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Lasers in Medical Science

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22.03.2019 | Original Article

Predictability of gastric intestinal metaplasia by patchy lavender color seen on linked color imaging endoscopy

verfasst von: Honglei Chen, Huashe Wang, Xiaobin Wu, Yanan Liu, Qiuning Wu, Yi Lu, Xutao Lin, Dejun Fan, Chujun Li

Erschienen in: Lasers in Medical Science | Ausgabe 9/2019

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Abstract

We aimed to investigate the ability of linked color imaging (LCI) versus white light endoscopy (WLE) to detect gastric intestinal metaplasia (GIM). One hundred and seven participants who underwent upper gastrointestinal endoscopy were included. Under WLE endoscopy, biopsies were performed on any suspected abnormal mucosal changes. Under LCI endoscopy, we tested whether the specific color feature of patchy lavender color (PLC) pathologically indicated GIM. Biopsies were randomly performed in participants who had neither PLC nor suspected lesions. The detection abilities of LCI and WLE were assessed by comparison of histological and endoscopic findings. A total of 41 participants had histological GIM. The total diagnostic accuracy rate for GIM by LCI was 79.44%, higher than that of WLE (40.19%) (P < 0.001). Moreover, LCI with targeted biopsies showed a significantly increased ability to detect GIM (P < 0.001). PLC observed in the gastric mucosa on LCI can guide endoscopic biopsies and increase the detection rate of GIM. Thus, LCI could be a good tool for detecting GIM. ClinicalTrials.gov Identifier: ChiCTR-DDD-17011326)

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

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 14(2):92–101

Correa P (1988) A human model of gastric carcinogenesis. Cancer Res 48(13):3554–3560PubMed

Gomez JM, Wang AY (2014) Gastric intestinal metaplasia and early gastric cancer in the west: a changing paradigm. Gastroenterol Hepatol 10(6):369–378

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

Ballester V, Cruz-Correa M (2014) Endoscopic surveillance of gastrointestinal premalignant lesions: current knowledge and future directions. Curr Opin Gastroenterol 30(5):477–483. https://doi.org/10.1097/MOG.0000000000000090 CrossRefPubMedPubMedCentral

Fukuta N, Ida K, Kato T, Uedo N, Ando T, Watanabe H, Shimbo T, Study Group for Investigating Endoscopic Diagnosis of Gastric Intestinal M (2013) Endoscopic diagnosis of gastric intestinal metaplasia: a prospective multicenter study. Digestive endoscopy: official journal of the Japan. Gastroenterol Endosc Soc 25(5):526–534. https://doi.org/10.1111/den.12032 CrossRef

Buxbaum JL, Hormozdi D, Dinis-Ribeiro M, Lane C, Dias-Silva D, Sahakian A, Jayaram P, Pimentel-Nunes P, Shue D, Pepper M, Cho D, Laine L (2017) Narrow-band imaging versus white light versus mapping biopsy for gastric intestinal metaplasia: a prospective blinded trial. Gastrointest Endosc 86(5):857–865. https://doi.org/10.1016/j.gie.2017.03.1528 CrossRefPubMed

Kikuste I, Stirna D, Liepniece-Karele I, Leja M, Dinis-Ribeiro M (2014) The accuracy of flexible spectral imaging colour enhancement for the diagnosis of gastric intestinal metaplasia: do we still need histology to select individuals at risk for adenocarcinoma? Eur J Gastroenterol Hepatol 26(7):704–709. https://doi.org/10.1097/MEG.0000000000000108 CrossRefPubMed

10.

Lim LG, Yeoh KG, Srivastava S, Chan YH, Teh M, Ho KY (2013) Comparison of probe-based confocal endomicroscopy with virtual chromoendoscopy and white-light endoscopy for diagnosis of gastric intestinal metaplasia. Surg Endosc 27(12):4649–4655. https://doi.org/10.1007/s00464-013-3098-x CrossRefPubMed

11.

Li Z, Zuo XL, Yu T, Gu XM, Zhou CJ, Li CQ, Ji R, Li YQ (2014) Confocal laser endomicroscopy for in vivo detection of gastric intestinal metaplasia: a randomized controlled trial. Endoscopy 46(4):282–290. https://doi.org/10.1055/s-0033-1359215 CrossRefPubMed

12.

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

13.

