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Mucosal pattern of the upper gastrointestinal tract viewed by magnification Endoscopy in combination with narrow-band imaging

Milko Mirchev, Iskren Kotzev, Irina Ivanova

Abstract

The introduction of white light endoscopy has improved dramatically the management of gastrointestinal tract disorders. Tissue sampling, however, is mandatory for accurate diagnosis, especially if dysplasia, cancer or H. pylori infection is suspected. It is also associated with high missing rates due to the uneven distribution of the mentioned pathology. Chromoendoscopy has proven to be superior to standard white light for detecting of lesions but requires different dyes and a long learning curve. On the other hand, narrow band imaging in combination with magnification endoscopy shortens the procedure time, allows close observation of the mucosal surface gaining excellent real-time images, and guides the endoscopist for target biopsies of suspected areas. This review will briefly cover the current knowledge of high quality endoscopy of the upper gastrointestinal tract.


Keywords

squamous cell cancer; Barrett`s esophagus; dysplasia; early gastric cancer; coeliac disease; narrow band imaging; magnification endoscopy

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DOI: http://dx.doi.org/10.14748/ssm.v47i1.892
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About The Authors

Milko Mirchev
Clinic of Gastroenterology, UMHAT St. Marina
Bulgaria

Iskren Kotzev
Clinic of Gastroenterology, UMHAT St. Marina
Bulgaria

Irina Ivanova
Clinic of Gastroenterology, UMHAT St. Marina

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