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Gastrointest Endosc Clin N Am. 2017 Jul;27(3):423-446. doi: 10.1016/j.giec.2017.02.007.

The Role of Adjunct Imaging in Endoscopic Detection of Dysplasia in Barrett's Esophagus.

Author information

1
Department of Gastroenterology and Hepatology, Mayo Clinic Florida, 4500 San Pablo Road, Jacksonville, FL 32224, USA.
2
Department of Gastroenterology and Hepatology, Mayo Clinic Florida, 4500 San Pablo Road, Jacksonville, FL 32224, USA. Electronic address: wallace.michael@mayo.edu.

Abstract

Advances in imaging technologies have demonstrated promise in early detection of dysplasia and cancer in Barrett's esophagus (BE). Optical chromoendoscopy, dye-based chromoendoscopy, and novel technologies have provided the opportunity to visualize the cellular and subcellular structures. Only narrow-band imaging and acetic acid chromoendoscopy have reached benchmarks for clinical use. Volumetric laser endomicroscopy and molecular imaging are not established for routine use. Best practice in management of BE should be focused on careful endoscopic examination, resection, or ablation of the entire abnormal lesion, as well as the use of available imaging technique that has good diagnostic accuracy.

KEYWORDS:

Barrett’s esophagus; Imaging; Optical chromoendoscopy

PMID:
28577765
DOI:
10.1016/j.giec.2017.02.007
[Indexed for MEDLINE]

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