Tahara T, Shibata T, Nakamura M, Okubo M, Yoshioka D, Arisawa T, Hirata I (2010) The mucosal pattern in the non-neoplastic gastric mucosa by using magnifying narrow-band imaging endoscopy significantly correlates with gastric cancer risk. Gastrointest Endosc 71(2):429–430. https://doi.org/10.1016/j.gie.2009.05.034 CrossRefPubMed

14.

Tahara T, Shibata T, Nakamura M, Yoshioka D, Okubo M, Arisawa T, Hirata I (2009) Gastric mucosal pattern by using magnifying narrow-band imaging endoscopy clearly distinguishes histological and serological severity of chronic gastritis. Gastrointest Endosc 70(2):246–253. https://doi.org/10.1016/j.gie.2008.11.046 CrossRefPubMed

15.

Pimentel-Nunes P, Dinis-Ribeiro M, Soares JB, Marcos-Pinto R, Santos C, Rolanda C, Bastos RP, Areia M, Afonso L, Bergman J, Sharma P, Gotoda T, Henrique R, Moreira-Dias L (2012) A multicenter validation of an endoscopic classification with narrow band imaging for gastric precancerous and cancerous lesions. Endoscopy 44(3):236–246. https://doi.org/10.1055/s-0031-1291537 CrossRefPubMed

16.

Yoshida N, Yagi N, Inada Y, Kugai M, Okayama T, Kamada K, Katada K, Uchiyama K, Ishikawa T, Handa O, Takagi T, Konishi H, Kokura S, Yanagisawa A, Naito Y (2014) Ability of a novel blue laser imaging system for the diagnosis of colorectal polyps. Digestive endoscopy: official journal of the Japan. Gastroenterol Endosc Soc 26(2):250–258. https://doi.org/10.1111/den.12127 CrossRef

17.

Yoshida N, Hisabe T, Inada Y, Kugai M, Yagi N, Hirai F, Yao K, Matsui T, Iwashita A, Kato M, Yanagisawa A, Naito Y (2014) The ability of a novel blue laser imaging system for the diagnosis of invasion depth of colorectal neoplasms. J Gastroenterol 49(1):73–80. https://doi.org/10.1007/s00535-013-0772-7 CrossRefPubMed

18.

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

19.

Suzuki T, Hara T, Kitagawa Y, Takashiro H, Nankinzan R, Sugita O, Yamaguchi T (2017) Linked-color imaging improves endoscopic visibility of colorectal nongranular flat lesions. Gastrointest Endosc. https://doi.org/10.1016/j.gie.2017.01.044 CrossRef

20.

Dohi O, Yagi N, Onozawa Y, Kimura-Tsuchiya R, Majima A, Kitaichi T, Horii Y, Suzuki K, Tomie A, Okayama T, Yoshida N, Kamada K, Katada K, Uchiyama K, Ishikawa T, Takagi T, Handa O, Konishi H, Naito Y, Itoh Y (2016) Linked color imaging improves endoscopic diagnosis of active Helicobacter pylori infection. Endosc Int Open 4(7):E800–E805. https://doi.org/10.1055/s-0042-109049 CrossRefPubMedPubMedCentral

21.

Ono S, Abiko S, Kato M (2017) Linked color imaging enhances gastric cancer in gastric intestinal metaplasia. Digestive endoscopy: official journal of the Japan. Gastroenterol Endosc Soc 29(2):230–231. https://doi.org/10.1111/den.12757 CrossRef

22.

Sun X, Dong T, Bi Y, Min M, Shen W, Xu Y, Liu Y (2016) Linked color imaging application for improving the endoscopic diagnosis accuracy: a pilot study. Sci Rep 6:33473. https://doi.org/10.1038/srep33473 CrossRefPubMedPubMedCentral

23.

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):1161–1181CrossRef

24.

Schlemper RJ, Riddell RH, Kato Y, Borchard F, Cooper HS, Dawsey SM, Dixon MF, Fenoglio-Preiser CM, Flejou JF, Geboes K, Hattori T, Hirota T, Itabashi M, Iwafuchi M, Iwashita A, Kim YI, Kirchner T, Klimpfinger M, Koike M, Lauwers GY, Lewin KJ, Oberhuber G, Offner F, Price AB, Rubio CA, Shimizu M, Shimoda T, Sipponen P, Solcia E, Stolte M, Watanabe H, Yamabe H (2000) The Vienna classification of gastrointestinal epithelial neoplasia. Gut 47(2):251–255CrossRef

25.

