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Lasers in Medical Science

Erschienen in:

06.09.2018 | Original Article

Blue laser imaging with acetic acid enhancement improved the detection rate of gastric intestinal metaplasia

verfasst von: Honglei Chen, Xiaobin Wu, Yanan Liu, Qiuning Wu, Yi Lu, Chujun Li

Erschienen in: Lasers in Medical Science | Ausgabe 3/2019

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Abstract

Our aim was to evaluate the ability of blue laser imaging (BLI) combined with acetic acid (BLI-AA) to detect gastric intestinal metaplasia (GIM). Participants undergoing gastroscopy from July 2017 to February 2018 in our hospital were enrolled prospectively. The abilities of white light imaging endoscopy, BLI endoscopy, and BLI-AA to detect GIM were compared. One hundred six patients undergoing gastroscopy met the inclusion criteria. GIM was diagnosed in 41 patients. For BLI-AA, the sensitivity, specificity, positive predictive, and negative predictive values were 85.4%, 84.6%, 77.8%, and 90.2% respectively. The diagnostic accuracy rate for BLI-AA was 84.9%, which was higher than that of white light imaging endoscopy and BLI endoscopy. For target biopsy, the GIM detection rate for the BLI-AA mode was significantly higher (77.8%, 105/135) than that for the BLI mode (58.3%, 84/144) or the white light endoscopy mode (40.4%, 57/141) (p < 0.05). BLI-AA is an efficient and simple method for the detection of GIM.

Jencks DS, Adam JD, Borum ML, Koh JM, Stephen S, Doman DB (2018) Overview of current concepts in gastric intestinal metaplasia and gastric Cancer. Gastroenterol Hepatol (N Y) 14(2):92–101

Shao L, Li P, Ye J, Chen J, Han Y, Cai J, Lu X (2018) Risk of gastric cancer among patients with gastric intestinal metaplasia. Int J Cancer. https://doi.org/10.1002/ijc.31571

Choi AY, Strate LL, Fix MC, Schmidt RA, Ende AR, Yeh MM, Inadomi JM, Hwang JH (2018) Association of gastric intestinal metaplasia and East Asian ethnicity with the risk of gastric adenocarcinoma in a U.S. population. Gastrointest Endosc 87(4):1023–1028. https://doi.org/10.1016/j.gie.2017.11.010 CrossRefPubMed

Woo Y, Behrendt CE, Trapp G, Hyun JG, Gonda T, Fong Y, Wang T (2017) Screening endoscopy finds high prevalence of helicobacter pylori and intestinal metaplasia in Korean American with limited access to health care. J Surg Oncol 116(2):172–176. https://doi.org/10.1002/jso.24622 CrossRefPubMed

Dixon MF, Genta RM, Yardley JH, Correa P (1996) Classification and grading of gastritis. The updated Sydney System. International Workshop on the Histopathology of Gastritis, Houston 1994. Am J Surg Pathol 20(10):1161–1181CrossRefPubMed

An JK, Song GA, Kim GH, Park DY, Shin NR, Lee BE, Woo HY, Ryu DY, Kim DU, Heo J (2012) Marginal turbid band and light blue crest, signs observed in magnifying narrow-band imaging endoscopy, are indicative of gastric intestinal metaplasia. BMC Gastroenterol 12:169. https://doi.org/10.1186/1471-230X-12-169 CrossRefPubMedPubMedCentral

Uedo N, Ishihara R, Iishi H, Yamamoto S, Yamamoto S, Yamada T, Imanaka K, Takeuchi Y, Higashino K, Ishiguro S, Tatsuta M (2006) A new method of diagnosing gastric intestinal metaplasia: narrow-band imaging with magnifying endoscopy. Endoscopy 38(8):819–824. https://doi.org/10.1055/s-2006-944632 CrossRefPubMed

Panteris V, Nikolopoulou S, Lountou A, Triantafillidis JK (2014) Diagnostic capabilities of high-definition white light endoscopy for the diagnosis of gastric intestinal metaplasia and correlation with histologic and clinical data. Eur J Gastroenterol Hepatol 26(6):594–601. https://doi.org/10.1097/MEG.0000000000000097 CrossRefPubMed

Dias-Silva D, Pimentel-Nunes P, Magalhaes J, Magalhaes R, Veloso N, Ferreira C, Figueiredo P, Moutinho P, Dinis-Ribeiro M (2014) The learning curve for narrow-band imaging in the diagnosis of precancerous gastric lesions by using Web-based video. Gastrointest Endosc 79(6):910–920; quiz 983-e911, 983 e914. https://doi.org/10.1016/j.gie.2013.10.020 CrossRefPubMed

10.

