Advanced imaging and therapeutic endoscopy

Chaitanya Pant MD, Mojtaba S. Olyaee MD, Amit Rastogi MD, FASGE
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引用次数: 2

Abstract

From the early days of gastrointestinal endoscopy, there has been remarkable progress in imaging technology. High-definition endoscopes are now part of the standard armamentarium and a variety of other advanced imaging modalities jostle for space. However, the objective of each of these remains much the same; the enablement of the endoscopist to accurately characterize early gastrointestinal mucosal lesions, which are beyond the capability of standard devices. The benefit of doing so, may be manifold. First, during surveillance of gastrointestinal malignancy, the endoscopist may choose to eschew random biopsies in favor of targeted ones from areas of suspicious mucosa. Second, early mucosal lesions may be detected, which are typically amenable to endoscopic therapy. The ultimate result is improved clinical outcomes and in many cases, the avoidance of surgery. The goal of this review is to summarize for the reader, the most important technologies in advanced endoscopic imaging and their applicability to clinical practice with emphasis on their functioning, implementation, and effect on therapeutic endoscopy.

先进的成像和治疗性内窥镜检查
从早期的胃肠内窥镜开始,成像技术已经取得了显著的进步。高清内窥镜现在是标准设备的一部分,各种其他先进的成像模式争夺空间。然而,它们的目标大致相同;使内镜医师能够准确地描述早期胃肠道粘膜病变,这超出了标准设备的能力。这样做的好处可能是多方面的。首先,在胃肠道恶性肿瘤的监测过程中,内镜医师可能会选择避免随机活检,而选择可疑粘膜区域的靶向活检。其次,早期粘膜病变可以被发现,这通常是适合内镜治疗的。最终的结果是改善了临床结果,在许多情况下,避免了手术。这篇综述的目的是为读者总结先进内窥镜成像中最重要的技术及其在临床实践中的适用性,重点是它们的功能、实施和在治疗性内窥镜检查中的作用。
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来源期刊
Techniques in Gastrointestinal Endoscopy
Techniques in Gastrointestinal Endoscopy GASTROENTEROLOGY & HEPATOLOGY-
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期刊介绍: The purpose of each issue of Techniques in Gastrointestinal Endoscopy is to provide a comprehensive, current overview of a clinical condition or surgical procedure in gastrointestinal endoscopy, combining the effectiveness of an atlas with the timeliness of a journal. Each issue places a vigorous emphasis on diagnosis, rationale for and against a procedure, actual technique, management, and prevention of complications. The journal features abundant illustrations, line drawings and color artwork to guide readers through even the most complicated procedure.
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