. Gastrointest Endosc 64: 167–175
Goda K, Tajiri H, Ikegami M, et al (2007) Usefulness of magnifying endoscopy with narrow band imaging for the detection of specialized intestinal metaplasia in columnar-lined esophagus and Barrett’s adenocarcinoma. Gastrointest Endosc 65: 36–46
Kara MA, Peters FP, Rosmolen WD, et al (2005) High-resolution endoscopy plus chromoendoscopy or narrow band imaging in Barrett’s esophagus: a prospective randomized crossover study. Endoscopy 37:929–936
Kara MA, Peters FP, Fockens P, et al (2006) Endoscopic video autofluorescence imaging followed by narrow band imaging for detecting early neoplasia in Barrett’s esophagus. Gastrointest Endosc 64:176–185
Meining A, Rosch T, Kiesslich R, et al (2004) Inter-and intra-observer variability of magnification chromoendoscopy for detecting specialized intestinal metaplasia at the gastroesophageal junction. Endoscopy 36:160–164
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Lynch, C.R., Sharma, P. (2008). Narrow-Band Imaging in the Diagnosis of Barrett’s Esophagus. In: Niwa, H., Tajiri, H., Nakajima, M., Yasuda, K. (eds) New Challenges in Gastrointestinal Endoscopy. Springer, Tokyo. https://doi.org/10.1007/978-4-431-78889-8_13
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DOI: https://doi.org/10.1007/978-4-431-78889-8_13
Publisher Name: Springer, Tokyo
Print ISBN: 978-4-431-78888-1
Online ISBN: 978-4-431-78889-8
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