کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
---|---|---|---|---|
6095453 | 1209829 | 2014 | 12 صفحه PDF | دانلود رایگان |
عنوان انگلیسی مقاله ISI
The Clinical Consequences of Advanced Imaging Techniques in Barrett's Esophagus
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کلمات کلیدی
AFIOFDIiCLECLEPCLEWLENBIConfocal laser endomicroscopy - Endomicroscopy لیزر Confocalprobe-based confocal laser endomicroscopy - Endomicroscopy لیزر پاپوکال مبتنی بر پروبwhite light endoscopy - آندوسکوپی نور سفیدEndoscopic imaging - تصویربرداری آندوسکوپیoptical frequency domain imaging - تصویربرداری با دامنه نوریnarrow band imaging - تصویربرداری باریک باریکautofluorescence imaging - تصویربرداری خودکار فلوئورسانسblue laser imaging - تصویربرداری لیزری آبیBLI - داشته باشد،Endoscopic therapy - درمان آندوسکوپیBarrett’s esophagus - مری بارتBarrett's esophagus - مریض BarrettNeoplasia - نئوپلازیhigh-definition - کیفیت بالا
موضوعات مرتبط
علوم پزشکی و سلامت
پزشکی و دندانپزشکی
بیماریهای گوارشی
پیش نمایش صفحه اول مقاله
چکیده انگلیسی
Evaluation of patients with Barrett's esophagus (BE) 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 BE 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 BE 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 BE is important for staging and management. Optical chromoendoscopy can also be used to evaluate lesions before endoscopic resection and in follow-up after successful ablation therapy.
ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Gastroenterology - Volume 146, Issue 3, March 2014, Pages 622-629.e4
Journal: Gastroenterology - Volume 146, Issue 3, March 2014, Pages 622-629.e4
نویسندگان
David F. Boerwinkel, Anne-Fré Swager, Wouter L. Curvers, Jacques J.G.H.M. Bergman,