Kaneko K, Oono Y, Yano T, Ikematsu H, Odagaki T, Yoda Y, Yagishita A, Sato A, Nomura S (2014) Effect of novel bright image enhanced endoscopy using blue laser imaging (BLI). Endosc Int Open 2(4):E212–E219. https://doi.org/10.1055/s-0034-1390707 CrossRefPubMedPubMedCentral

11.

Dohi O, Yagi N, Yoshida S, Ono S, Sanomura Y, Tanaka S, Naito Y, Kato M (2017) Magnifying blue laser imaging versus magnifying narrow-band imaging for the diagnosis of early gastric cancer: a prospective, multicenter, comparative study. Digestion 96(3):127–134. https://doi.org/10.1159/000479553 CrossRefPubMed

12.

Diao W, Huang X, Shen L, Zeng Z (2018) Diagnostic ability of blue laser imaging combined with magnifying endoscopy for early esophageal cancer. Dig Liver Dis. https://doi.org/10.1016/j.dld.2018.03.027

13.

Chen H, Liu Y, Lu Y, Lin X, Wu Q, Sun J, Li C (2018) Ability of blue laser imaging with magnifying endoscopy for the diagnosis of gastric intestinal metaplasia. Lasers Med Sci. https://doi.org/10.1007/s10103-018-2536-3

14.

Song KH, Hwang JA, Kim SM, Ko HS, Kang MK, Ryu KH, Koo HS, Lee TH, Huh KC, Choi YW, Kang YW (2017) Acetic acid chromoendoscopy for determining the extent of gastric intestinal metaplasia. Gastrointest Endosc 85(2):349–356. https://doi.org/10.1016/j.gie.2016.07.064 CrossRefPubMed

15.

Sha J, Wang P, Zhu B, Zhu M, Li X, Gao F (2017) Acetic acid enhanced narrow band imaging for the diagnosis of gastric intestinal metaplasia. PLoS One 12(1):e0170957. https://doi.org/10.1371/journal.pone.0170957 CrossRefPubMedPubMedCentral

16.

Fortun PJ, Anagnostopoulos GK, Kaye P, James M, Foley S, Samuel S, Shonde A, Badreldin R, Campbell E, Hawkey CJ, Ragunath K (2006) Acetic acid-enhanced magnification endoscopy in the diagnosis of specialized intestinal metaplasia, dysplasia and early cancer in Barrett’s oesophagus. Aliment Pharmacol Ther 23(6):735–742. https://doi.org/10.1111/j.1365-2036.2006.02823.x CrossRefPubMed

17.

Coletta M, Sami SS, Nachiappan A, Fraquelli M, Casazza G, Ragunath K (2016) Acetic acid chromoendoscopy for the diagnosis of early neoplasia and specialized intestinal metaplasia in Barrett’s esophagus: a meta-analysis. Gastrointest Endosc 83(1):57–67 e51. https://doi.org/10.1016/j.gie.2015.07.023 CrossRefPubMed

18.

Shichijo S, Hirata Y, Niikura R, Hayakawa Y, Yamada A, Ushiku T, Fukayama M, Koike K (2016) Histologic intestinal metaplasia and endoscopic atrophy are predictors of gastric cancer development after helicobacter pylori eradication. Gastrointest Endosc 84(4):618–624. https://doi.org/10.1016/j.gie.2016.03.791 CrossRefPubMed

19.

Jiang JX, Liu Q, Zhao B, Zhang HH, Sang HM, Djaleel SM, Zhang GX, Xu SF (2017) Risk factors for intestinal metaplasia in a southeastern Chinese population: an analysis of 28,745 cases. J Cancer Res Clin Oncol 143(3):409–418. https://doi.org/10.1007/s00432-016-2299-9 CrossRefPubMed

Titel: Blue laser imaging with acetic acid enhancement improved the detection rate of gastric intestinal metaplasia
verfasst von: Honglei Chen
Xiaobin Wu
Yanan Liu
Qiuning Wu
Yi Lu
Chujun Li
Publikationsdatum: 06.09.2018
Verlag: Springer London
Erschienen in: Lasers in Medical Science / Ausgabe 3/2019
Print ISSN: 0268-8921
Elektronische ISSN: 1435-604X
DOI: https://doi.org/10.1007/s10103-018-2629-z

Springer Medizin

Abstract

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