Trevethan R (2017) Sensitivity, specificity, and predictive values: foundations, pliabilities, and pitfalls in research and practice. Front Public Health 5:307. https://doi.org/10.3389/fpubh.2017.00307 CrossRefPubMedPubMedCentral

26.

Carvajal DN, Rowe PC (2010) Sensitivity, specificity, predictive values, and likelihood ratios. Pediatr Rev 31(12):511–513. https://doi.org/10.1542/pir.31-12-511 CrossRefPubMed

27.

Fukuda H, Miura Y, Hayashi Y, Takezawa T, Ino Y, Okada M, Osawa H, Lefor AK, Yamamoto H (2015) Linked color imaging technology facilitates early detection of flat gastric cancers. Clin J Gastroenterol 8(6):385–389. https://doi.org/10.1007/s12328-015-0612-9 CrossRefPubMed

28.

Min M, Deng P, Zhang W, Sun X, Liu Y, Nong B (2017) Comparison of linked color imaging and white-light colonoscopy for colorectal polyp detection: a multicenter, randomized, crossover trial. Gastrointest Endosc. https://doi.org/10.1016/j.gie.2017.02.035 CrossRef

29.

Kanemitsu T, Yao K, Nagahama T, Imamura K, Fujiwara S, Ueki T, Chuman K, Tanabe H, Atsuko O, Iwashita A, Shimokawa T, Uchita K, Kanesaka T (2017) Extending magnifying NBI diagnosis of intestinal metaplasia in the stomach: the white opaque substance marker. Endoscopy 49(6):529–535. https://doi.org/10.1055/s-0043-103409 CrossRefPubMed

30.

Liu H, Wu J, Lin XC, Wei N, Lin W, Chang H, Du XM (2014) Evaluating the diagnoses of gastric antral lesions using magnifying endoscopy with narrow-band imaging in a Chinese population. Dig Dis Sci 59(7):1513–1519. https://doi.org/10.1007/s10620-014-3027-4 CrossRefPubMed

31.

Genta RM, Sonnenberg A (2015) Characteristics of the gastric mucosa in patients with intestinal metaplasia. Am J Surg Pathol 39(5):700–704. https://doi.org/10.1097/PAS.0000000000000384 CrossRefPubMed

32.

Okubo M, Tahara T, Shibata T, Yonemura J, Yoshioka D, Kamiya Y, Nakamura M, Arisawaz T, Ohmiya N, Hirata I (2014) Light blue crest and ridge/villous patterns in the uninvolved gastric antrum by magnifying NBI endoscopy correlate with serum pepsinogen and gastric cancer occurrence. Hepato-gastroenterology 61(130):525–528PubMed

33.

Ono S, Kato M, Tsuda M, Miyamoto S, Abiko S, Shimizu Y, Sakamoto N (2018) Lavender color in linked color imaging enables noninvasive detection of gastric intestinal metaplasia. Digestion 98(4):222–230. https://doi.org/10.1159/000489454 CrossRefPubMed

34.

Savarino E, Corbo M, Dulbecco P, Gemignani L, Giambruno E, Mastracci L, Grillo F, Savarino V (2013) Narrow-band imaging with magnifying endoscopy is accurate for detecting gastric intestinal metaplasia. World J Gastroenterol 19(17):2668–2675. https://doi.org/10.3748/wjg.v19.i17.2668 CrossRefPubMedPubMedCentral

Titel: Predictability of gastric intestinal metaplasia by patchy lavender color seen on linked color imaging endoscopy
verfasst von: Honglei Chen
Huashe Wang
Xiaobin Wu
Yanan Liu
Qiuning Wu
Yi Lu
Xutao Lin
Dejun Fan
Chujun Li
Publikationsdatum: 22.03.2019
Verlag: Springer London
Erschienen in: Lasers in Medical Science / Ausgabe 9/2019
Print ISSN: 0268-8921
Elektronische ISSN: 1435-604X
DOI: https://doi.org/10.1007/s10103-019-02775-8

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Springer Medizin

Predictability of gastric intestinal metaplasia by patchy lavender color seen on linked color imaging endoscopy

Abstract

Live-Webinar: Aktuelle Leitlinien bei Herz-Kreislauf-Erkrankungen

Springer Medizin

Abstract

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